ANTHONY'S DAY CARE HOME

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 kitchen counters in need of cleaning and organizing and food service equipment in need of cleaning.

A suitable testing method or kit shall be available, convenient, and used daily to insure compliance with the minimum prescribed sanitizer strength. Section 14 (a). Observed no test kit for sanitizer. Provide test kit.

All beds, cots, and mats shall be in good repair, properly handled and stored, and kept clean. Section 17 (c). Observed one cot with missing/broken legs. Replace.

An indicating thermometer shall be located in each refrigerator. Section 6 (h). Observed broken thermometer in refrigerator. Needs replacing

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 soiled containers under the sink, spills and dried food in bottom drawer of range, cabinets need organizing. Grease and other spills around refrigerator, needs to be pulled out and cleaned under/behind.

A suitable testing method or kit shall be available, convenient, and used daily to insure compliance with the minimum prescribed sanitizer strength. Section 14 (a). Observed a test kit could not be located. Provide test kit for sanitizer

The premises, including the outdoor play area, shall be kept clean, drained and free of litter and hazardous materials. Section 15 (e). Observed broken glass (tempered glass) on playground. One broken fence slat needs replacing. Peeling paint on exterior of house (front leading to door).

All medications shall be stored in a locked cabinet or box separate from other items required to be kept locked. Section 16 (c). Observed sting relief, triple antibiotic, alcohol pads and cold pack in First aid kit unlocked.

There shall be a five pound dry chemical fire extinguisher (Type ABC), approved by Underwriters Laboratories, in the home day care facility at all times. The fire extinguisher shall be maintained in good working condition. Section 16 (i). Observed no fire extinguisher could be located.

Equipment and toys provided by the facility shall be kept clean and in good repair. Section 17 (f). Observed large toys with debris, keep all toys clean.

Observed broken cabinet door 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 nail polish remover stored on refrigerator and wallflower air freshener in socket near kitchen table. 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 gap at floor joint between class and hall. Replace closure.

Observed lysol in spray bottle stored unlocked.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 spills/stains on counters 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 sanitizer 1000ppm.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).

Must use test kit to ensure proper concentration for sanitizer.A suitable testing method or kit shall be available, convenient, and used daily to insure compliance with the minimum prescribed sanitizer strength. Section 14 (a).

Observed tiles cracked in restroom near toilet along seam.All floors shall be kept clean and in good repair. Section 18 (a).

Observed carton of raw shell eggs being stored on shelf in refrigerator above ready-to-eat foods. Ensure raw items are stored on the bottom shelf where they cannot contaminate other food items. **All foods shall be protected from contamination while being stored, prepared, served, or during transportation. Section 6 (e).

Observed cleaning needed on kitchen cabinet and drawer faces. Observed cleaning needed in refrigerator. **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 hot water to reach 112F in downstairs restroom. **Hot water to those areas accessible to children shall not be less than 90øF and shall not exceed 110øF. Section 9 (c).

Repeat Observed dried urine collecting debris on base of toilet and around toilet bowl and back of toilet in need of cleaning. **All toilet fixtures shall be clean and in good repair. Section 12 (a).

Observed cleaning needed on bathroom hand sink and faucet.**Lavatories shall be easily cleanable, clean, in good repair, and kept free of storage. Section 13 (a).

Repeat Observed sanitizer to be too high above 1000ppm chlorine. EHS explained how to dilute bleach to make sanitizer. Sanitizer dilution chart emailed along with inspection. **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).

Repeat Observed no sanitizer test strips available on site. EHS emailed test strip vendors along with inspection. **A suitable testing method or kit shall be available, convenient, and used daily to insure compliance with the minimum prescribed sanitizer strength. Section 14 (a).

Observed roach egg sacs in cabinet under kitchen sink. Clean this area to ensure there is not an ongoing issue. **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).

Repeat Observed cleaners being stored on top of the refrigerator and aerosol container in cabinet of kitchen, unlocked. Observed disinfectant wipes being stored out in downstairs child care area near restroom. **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).

Repeat Observed mats and cots without labeling. **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).

Repeat Observed toys with residue build-up in need of cleaning in childcare area. **Equipment and toys provided by the facility shall be kept clean and in good repair. Section 17 (f).

Observed floor tile missing under toilet in restroom. Observed touch-up paint needed on door frames. **All floors shall be kept clean and in good repair. Section 18 (a).**The walls and ceilings of all rooms and areas shall be kept clean and in good repair. Section 18 (c).

Observed unlabeled baby bottles.Formula and mother's milk served in baby bottles shall be prepared and labeled with the individual child's name at the child's home and provided daily to the care giver by the parents or guardians. Section 6 (c).

