ELLEN TOBIN CHILD CARE

A solution of 100 ppm (parts per million) chlorine, or other equivalent method approved by the Director, shall be used for sanitizing common changing surfaces after each diaper change. Section 14 (a). Observed sanitizer at 0ppm. Ensure sanitizer is between 50-200ppm.

Each child shall have a clean towel available for hand drying. Section 12 (d). Observed bathroom out of paper towels. Do not let children use common hand towel in bathroom.

Effective measures shall be taken to keep insects, rodents, and other vermin out of the child day care home facility and to prevent their breeding or presence on the premises. Section 15 (c). Observed large roach (dead), roach egg casing under mattress in pack n play. Roach droppings in drawers under diaper changing table.

Pesticides shall be stored in a locked storage room or cabinet separate from foods and medications. Section 15 (d). Observed exterior pesticide sprayer next to front porch.

Equipment and toys provided by the facility shall be kept clean and in good repair. Section 17 (f). Observed debris build-up at bottom of toy bins. Outside toy with piece broken off. Debris in drawers, under diaper changing pad, under pack n play mattresses.

Furniture shall be kept clean and in good repair. Section 17 (e). Observed debris as well as 2 small metal pieces under the diaper changing pad.

Each child shall have a clean towel available for hand drying. Section 12 (d). Observed no towels at handwashing for each child to dry hands.

All beds, cots, and mats shall be in good repair, properly handled and stored, and kept clean. Section 17 (c). Observed hole in the side of the playpen. Repair or replace.

Observed diapers and other items being stored under hand sink in restroom. EHS suggested storing items in leak-proof plastic bin if they are to be stored under exposed sewage line.**Lavatories shall be kept free of storage. Section 13 (a).GENERAL COMMENT: #10 - Observed cleaning needed on interior roof of microwave in kitchen.**All food service and eating and drinking utensils and equipment shall be in good repair, free of corrosion, and kept clean. Section 8 (a).

Observed caregiver to finish diaper change by washing child's hands, sanitizing diaper changing table, and then proceeding to grab baby bottle for feeding before washing hands. EHS reminded caregiver to ensure hands are thoroughly washed using proper procedure after diaper change, before moving on to other activities. **Caregivers shall wash their hands vigorously for at least 15 seconds using an antibacterial soap and running tempered water after changing any child's diaper. Section 14 (e).

Observed aerosol sunscreen being stored in bottom of stroller outside. Ensure these items are stored behind lock and key. **All corrosive agents, insecticides, rodenticides, herbicides, bleaches, detergents, polishes, items containing petroleum products, any product which is under pressure in an aerosol dispensing can, and any substance which may be hazardous to a child if ingested, inhaled, or handled (skin contact) shall be stored in a locked storage room or locked cabinet. Section 16 (b).

Observed supplements being stored in kitchen cabinet and other medications being stored in drawer of kitchen without being locked. EHS suggested utilizing a locked tool box for these items. **All medications shall be stored in a locked cabinet or box separate from other items required to be kept locked. Section 16 (c).

Observed baby bottle and sippy cups not labeled with date. Baby bottles were labeled with child's name. Baby food and sippy cups shall be labeled with the individual child's name and the date. Baby food shall be labeled with child's name and date once opened. Section 6 (d).

Wipe/clean base of utensil bin where clean utensils(forks and spoons) are stored. Clean utensils shall be stored in a clean place. Section 8 (b).General Comment: #20. Wipe/clean edge of front door to center. #53. Replace roll out trash can damaged near lid. Mrs. Tobin present at time of inspection.

Observed plug-ins in the hall and in the restroom. These items are considered potentially hazardous due to the package stating "Keep Out of Reach of Children" with additional warnings/cautions.All corrosive agents, insecticides, rodenticides, herbicides, bleaches, detergents, polishes, items containing petroleum products, any product which is under pressure in an aerosol dispensing can, and any substance which may be hazardous to a child if ingested, inhaled, or handled (skin contact) shall be stored in a locked storage room or locked cabinet. Section 16 (b).Ellen Tobin present.

Observed paper towels stored below hand sink in bathroom. Do not store clean items under exposed plumbing.**Each child shall have a clean towel available for hand drying. Section 12 (d).**Lavatories shall be kept free of storage. Section 13 (a).

Observed medication sitting on counter in kitchen (gate was up). Keep medications properly stored.**All medications shall be stored in a locked cabinet or box separate from other items required to be kept locked. Section 16 (c).

Observed play pens not labeled.**A separate bed, cot, or mat, equipped with individual linen, shall be assigned and labeled for each child in care for more than four hours to use during rest periods. Section 17 (a).

Observed: Incorrect test strips. Provide a chlorine test strip to ensure 100-200 ppm chlorine. Home approved. Areas approved: Front entry hall including restroom and closet, kitchen including laundry and pantry, living room, formal dining room, backyard accessed from front of house. Ellen Tobin present.