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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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5
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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 (k) Lunches, snacks, and other meals that a child brings from home to the child care center shall be labeled with the date on which the food is brought to the child care center and the name of the child to whom the food belongs at the child's home and shall be returned to the child's home or discarded at the end of each day.
Observed a container of baby food from home in infant room refrigerator missing the date label. Needs date label.
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 snacks in nonresealable bags in Preschool and Early Preschool classrooms. Needs to be in resealable bags/containers.
15A NCAC 18A .2806 (d) Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in the 2800 rules when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs.
Observed specialty bulk milk in kitchen refrigerator missing the name and date received. Needs to be labeled with name and date received.
15A NCAC 18A .2810(f) Water from a handwash lavatory shall not be used for bottle warming or to prepare formula, mix dry cereals, or other foods.
Observed facility using warm water from handwashing food prep sink in classroom for bottle warming in the infant room. Water from a handwash lavatory shall not be used for bottle warming. |
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10
|
0
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Food contact surfaces properly washed, rinsed, sanitized and air dried; single-service articles not re-used: .2809, .2810, .2812, .2814 |
No |
No
|
No |
General Comment:
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 kitchen staff washing dishes at 3-comp sink using middle compartment for washing and rinsing with hose and stated he sanitizes after. No sanitzer was in the third compartment. EHS went over proper wash, rinse, sanitize procedure.
The facility has a dish machine which they stated is not being used. |
|
11
|
2
|
Approved sanitizer provided;test kit available: .2809, .2810, .2812, .2814 |
No |
No
|
No |
15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes.
Observed sanitizer at 500 ppm chlorine. Needs to be 50-200 ppm. |
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23
|
2
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Approved storage in toilet rooms, lavatories free of storage; hand wash signs posted: .2817, .2818, .2836 |
No |
No
|
No |
15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies.
Observed storage in bathroom of Toddler 1 and Toddler 2. REPEAT.
15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed container holding bottles for bottle warming in infant room stored in food prep sink. Lavatories shall not be used for storage. |
|
26
|
2
|
Approved cleaning solution and approved disinfectant provided; test kit available when required: .2817, .2818, .2819, .2820, .2836 |
No |
No
|
No |
15A NCAC 18A .2812 (i) An approved disinfectant shall be provided for cleaning purposes. When a chlorine solution is prepared by a child care center employee for use as an approved disinfectant, then the solution shall be prepared for use within 24 hours, and a testing method shall be used to ensure compliance with the prescribed chlorine concentration (500 -800 ppm).
Observed no disinfectant at the diaper changing station in Toddler 1 classroom. EHS asked staff how they had been disinfecting after diaper changes and they stated they did have disinfectant prior to nap time. Facility needs to have disinfectant at diaper changing stations for proper cleaning. |
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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 employee change a diaper in Infant classroom skip step 5. Staff member started to take the child back to play area without washing hands but was addressed and told to wash the child’s hands as they could hold their head up. EHS and the director discussed diaper changing procedures and the director stated they planned to be doing a review of diaper training soon. |
|
30
|
0
|
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 two spray bottles labeled “water” were actually disinfectant. Needs correct labels. |
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32
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0
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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 |
General Comment:
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 children sleeping on cots less than 18 inches apart in Early Preschool classrooms. Needs to be 18 inches apart or separated by partitions. |
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34
|
0
|
Clean and in good repair; cleaning, sanitization and maintenance of water play centers: .2822, .2836 |
No |
No
|
No |
General Comment:
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 water play table in Toddler 2 filled and stored in bathroom. The teacher stated she fills the water table in the morning and uses it in the afternoon. Needs to be filled immediately before use. |
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35
|
0
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Mouth-contact surfaces cleaned and sanitized in rooms designated for children who are not toilet trained: .2822, .2836 |
No |
No
|
No |
General Comment:
15A NCAC 18A .2822 (b) and .2810 (f).Hard plastic toys may be washed, rinsed, and sanitized in a dishwasher, food preparation handwashing sink, or in the kitchen sink.
Observed teacher rinse pacifier in diaper changing sink. Needs to follow change of use procedures and clean toys in food prep sink. |
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