| 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 staff and children turning off water with hands. Children need more coaching. |
|
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 115F in 2’s classroom. |
|
17
|
0
|
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 Keurig with water in reservoir in unlocked staff lounge. Staff lounge must be locked or remove Keurig. |
|
22
|
0
|
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 no paper towels at food prep hand sink in infants. Keep paper towels at all handsinks. |
|
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, dirty toys in and under hand sinks. |
|
29
|
0
|
Hazardous products properly stored and locked: .2820 |
No |
No
|
No |
15A NCAC 18A .2820 (b).Keys used to access hazardous item storage must be out of reach of children (5 ft above the floor) and stored separately from lock. Observed a couple keys < 5 feet above floor. |
|
30
|
3
|
Non-hazardous products properly stored: .2820 |
No |
No
|
No |
15A NCAC 18A .2820 (c ) Sanitizing, disinfecting, and detergent solutions shall be labeled with the product name (ex. "Sanitizer"). Observed hand sanitizer in Pre-K and hand lotion in different Pre-K stored < 5 ft above floor. |
|
32
|
3
|
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 (c). Beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens. Observed cots not labeled in toddler’s class.
15A NCAC 18A .2821 (f).Linens shall be kept clean, in good repair, and stored with the mat or cot that the linens are assigned to or stored apart from the mattress or cot in a manner that keeps the linens used for each child separate from the linens belonging to other children. Observed in infant room all sheets but 1 were soiled in some way. A new procedure is needed for getting the dirty sheet off sooner and cleaning and sanitizing mattress it drool, spit-up etc bleeds through sheet |
|
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 bins, shelving units, and large toys with dirt and debris. Frayed vinyl couch in 2’s classroom.
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 slimy water play table. Follow preceding rule |
|
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 staff discussed toy cleaning in general handsinks without change of use, spraying with disinfectant. Spraying with sanitizer then disinfectant. Follow procedures for proper cleaning of mouth able toys. |
|
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 (b). Floors and floor coverings in sleeping and play areas shall be kept clean and in good repair. Observed floor damage. Minor wall damage where dispensers have been removed. Baseboards fallen off wall. Broken window in Pre-K and cracked window in kitchen. |
|
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 under hood not working. Fans, vents and PTAC filters dusty. Keep clean. |