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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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|---|
|
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 several staff members turning off water with hand, touching garbage can lids. One staff member just rinsed hands and tapped off excess water on side of sink. Observed older children not being coached and turning off water with hands. |
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5
|
5
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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 |
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 staff putting used bottles back into refrigerator, infant 2.
15A NCAC 18A .2808 (a) In child care centers, milk and milk products used for drinking purposes shall be stored in the original commercially filled container until the milk or milk product is served for drinking. Unused milk and milk products that are transferred from the original commercially filled container into a separate container, such as a pitcher, for serving shall be discarded and shall not be put back into the original commercial filled container or stored in the container that was used for serving. Observed pitcher of milk in cooler, dispose of after meal service
15A NCAC 18A .2806 (a) Once pre-packaged food has been opened, the food shall be stored in clean, resealable bags or containers made of plastic or glass that are tightly covered and manufactured for the purpose of food storage. Observed open bags of crackers not sealed in baggie or lidded container. |
|
7
|
2
|
Thermometers provided, accurate: .2804, .2807, .2808, .2836 |
No |
No
|
No |
15A NCAC 18A .2807 (h) Metal stem-type, thin probe, numerically scaled indicating product thermometers, accurate to ± 3 degrees Fahrenheit shall be used to ensure the maintenance of the internal cooking temperatures of all potentially hazardous foods required under this Rule. Observed no digital thermometer. Dial top thermometers were not thin probe |
|
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. Observed dishes in sanitizing vat < 100ppm quat. Using Steritabs, measure volume of 3rd compartment and convert to gallons to measure how many tabs are required. Through discussion staff said high chair trays are being cleaned in the classroom.
15A NCAC 18A .2812(c) When utensils and equipment are washed mechanically using a dishwasher, food-contact surfaces of equipment and utensils shall be sanitized according to the dishwasher manufacturer's instructions. When commercial dishwashing equipment is used, the dishwasher shall be equipped with a temperature indicating device that is accurate to two degrees Fahrenheit. Observed Dishmachine (high temp) with no chemicals set up to dispense. |
|
11
|
2
|
Approved sanitizer provided;test kit available: .2809, .2810, .2812, .2814 |
No |
No
|
No |
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 sanitizer > 1000 ppm chlorine in infant 1. Several classrooms did not have a sanitizer bottle. |
|
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 coffee dispensers used to fill containers to heat bottles. Hot water in dispenser 155F. The water put into the dispenser should not be >110F. Measure temp with food thermometer. |
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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 seats in 2 classrooms. Monitor bathroom’s cleanliness more frequently. |
|
22
|
3
|
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 several paper towel dispensers without paper towels |
|
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 dirty toys, spoons stored in hand sinks. Put dirty toys in dirty toy bin until cleaned, same with dirty dishes/silverware. |
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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 several diaper changes done incorrectly, with several steps missing. One staff member kept dirty gloves on until she washed her hands at the end. Several classrooms didn’t have disinfectant available. Staff retraining is needed |
|
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 Benadryl unlocked, toddler 1. |
|
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, hand sanitizer and diaper creams stored < 5 feet above floor, several classrooms. |
|
31
|
0
|
Facilities provided for proper storage, used and kept clean: .2820 |
No |
No
|
No |
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 teacher purse stored unlocked and < 5 feet 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 assigned in Pre-k class. |
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