| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|
5
|
5
|
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 (f) Food and containers of food shall not be stored under exposed sewer lines. Food shall not be stored in toilet or laundry rooms, except that child care centers licensed for fewer than 13 children and located in a residence may store food in laundry rooms if the food is stored and protected as required in rule 2806 (g). Observed food stored below hand sink plumbing in infant room. |
|
9
|
4
|
Meets specifications for other equipment and utensils, approved material and construction: .2809, .2810, .2812, .2814 |
No |
No
|
No |
15A NCAC 18A .2809 (3) Other surfaces that do not come into contact with food shall be made of nonabsorbent material and shall be kept clean and in good repair. Observed 3-comp sink with square corners and sealant is mushy and water-logged, needs replacing. |
|
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 spill in milk cooler and food splatter in microwave. Keep clean |
|
13
|
3
|
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 single service stored below hand sink in infant room and stored unprotected in several other rooms. Protect from contamination |
|
17
|
6
|
Hot water in excess of 120ºF not allowed in areas accessible to children |
No |
No
|
No |
15A NCAC 18A .2815 (e) Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. Observed can wash gate not secured, water >120F |
|
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 no backflow preventers on outside faucets |
|
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 leak at ring seal of toilet in boy’s bathroom. One toilet seat with surface damage needs replacing.
15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair. Observed sinks with rust around overflow drain, and build-up around fixtures. |
|
28
|
6
|
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 aspirin (toddler’s), liniment gel (4’s), unlocked in classrooms. Liniment was in a teacher’s backpack on a chair with labeling on the front reading medicine. Reminder-all hazardous items and medications must be locked up regardless of who brought them in. |
|
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 lotion, lip balm, hand sanitizer, coagulant for vomit cleanup stored less than 5 feet above the floor. |
|
31
|
2
|
Facilities provided for proper storage, used and kept clean: .2820 |
No |
No
|
No |
15A NCAC 18A .2820 (a). Adequate space shall be provided for the storage of equipment, furniture, toys, clothes, linens, backpacks, book bags, diaper bags, beds, cots, mats, and supplies, and shall be kept clean. Observed overstuffed storage areas at end of hall and after school 2. These areas need organizing and discarded/relocating of excess items.
15A NCAC 18A .2820 (g).Purses, that do not contain hazardous items, must be stored 5 ft above the floor, behind lock and key, or behind a child safety lock. Observed purse not 5 feet above floor in 4’s room |
|
32
|
0
|
Adequate linen provided and properly stored; adequate beds, cots, mats provided, in good repair, properly stored, labeled, spaced during use: .2821, .2836 |
No |
No
|
No |
15A NCAC 18A .2821 (e). When in use, cribs, cots, mats and play pens shall be placed at least 18 inches apart or separated by partitions that prevent physical contact between children. Observed cots placed < 18 inches apart 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. Repeat-Observed toys, containers, shelving units, book cases, and cubby bins with debris or tape residue. |
|
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 on toy cleaning with staff in infant and toddler rooms staff stated they spray toys twice a week, then changed it to spraying once a day. Follow above procedures. If toy cannot be submerged in sanitizer it can be sprayed but still needs washing and rinsing. |
|
37
|
0
|
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. Repeat- Observed touch up paint needed throughout. Replace ceiling tiles where damaged/stained. No points due to improvement. |
|
39
|
0
|
Equipment clean and in good repair; maintained as required: .2826 |
No |
No
|
No |
15A NCAC 18A .2826 (a). Shielded or shatterproof bulbs shall be used in food preparation, storage, and serving areas and in all rooms used by children. Observed lights not shielded or shatterproof in 4’s and end cap missing off bulb shield in girl’s gang bathroom. |
|
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. Observed rodent droppings and dead roach in classroom, after school 2. Observed rodent droppings and live roach in hall closet. (These were the 2 areas with excessive storage). |