Observed greasy buildup on the kitchen cabinets.All food service and eating and drinking utensils and equipment shall be in good repair, free of corrosion, and kept clean. Section 8 (a).

Repeat: Observed loose toilet seat in the downstairs restroom.All toilet fixtures shall be clean and in good repair. Section 12 (a).

Observed the sanitizer over 1000ppm chlorine. It turned the test strip black and back white.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).

Repeat: Observed no chlorine test strips.A suitable testing method or kit shall be available, convenient, and used daily to insure compliance with the minimum prescribed sanitizer strength. Section 14 (a).

Observed engine oil stored outside on the ground by the front bushes, Window cleaner, and Lysol stored unlocked on the refrigerator.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).

Repeat: Observed Tussin stored unlocked on the refrigerator and Amoxicillin stored in the refrigerator.All medications shall be stored in a locked cabinet or box separate from other items required to be kept locked. Section 16 (c).

Observed a lawn mower stored out in the playground space.Equipment and supplies such as lawn mowers, power tools, firearms, ammunition, and nails shall be stored in an area where children are not allowed to play. Section 16 (d).

-Repeat: Observed no label on the sleeping mats nor pack-n-play.-Observed only 2 sleeping mats and 3 children. PROVIDE SLEEPING MAT FOR EACH CHILD. 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 toys in need of cleaning.Equipment and toys provided by the facility shall be kept clean and in good repair. Section 17 (f).*NOTES: -Pack-n-play still upstairs & grandchild (who is a part of the child care came upstairs with Ms. Anothony).-Flood damage has been repaired.

Observed opened baby food in the refrigerator not labeled.Baby food shall be labeled with the individual child's name and the date opened. Section 6 (d).

Observed the red line broken in the refrigerator's thermometer. Provide an accurate thermometer.An indicating thermometer shall be located in each refrigerator. Section 6 (h).

Observed buildup in and out of the microwave and on the kitchen cabinets. Clean.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 the water in the restroom above 110F.Hot water to those areas accessible to children shall not be less than 90F and shall not exceed 110F. Section 9 (c).

Observed loose toilet seat in the downstairs restroom (which is not being currently used due to the flood).All toilet fixtures shall be clean and in good repair. Section 12 (a).

Observed no paper towels at the (upstairs) handsink.Each child shall have a clean towel available for hand drying. Section 12 (d).

Observed the diaper changing table downstairs in a pile with all of the other childcare items. Downstairs is not being used right now due to flood. Children are being cared for upstairs.Each child in diapers shall be changed while the child is in his/her own crib or bed or on a smooth, nonabsorbent, easily cleanable surface. Section 14 (a).Diapering surfaces shall be kept clean and free of storage. Section 14 (a).

Observed no test strips. Provide Chlorine test strips.A suitable testing method or kit shall be available, convenient, and used daily to insure compliance with the minimum prescribed sanitizer strength. Section 14 (a).

Observed engine oil stored outside on the ground by the front bushes, a plug-in in the (upstairs) restroom, Ajax, Window cleaner, and Lysol stored unlocked on the refrigerator.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 Tussin stored unlocked on the refrigerator and Amoxicillin stored in the refrigerator.All medications shall be stored in a locked cabinet or box separate from other items required to be kept locked. Section 16 (c).

Observed no operational smoke detector on site. Provide ASAP.All family day care homes shall be equipped with a smoke detector. The smoke detector shall be maintained in working order at all times. Section 16 (h).

Observed no label on the sleeping mat nor pack-n-play.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 the floors in disrepair due to a flood.All floors shall be kept clean and in good repair. Section 18 (a).

Clean exterior and interior of cabinet doors in kitchen. Repair damaged drawers in kitchen. Clean handle on refrigeration/freezer unit door. WIpe/clean base of refrigeration unit. WIpe/clean shelving in cabinet areas. Detail clean dish machine. Observed old food debris near top of dish machine. Clean hood system over oven/stove. Clean handle and interior of refrigeration unit.All food service and eating and drinking utensils and equipment shall be in good repair, free of corrosion, and kept clean. Section 8 (a).

Clean utensil/equipment shall be stored in or on clean area and in manner to prevent contamination. Thoroughly clean all utensil shelving/equipment storage area. Observed utensil/equipment storage areas soiled. Thoroughly clean base drawer under stove/oven.Clean utensils shall be stored in a clean place. Section 8 (b).

Thoroughly clean toilet in downstairs bathroom.All toilet fixtures shall be clean and in good repair. Section 12 (a).

Provide soap and paper towels at all hand washing sinks at all time. Observed paper towels missing from hand washing sinks.Each child shall have a clean towel available for hand drying. Section 12 (d).

