Apr 11, 2024
9 demerits
· 2 violations
#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 −5
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 several children’s lunches stored in domestic refrigeration unit not labeled with child’s name or date.
REPEAT VIOLATION.
#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836 −4
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. Observed dry wall peeled and in need of repair behind handsink in classroom 1.
REPEAT VIOLATION.
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Oct 10, 2023
5 demerits
· 2 violations
#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 −5
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 several lunches stored in refrigerator labeled with child’s name and no date. EHS advises center to adhere to notated rule.
#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836
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. Observed peeling paint behind handsink in classroom 1. Per conversation with Director, sink has just been replaced and walling is scheduled to be repaired soon.
*NOTE: Mrs. Webb was present during time of inspection, report emailed to: admin@ncciydc.com
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Jan 19, 2023
10 demerits
· 4 violations
#1 · Handwashing when required: .2803, .2836 −5
Wash hands when required. 15A NCAC 18A .2803 (a). Observed child’s hands not washed after diaper change, if child can support their head child’s hands must be washed at hand sink.
#2 · Proper handwashing procedure: .2803, .2836 −5
Handwashing procedure 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 well 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. 15A NCAC 18A .2803 (c). Observed water turned of with hand. Use paper towel to turn off water to keep from recontaminating hands. (Hand sink had small knobs where cannot be turned off with wrist)
#21 · Properly sized, located, accessible, and in good repair; sinks, toilets and potty chairs cleaned and disinfected; proper change of use procedure: .2817, .2818, .2836
Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a). Observed slow drain in toddler room.
#34 · Clean and in good repair; cleaning, sanitization and maintenance of water play centers: .2822, .2836
Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). Observed tape fraying on front of the chairs with seat strapped to them.
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Aug 6, 2021
8 demerits
· 2 violations
#27 · 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 −4
Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d). Observed childcare provider use one wipe for multiple swipes in both direction twice. Discussed proper diaper changing procedures with provider. Told provider to use one wipe per swipe, from front to back when cleaning child. Encouraged to use diaper changing instructions posted at diaper changing station.
#34 · Clean and in good repair; cleaning, sanitization and maintenance of water play centers: .2822, .2836 −4
Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). Observed ripped chairs with booster seating attached. Observed food debris on booster seating. Clean and sanitize booster seats when not in use. Repair or replace ripped chairs when you can no longer clean effectively to prevent germs from spreading from chair to child.
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Feb 4, 2021
19 demerits
· 5 violations
#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 −5
REPEAT: Observed multiple boxes of food stored open in the small and large kitchen. Follow the rule below.
Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a)
#7 · Thermometers provided, accurate: .2804, .2807, .2808, .2836 −2
-Observed the thermometer in the small kitchen's refrigerator at the back. It was moved to the door "butter" section. The teacher was informed of the relocation. Follow the rule below.
-REPEAT: Observed the stem probe thermometer (in the small kitchen) not calibrated. *Thermometer calibration handout emailed.
All thermometers in refrigerators shall be stored in the warmest part of the refrigerator and located to be easily readable. 15A NCAC 18A .2806 (h) (1).
#25 · Diapering surfaces cleaned and disinfected after each use: .2817, .2818, .2819, .2820, .2836 −6
CRITICAL: Observed the caregiver only spray sanitizer on the diaper changing surface after changing a diaper. The violation and the correction were explained. *Reinspection will be within 7 days.
To clean and disinfect diapering surface: 1) Spray soapy water onto surface 2) Wipe off soapy water 3) Spray disinfectant onto surface until surface is glistening wet 4) Let disinfectant sit for at least 2 minutes or until air dry. 15A NCAC 18A .2819 (d).
The diaper changing surface shall be properly disinfected between each child. 15A NCAC 18A .2819 (c ).
#27 · 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 −4
REPEAT: Observed the caregiver keep the same gloves on throughout the entire diaper changing process. The violation and correction were explained.
Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d).
#44 · Solid waste properly handled; containers and cleaning equipment kept clean; can cleaning facilities adequate: .2830, .2836 −2
Observed a large crack in the front of the blue dumpster can. Replace.
