| 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 children washing hands incorrectly and not being coached. Close to entire classroom opened garbage can with their hand. |
|
5
|
0
|
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 (g) Food shall be stored above the floor and in a manner to protect it from dust, pests, drip, splash, and other contamination. Observed case of water on floor in kitchen.
15A NCAC 18A .2807 (d) Raw fruits and raw vegetables shall be washed with potable water before being cooked or served. Observed direct plumbed sink used for washing strawberries. Plumbing must be indirectly drained.
15A NCAC 18A .2804 (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. Observed undated bottles and misdated sippy cup in infants. |
|
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. Repeat-Observed high chair trays with dried, crusted food. High chair trays must go back to kitchen for W/R/S after every use. |
|
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 supplied to clothes washing machines shall be 120°F or above. Observed water heater for washing machine not operable. Hot water to washing machine < 120F
15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. Observed several classroom hand sinks < 80F, including kitchen hand sink. Adjust mixing valve. |
|
23
|
0
|
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 bins and toys in hand sinks. Storage under hand sinks. No storage in sinks or under plumbing. |
|
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 changing procedures. One staff member kept dirty gloves on clear through child’s hands being washed. The other staff member was reading sign but missing steps. Infant classroom diaper can not fully lidded. |
|
28
|
0
|
Medications properly stored: .2820 |
No |
No
|
No |
15A NCAC 18A .2820 (d).Medications, including prescription and non-prescription items, shall be stored in a locked cabinet or other locked container and shall not be stored above food. Observed unlocked prescription diaper cream in 2’s classroom. |
|
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 unlocked spray paint in 3’s, unlocked whiteboard cleaner in Pre-K right side. |
|
30
|
0
|
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 < 5 feet above floor in lobby and Pre-K right |
|
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 cubby bins with debris, vinyl furniture in disrepair. |
|
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.
Observed infant teacher pick up toy from floor and put back in clean bin. If toys have been on floor the need to be W/R/S. Through discussion she said she sprays toys with sanitizer. Follow preceding procedures |
|
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 damaged ceiling tiles in kitchen and laundry room. Dusty sills, high touch areas with dirt/grime. Exterior door 3/4’s classroom sticks and hard to open. Have repaired for safety |
|
39
|
0
|
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 out in 3’s room. Work surfaces < 50 f.c. of light.
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 dusty/rusted vents and filters. |
|
44
|
0
|
Solid waste properly handled; containers and cleaning equipment kept clean; can cleaning facilities adequate: .2830, .2836 |
No |
No
|
No |
15A NCAC 18A .2830 (b) Facilities shall be provided at the child care center for the washing and storage of solid waste containers and mops. The facilities shall include a faucet with a threaded nozzle that delivers water of at least 80 degrees Fahrenheit. The faucet shall be located in either a designated utility sink or above a curbed impervious pad that is sloped to drain to the approved sewage system. Observed key not able to open lock to can wash. Can wash not checked today.
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, large toy and a rug in/behind dumpster corral |
|
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. Repeat-Observed drain flies in several classrooms and gang bathrooms. |
|
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 drainage and erosion issues side of building. Ponding in low areas. |