| 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. REPEAT-Observed staff members turning off water with hand. Children in preschool class not being coached and touching garbage can lids. |
|
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 .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 bottles not dated in both infant rooms. |
|
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. Repeat-Observed no digital thermometer. Dial top thermometers were not thin probe |
|
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 coffee dispensers used to fill containers to heat bottles. Repeat-Hot water in dispenser 121F and 125F. The water put into the dispenser should not be >110F. Measure temp with food thermometer. (Provisional item not corrected) |
|
21
|
0
|
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 2 toilets with pink ring in bowl, need more frequent cleaning. |
|
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. Repeat-Observed several hand sinks missing paper towels or soap |
|
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. Repeat- Observed 3 used diapers in diaper changing hand wash sink in Toddler 1. Art brushes in diaper changing hand sink in Early Preschool class. Wash toys/art supplies in food prep hand sink after doing a change of use. |
|
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. Repeat-Observed diaper changes with steps missing in both toddler rooms. Observed child had “blow out” clean clothes were in bin across room, child picked up and carried to get new clothes, most likely contaminating staff’s sweater. Steps missed- 1, 4, 5,
15A NCAC 18A .2819 (h) Signs that instruct child care center employees on proper methods of diaper changing and handwashing as set forth in the rules of this Section shall be posted in each diaper changing area. Observed diaper changing signs not located where can be read while doing a diaper change. |
|
29
|
6
|
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 laundry room was not latched (was not latched last week), have self closure repaired. Pull door closed to make sure it latches. |
|
33
|
3
|
Linen, bedding, wash cloths, bibs, burping cloths laundered, and in good repair: .2821, .2836 |
No |
No
|
No |
15A NCAC 18A .2821 (f). Linens used in rooms where the children in care are less than 12 months old shall be changed and laundered when soiled and otherwise at least daily. Observed soiled sheets on several cribs. Staff said they change the sheets every other day (children < 12 months) |
|
34
|
0
|
Clean and in good repair; cleaning, sanitization and maintenance of water play centers: .2822, .2836 |
No |
No
|
No |
15A NCAC 18A .2822 (d) The water play centers, including toys, shall be cleaned and sanitized at least daily or more often if no longer clean. Water play is prohibited during the outbreak and investigation of a communicable disease or condition at the child care center. Observed water play station with water, staff said they clean every few days and it was filled yesterday. |
|
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 in Infant 2 classroom I asked where the dirty toys were put. Reply was in the dirty toy bin (which was empty) i asked if toys had already been cleaned this morning? Staff said no, toys were all over the floor and being mouthed. Pick up toys that have been mouthed when child has discarded it and put in dirty toy bin. |
|
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 .2824 (b). Floors and floor coverings in sleeping and play areas shall be kept clean and in good repair. Observed dried puddle of urine on bathroom floor, The Brook |