Keep dumpsters and garbage containers free of holes and in good repair to prevent insect and vermin nuisances. 15A NCAC 18A .2830 (d).
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Jul 29, 2020
18 demerits
· 5 violations
#1 · Handwashing when required: .2803, .2836 −5
Observed a child dropped off in the toddler class and began playing. Wash hands upon entering the class.
Wash hands when required. 15A NCAC 18A .2803 (a)
#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 −5
-Observed open food items in both kitchens. Follow the rule below.
Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a).
-Observed a container of milk brought in from home without a date. REMINDER: Bulk milk must be brought in unopened labeled with name & date at the beginning of each week and sent home at the end of each week.
#7 · Thermometers provided, accurate: .2804, .2807, .2808, .2836 −2
Observed the dial stem probe thermometer not calibrated. Handout emailed.
Provide a numerically scaled metal stem-type thermometer accurate to 2°F. 15A NCAC 18A .2807 (h)
#23 · Approved storage in toilet rooms, lavatories free of storage; hand wash signs posted: .2817, .2818, .2836 −2
Observed items stored in the restroom/laundry room. Follow the rule below.
Limit storage in restrooms to toileting and diapering items only. 15A NCAC 18A .2817 (a).
#27 · 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 −4
Observed employee keep the same gloves on during the entire diaper change. Informed the employee of the violation.
Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d).
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Nov 5, 2019
8 demerits
· 2 violations
#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 −5
All food shall be stored and handled in a manner that protects it from contamination. 15A NCAC 18A .2806 (d),(f), .2807 (b), and .2808 (e). Observed sippy cups that have been returned to the refrigeraror with a small amount of milk in one and apple juice in the other. Dispose of any
Label all baby bottles, sippy-cups, and bottled beverages sent from home with the child's name and date it was brought into the facility. 15A NCAC 18A .2804 (d) Observed sippy cups not labeled or dated. Label and date all beverages/food from child's home. Label beverages that center supplies
#22 · Soap, approved hand drying devices, toilet tissue paper available: .2817, .2818, .2836 −3
Liquid soap shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d). Observed soap dispenser out on one side in women's bathroom. Repair broken toilet paper dispenser
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Aug 21, 2019
10 demerits
· 3 violations
#23 · Approved storage in toilet rooms, lavatories free of storage; hand wash signs posted: .2817, .2818, .2836 −2
Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a). Observed a high chair tray on the hand sink in toddlers room and dirty dishes in hand sink in satellite kitchen.
#28 · Medications properly stored: .2820 −6
All medications must be stored behind lock and key. 15A NCAC 18A .2820 (d). Repeat: Observed unlocked prescription diaper cream in toddler's room.
#39 · Equipment clean and in good repair; maintained as required: .2826 −2
Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Observed a couple of dusty vents.
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Aug 15, 2019
25 demerits
· 6 violations
#12 · Equipment, non-food contact surfaces clean; in good repair: .2809, .2810, .2812, .2814 −4
Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f) Observed microwave and refrigerators need wiping out of spills.
#22 · Soap, approved hand drying devices, toilet tissue paper available: .2817, .2818, .2836 −3
Liquid soap shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d). Observed no soap at hand sink in main kitchen.
#28 · Medications properly stored: .2820 −6
All medications must be stored behind lock and key. 15A NCAC 18A .2820 (d). Observed unlocked bottle of Benedryl in 1's classroom.
#29 · Hazardous products properly stored and locked: .2820 −6
All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed unsecured air freshener with aerosol can, 1's class. Unlocked laundry detergent pods in laundry room cabinet. Unlocked dry erase cleaner in Tier IV class. Unlocked sting relief pads, alcohol pads, wipes with warnings, and cold packs with warnings throughout center.
#31 · Facilities provided for proper storage, used and kept clean: .2820 −2
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. 15A NCAC 18A .2820 (a). Observed diapers stored below hand sink plumbing in 1's class.
#34 · Clean and in good repair; cleaning, sanitization and maintenance of water play centers: .2822, .2836 −4
Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). Observed damaged cabinet front in 1's room. Washing machine needs wiping under the lid. Remove any sticky tape residue from shelving.