Observed sanitizer solution too strong! Sanitizer shall be 100ppm-200ppm. Observed storage on diaper changing table. No storage on diaper changing table. Observed some debris on diaper changing table. Clean area under pad on diaper changing table.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).Diapering surfaces shall be kept clean and free of storage. Section 14 (a).

Provide chlorine sanitizer test strip[ps at all times!A suitable testing method or kit shall be available, convenient, and used daily to insure compliance with the minimum prescribed sanitizer strength. Section 14 (a).

Clean and organize storage closet used for daycare storage.Rooms or spaces shall be provided for the storage of necessary equipment, furniture, toys, clothes, beds, cots, mats, and supplies and shall be kept clean. Section 16 (a).

Observed latching mechanism on laundry room door containing detergent and clorox. Observed windex stored on top of refrigeration unit in kitchen area. Store cleaning/hazardous products LOCKED AWAY. Repair handle on laundry room door and make sure door handle can be locked. Latching mechanism is different from a lock.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 piece of lattice missing from around base of back deck and lawn mower was stored under deck. Secure missing lattice around back of back deck.Equipment and supplies such as lawn-mowers, power tools, firearms, ammunition, and nails shall be stored in an area where children are not allowed to play. Section 16 (d).GENERAL COMMENT: #39 Remove old card board box from under back deck area

Clean toys, cracks and crevices of toys in playroom/classroom area. Discard any broken/damaged toys. Secure loose boards on playground fencing. Store items on playground so they do not hold or collect water. Clean toys on playground area when weather permits. Monitor rope used on swing set. Rope on swing set was replaced where chains on swing broke. Monitor wooden fixture on playground area and repair, replace if needed. Monitor splintering boards on hand railing leading down back deck. Was informed by Ms. Anthony that children go out the front and around the house and enter playground from side entrance gate.Equipment and toys provided by the facility shall be kept clean and in good repair. Section 17 (f).**Observed top of tree snapped off and wedge on other tree limbs within the playground area. Have someone to remove broken tree top from wedge tree limbs within the playground area. Do not use area on playground until broken tree top is removed from top of other tree. Fillin hole in playground area.

Clean walls upon entrance to house/daycare. Clean walls and wall ledge throughout playroom/classroom area. Patch holes in wall in hallway leading to bathroom. Repair corner of wall near hallway area leading to bathroom and repaint. Clean walls in kitchen area. Monitor and repair linoleum flooring at entrance to house/ daycare. Monitor and repair ceiling in upstairs personal living area off of kitchen/dining room area. No signs of roof or ceiling leaks in downstairs classroom/playroom area. Replace blown light bulbs in light fixture in bathroom. Repair light fixture in laundry room area. Secure window blinds in downstairs classroom/playroom. Clean window ledge in down stairs classroom/playroomAll floors shall be kept clean and in good repair. Section 18 (a).The walls and ceilings of all rooms and areas shall be kept clean and in good repair. Section 18 (c).

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

Observed the red line in the refrigerator's thermometer broken. Replace.An indicating thermometer shall be located in each refrigerator. Section 6 (h).

Observed the kitchen cabinet and cabinet doors with residue. Clean.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 some soiled utensils in the drawer by the stove. Clean.Clean utensils shall be stored in a clean place. Section 8 (b).

Observed no paper towel in the restroom. Paper towels were replaced with the roll from the kitchen. Provide paper towels at handsinks.Each child shall have a clean towel available for hand drying. Section 12 (d).

-Observed the sanitizer bottle at 0ppm chlorine. Remake. -Observed no soapy water made for cleaning the diaper changing pad. Provide. 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 the diaper changing table broken at the bottom. Repair.

Observed no test strips present. Provide.A suitable testing method or kit shall be available, convenient, and used daily to insure compliance with the minimum prescribed sanitizer strength. Section 14 (a).

Observed bushes growing in the backyard play area.Grass and other vegetation shall be maintained in a manner which does not encourage the harborage of vermin. Section 15 (e).

-Observed the smoke detector not working.All family day care homes shall be equipped with a smoke detector. The smoke detector shall be maintained in working order at all times. Section 16 (h).

Observed the sleeping mats without labels.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 sleeping mats with interior cushion exposed.All beds, cots, and mats shall be in good repair, properly handled and stored, and kept clean. Section 17 (c).

Observed toys soiled. Clean. (A brush or q-tip may help clean in the small areas).Equipment and toys provided by the facility shall be kept clean and in good repair. Section 17 (f).

Observed baby bottle not labeled with child's name and date. Label baby bottles and sippy cups brought from home with child's name and date.Formula and mother's milk served in baby bottles shall be prepared and labeled with the individual child's name at the child's home and provided daily to the care giver by the parents or guardians. Section 6 (c).

