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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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|---|
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2
|
0
|
Proper handwashing procedure: .2803, .2836 |
No |
No
|
No |
General Comment:
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 children are washing their hands after restroom and turning off the faucet knob with their bare hands. Ensure to educate children of proper hand washing procedures, and wash their hands correctly anytimes. |
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5
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0
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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 |
General Comment:
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 in infant room, bottle was sitting on the counter waiting to be offer to a child again within an hour according to teacher. EHS, teacher and director discussed and suggested proper feeding ways/procedures per the rule citation above. “ 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.” |
|
11
|
2
|
Approved sanitizer provided;test kit available: .2809, .2810, .2812, .2814 |
No |
No
|
No |
Provide15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes.- Observed infant room without sanitizer solution for cleaning purposes. Provide sanitizer solution.
REPEAT
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 in toddler room sanitizer solution concentration measure at 1000 ppm. Ensure to provide correct sanitizer solution between 50-200 ppm at anytime. |
|
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 |
REPEAT
15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed slow draining and disrepair faucet handle at diaper sink in toddler need repair.
15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed disrepair toilet covered with black plastic bag in 3’, and damaged toilet seat in Meck 3 needs repair/ replacement. Observed disrepair wall where toilet tissue handler is in 2’ need repair. Observed Meck 1 restroom floor need cleaning and keep clean. |
|
26
|
2
|
Approved cleaning solution and approved disinfectant provided; test kit available when required: .2817, .2818, .2819, .2820, .2836 |
No |
No
|
No |
REPEAT
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 in infant room the disinfectant solution spray bottle measure at 200 ppm. Ensure to provide correct disinfectant solution concentration between 500- 800 ppm at all times. |
|
34
|
4
|
Clean and in good repair; cleaning, sanitization and maintenance of water play centers: .2822, .2836 |
No |
No
|
No |
15A NCAC 18A .2822 (d).Water play centers shall be filled with potable water immediately before children begin a water play session. Water shall be emptied after each play session and at a minimum each morning and afternoon, or more often if no longer clean.- Observed soiled looking water table in Meck 3, teacher stated that they play last yesterday. Teacher refill the water again this morning and children had not been playing with it yet. EHS, teacher and director discussed proper procedures about water play table at the time of inspection. |
|
48
|
3
|
Pest control; premises free of conditions that harbor or attract pests: .2831, .2832 |
No |
No
|
No |
15A NCAC 18A .2832 (a) Child care center premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazards, and maintained in a manner which does not create conditions that attract or harbor pests.- Observed old standing puddle of water on a ground outdoor from kitchen leading to playground. Repair the ground, do something with it to prevent standing water that will create mosquitoes friendly environment. |
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