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Claremont Elementary Preschool 420120 09 07 17.pdf
1. Handwashingwhenrequired 30. Non-hazardousproductsproperly stored 2. Proper handwashing procedure 31. Facilitiesprovidedforproper storage; used andkeptclean 32. Individual linenprovided; adequatebeds, cots, ormatsprovided, 3. From approvedsources, nospoilage, noadulteration in goodrepair, properlystored, labeled, spaced duringuse4. Potentiallyhazardousfoods meetstorageandholding 33. Linen, bedding, washcloths, bibs, burping clothslaundered, andtemperatures; bottles, lunches refrigerated at 45ºForbelow ingoodrepair5. Foodproperlystored, thawed, prepared, cooked, cooled, handled, served, transported, packagedandidentified; only 34. Cleanandingoodrepair; waterplaycenters cleaned, sanitizedsupervisedchildreninkitchen andmaintained6. Notre-served 35. Mouth-contactsurfacescleaned andsanitized inroomswhere7. Thermometers provided, accurate childrenwhoarenottoilettrained arecaredfor 8. Meetsspecifications forrefrigeration, sinks, lavatoriesand 36. Approved hygienicpractices, cleanclothes, hairrestraints wheredishwashingequipmentrequired; noevidenceoftobacco usewhereprohibited9. Meetsspecificationsforother equipmentandutensils, approved materialandconstruction 37. Easilycleanable, clean, andin goodrepair; carpets vacuumed10. Foodcontactsurfacesproperlywashed, rinsed, sanitized asrequired andextraction cleaned; andairdried; single-servicearticlesnotre-used datecleaned11. Approvedsanitizer provided; testkitavailable 12. Equipment, non-foodcontactsurfaces clean; ingoodrepair 38. Roomtemperature between 65ºF and85ºF13. Properstorageandhandlingofclean equipment, utensils 39. Equipmentcleanandingoodrepair; maintained asrequiredandsingle-servicearticles 40. Personswithacommunicable diseaseorconditionexcludedin14. Watersupply meets15A NCAC18A .1700and 15ANCAC accordancewith10ANCAC41A .020018Cifapplicable; documentation provided 41. Persons caringforsickormildlyill childrenexcludedfrom15. Hotwatersuppliedandmaintainedinthekitchen situationsinwhich diseasetransmissionlikelytooccur16. Hotwatersuppliedandtemperedwatermaintained as 42. Designated areaforsickchildren; maintained asrequiredrequiredinallotherareas 17. Hotwaterinexcessof120ºFnotallowedinareas 43. Approved wastewater disposal inaccordancewith 15ANCACaccessibletochildren18A .190018. Backflow prevention provided, nocrossconnections 19. Approveddrinkingfountains, pressure regulated, clean 44. Solidwasteproperly handled; containersandcleaning equipmentkeptclean; cancleaning facilitiesadequate20. Noidentified leadpoisoning hazardsinaccordance with NCGS 130A-131.7(7) 45. Pesticidesproperlyused; nonewCCApressure-treatedwood21. Properly sized, located, accessible, andingoodrepair; 46. CCApressure-treatedwoodsealed; datesealedsinks, toiletsandpottychairscleanedand disinfected soilcoveredorinaccessible22. Soap, approved handdryingdevices, toilettissueavailable 47. Noanimals infoodpreparation areas andnounrestrained23. Approved storageintoiletrooms, lavatoriesfreeofstorage; animalsexceptas allowed; noprohibited animals; requiredhandwashsignspostedveterinaryrecordsavailableandcurrent 48. Effectivecontrolofrodents, insects, andother vermin; premises24. Approvedfacilitiesasneeded free ofvermin harborageandbreedingareas25. Diaperingsurfaces cleanedanddisinfectedaftereachuse 49. Premises cleananddrained; equipment ingoodrepair; 26. Approved cleaninganddisinfecting solutions provided; test sandboxes properly constructedandclean; adherence toairkitavailablewhenrequiredqualityforecastoutdooractivityrestrictionswhenapplicable27. Freeofstorageandingoodrepair; cleaninganddisinfecting solutions labeled; approveddiaperingmethods used; diaper 50. Designed, constructed, operatedandmaintained in accordancechangingandhandwashsignspostedwith15ANCAC18A .2500 28. Medications properlystored 29. Hazardous products properly storedandlocked Purpose: ThisformisusedtoimplementG.S. 110-93requiringchildcarecenterstosubmitevidenceofmeetingsanitationstandardsinG.S. 110-91. Preparation: AnoriginalandtwocopiesofthisformshallbecompletedbylocalEnvironmentalHealthSpecialistsduringeach inspection. TheoriginalissenttotheDivisionofChildDevelopment, N.C. DHHS, onecopyisgiventothechildcareoperator; andtheothercopyiskeptbythelocalhealthdepartment.Classification: Superior - 0-15demerits, no6-pointdemerit; Approved - 16-30demerits, no 6-pointdemerit; Provisional - 31-45demerits, orany6-pointdemerit; Disapproved - 46 ormoredemerits, orfailuretoimproveProvisionalclassification. Disposition: ThisformmaybedestroyedinaccordancewithStandard-8.B.6., InspectionRecords, oftheRecordsRetention andDispositionScheduleforCounty/DistrictHealthDepartmentswhichispublishedbytheN.C. DivisionofArchivesandHistory. Additionalformsmaybeorderedfrom: DivisionofEnvironmentalHealth, 1632MailServiceCenter, Raleigh, NC27699-1632 (Courier52-01-00).