| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
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 .2810 (f) Bottle warming equipment shall be cleaned and sanitized per rule .2812 and the manufacturer's instructions. Observed scale and build-up in bottle warmers, put on a daily cleaning schedule. |
|
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 dried food debris underneath and under pad on high chairs. Clean more frequently. Dried food in microwave in kitchen. |
|
16
|
4
|
Hot water supplied and maintained as required in all other areas: .2815, .2836 |
No |
No
|
No |
15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. Observed hot water at several hand sinks 111-112F, adjust mixing valve
15A NCAC 18A .2815 (e) Hot water supplied to clothes washing machines shall be 120°F or above. Observed washing machine not reach at least 120F |
|
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 .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed urine on toilet seat in gang bathroom at beginning and end of the inspection. Several toilet seats with damaged surfaces or stained
15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair. Observed build up around sink fixtures in gang bathrooms. More frequent/thorough cleaning needed. |
|
22
|
0
|
Soap, approved hand drying devices, toilet tissue paper available: .2817, .2818, .2836 |
No |
No
|
No |
15A NCAC 18A .2817 (a) In child care centers, toilet tissue paper shall be provided in each toilet room and stored in a clean, dry place. Observed several toilets out of toilet paper, children went to bathroom as a group so all toilets being used at same time. |
|
23
|
2
|
Approved storage in toilet rooms, lavatories free of storage; hand wash signs posted: .2817, .2818, .2836 |
No |
No
|
No |
15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed storage under hand sink plumbing in classrooms where cabinets open. |
|
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 changing table not cleaned/disinfected after diaper change. Staff washed hands picked up a child out of their crib and put her in a play area before cleaning table. Clean table first so it doesn’t get forgotten about |
|
28
|
0
|
Medications properly stored: .2820 |
No |
No
|
No |
15A NCAC 18A .2820 (d).Designated emergency medications shall be kept inaccessible to children, 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 emergency medication stored < 5 feet above floor. |
|
29
|
0
|
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 vomit coagulant unlocked in gang bathroom and a fizzing powder ball that looked like candy unlocked in unused classroom, packaging said it was not food and not to be eaten. Cold pack with warnings in outside bag |
|
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 books in disrepair in one classroom. Vinyl couch in disrepair in 3’s. Debris in bins, clean bins more frequently. Damaged particleboard shelving. |
|
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. Through discussion toys in infant room are cleaned then sprayed with sanitizer. Follow preceding cleaning procedure. |
|
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 wet/stained ceiling tiles in several areas. Cracked window in one classroom. Missing floor tiles in laundry/storage room. Chipped paint on window sills in classroom (school age). Secure outlet covers, one is taped to wall in pre-k. Flooring dirty under/ behind storage in laundry room area. |
|
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 (d) Solid wastes shall be disposed of to prevent conditions that attract and harbor pests and other public health
nuisances. Observed trash and old carpet on ground near dumpster. Keep trash picked up |
|
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). 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 drainage appears to be a problem, evaluate and repair as needed (raining at time of inspection). |