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Feb 4, 2019
26 demerits
· 7 violations
#1 · Handwashing when required: .2803, .2836 −5
Observed the child's hands not washed after her diaper was changed. Educated the toddler room caregiver.
Wash hands when required. 15A NCAC 18A .2803 (a)
#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 −5
Observed several boxes of food stored open (cereals, crackers, etc) in the small kitchen. Follow the rule below.
Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a)
#12 · Equipment, non-food contact surfaces clean; in good repair: .2809, .2810, .2812, .2814 −4
Observed the refrigerator at 53F (per the facility's thermometer)- small kitchen. The inspector's thermometer was left inside of the refrigerator, and later when checked both were reading 50F. The refrigerator is packed full with lunch boxes. The lunch boxes were relocated into the freezer and the refrigerator of the large kitchen. *The refrigerator does not work at it's highest proficiency when it is stocked full- the air flow can not circulate properly. DO NOT OVER STOCK UNIT.
Refrigerator was checked again after about 20 minutes, and is now at 44F. *SUGGESTION: Provide more refrigeration to accommodate the amount of lunch boxes and keep at 45F or below. Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f)
#27 · 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 −4
Observed the toddler room caregiver keep on the same gloves throughout the entire diaper changing process. Went over the correct steps with the caregiver. Diaper changing sign is posted.
Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d).
#30 · Non-hazardous products properly stored: .2820 −3
Observed a bottle of aquaphore stored below 5 feet in a 3 drawer unit in the toddler room. Moved to cabinet above the diaper changing table.
Approved non-hazardous products must be stored 5 ft above the floor or behind lock and key. 15A NCAC 18A .2820 (b), (c ) and (d).
#31 · Facilities provided for proper storage, used and kept clean: .2820 −2
-Observed storage closet (in the middle room near the small kitchen) in need of organization to facilitate cleaning. Closet floor is not visible.
-Observed clean diapers stored unprotected under the handsink cabinet/pipe in the toddler room. Protect all items stored under pipes (examples: storage bins with lids, closed bags, etc).
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. 15A NCAC 18A .2820 (a).
#32 · Adequate linen provided and properly stored; adequate beds, cots, mats provided, in good repair, properly stored, labeled, spaced during use: .2821, .2836 −3
Observed cots not labeled in the toddler room. Labeled during the inspection.
All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ).
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Nov 15, 2017
5 demerits
· 2 violations
#19 · Approved drinking fountains, pressure regulated, clean: .2815, .2836 −2
Observed mout piece on water fountain needing to be cleaned.
Keep water fountains clean at all times. 15A NCAC 18A .2815 (f).
#30 · Non-hazardous products properly stored: .2820 −3
Observed teacher's purse and bottle of sanitizer stored in reach of children (less than 5 ft) in last class.
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. 15A NCAC 18A .2820 (f).
Approved non-hazardous products must be stored 5 ft above the floor or behind lock and key. 15A NCAC 18A .2820 (b), (c ) and (d).
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Apr 24, 2017
6 demerits
· 2 violations
#19 · Approved drinking fountains, pressure regulated, clean: .2815, .2836 −2
Observed black residue on mouth spout in classroom (open). Cleaned during inspection.
Keep water fountains clean at all times. 15A NCAC 18A .2815 (f).
#34 · Clean and in good repair; cleaning, sanitization and maintenance of water play centers: .2822, .2836 −4
Observed walker needing to be cleaned. Debris present.
Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).
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Feb 26, 2016
7 demerits
· 2 violations
#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 −5
Observed a sippy cup prepared at the child's home was not labeled, and several lunches sent from home were not dated.
**Label all food brought from home with the child’s name and the date that the food was brought into the facility. 15A NCAC 18A .2804 (f)
**Label all baby bottles, sippy-cups, and bottled beverages sent from home with the child's name and date it was brought into the facility. 15A NCAC 18A .2804 (d)
#19 · Approved drinking fountains, pressure regulated, clean: .2815, .2836 −2
Observed the water fountain with black residue on the mouth spout.
**Keep water fountains clean at all times. 15A NCAC 18A .2815 (f).
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