Replace broken thermometer in refrigeration unit. Temperature of broccoli products and milk in refrigeration unit was 44F-45F.An indicating thermometer shall be located in each refrigerator. Section 6 (h).

Thoroughly clean interior and exterior of cabinet doors. Thoroughly clean shelving within cabinet area. Repair end of cabinet where microwave is located. Replace broken/damaged gasket on refrigeration unit. Gasket on refrigeration unit is damaged at bottom of door. Clean shelving within refrigeration unit. Clean interior of microwave(top).Monitor cracked laminate on counter top where microwave is stored and repair or replace if needed.All food service and eating and drinking utensils and equipment shall be in good repair, free of corrosion, and kept clean. Section 8 (a).

Thoroughly clean all utensil/equipment storage areas(utensil shelving, utensil drawers and air drying rack).Clean utensils shall be stored in a clean place. Section 8 (b).

Tighten loose toilet seat in down stairs bathroom.All toilet fixtures shall be clean and in good repair. Section 12 (a).

Provide properly mixed sanitizer at all times. Today observed sanitizer solution in spray bottle not registering! Sanitizer shall be 100ppm-200ppm. Provide soapy water solution at all times. Repair base panel board under diaper changing pad on diaper changing station and tighten loose screws on diaper changing table. 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) Each child in diapers shall be changed while the child is in his/her own crib or bed or on a smooth, nonabsorbent, easily cleanable surface. Section 14 (a).

Remove old boards/fixture from within playground area. Cut vegetative growth off of playground fence.Grass and other vegetation shall be maintained in a manner which does not encourage the harborage of vermin. Section 15 (e).

Store grill cleaner, lighter fluid locked away at all times. Keep laundry room door locked at all times. Repair lock on laundry room door. Store hand sanitizer out of reach of children. Store hand sanitizer five feet vertical distance out of reach of children. All corrosive agents, insecticides, rodenticides, herbicide, 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).

Repair lattice around base of back patio where lawn mower is stored. Cut or spray herbicide on poison ivy on fence to eliminate poison ivy.Equipment and supplies such as lawn mowers, power tools, firearms, ammunition, and nails shall be stored in an area where children are not allowed to play. Section 16 (d).

Label sleeping mats with child's name or use the name and number system. 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).

Replace torn/damaged sleeping mats All beds, cots, and mats shall be in good repair, properly handled and stored, and kept clean. Section 17 (c).

Thoroughly clean toys and cracks and crevices of toys within the classroom area. Thoroughly clean toys on the playground area. Remove and discard plastic table on playground area with hole on top of table. Replace splintering hand railing on stair way leading down to playground area. Discard old damaged balls on playground area. Tighten loose boards and replace damaged boards on the playground area. Equipment and toys provided by the facility shall be kept clean and in good repair. Section 17 (f).

Inspector's thermometer was placed in the kitchen refrigerator for approximately 15 minutes. Observed the refrigerator temperature at 61.5F.All perishable foods shall be stored at such temperature as will protect against spoilage. All potentially hazardous foods shall be maintained at safe temperatures (45øF or below, or 140øF or above) except during brief periods of preparation and serving.

Observed broken red line in the kitchen refrigerator thermometer.An indicating thermometer shall be located in each refrigerator. Section 6 (h).

Observed debris and residue build up in the microwave.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 buildup in the kitchen drawers.Clean utensils shall be stored in a clean place. Section 8 (b).

Observed no cold water working in the childcare restroom. Per Ms. Anthony, the children either use hand sanitizer or wash their hands in the kitchen sink.Each home shall have hot and cold running water under pressure piped to all points of use. Section 9 (c).

Observed hot water in the restroom and kitchen is above 120F.Hot water to those areas accessible to children shall not be less than 90øF and shall not exceed 110øF. Section 9 (c).

Observed high grass in the playground area.Grass and other vegetation shall be maintained in a manner which does not encourage the harborage of vermin. Section 15 (e).

Observed cleaners stored unlocked under the restroom handsink.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 a bottle of vitamins stored unlocked in the kitchen drawer.All medications shall be stored in a locked cabinet or box separate from other items required to be kept locked. Section 16 (c).

Observed gas cans and lawn mowers in the front and back yard accessible to children.Equipment and supplies such as lawn mowers, power tools, firearms, ammunition, and nails shall be stored in an area where children are not allowed to play. Section 16 (d).

Observed sleeping mats unlabeled.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 mats torn with the cushioning exposed.If a mat is used, it shall be of a waterproof, washable material at least two inches thick. Section 17 (a).