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Child Care Sanitation Rules Amendments Effective January 1, 2006

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Cup (2oz) liquid chlorine bleach mixed with one gallon of tap water & prepared daily. ... A testing method shall be available for bleach solution. Lavatories .2818 ... – PowerPoint PPT presentation

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Title: Child Care Sanitation Rules Amendments Effective January 1, 2006


1
Child Care Sanitation Rules AmendmentsEffective
January 1, 2006
  • Notable Changes
  • Childrens Environmental Health Branch
  • February 2006

2
Why Make Changes?
  • To meet the evolving needs of child care.
  • To simplify the rules.
  • To remove obsolete items from the rules.
  • To add current state of practice to the rules.
  • Evidence-based science
  • Caring for Our Children
  • American Academy of Pediatrics
  • Centers for Disease Control Prevention

3
Definitions .2801
  • Disinfecting solution solution containing 500
    ppm800 ppm of chlorine or EPA-registered
    product.
  • ¼ Cup (2oz) liquid chlorine bleach mixed with one
    gallon of tap water prepared daily.
  • Sanitizing solution solution containing 50
    ppm200 ppm of chlorine.
  • 1 tablespoon of liquid chlorine bleach mixed with
    one gallon of water prepared daily.

4
Definitions .2801
  • School age any child at least 5 years old on or
    before October 16 of the current school year
    who is or has attended a public or private grade
    school or kindergarten.
  • Tempered water means water that is between
    80ºF 110ºF.

5
Handwashing .2803
  • Handwashing section moved from .2828 to .2803.
  • Moved forward to emphasize importance of
    handwashing.
  • Lists times places handwashing must take place.
  • Describes handwashing methods materials to be
    used.
  • Describes proper use of hand sanitizing products.

6
Food Supplies .2804
  • Breast milk can be frozen stored up to 7 days.
  • Microwaves prohibited for thawing or warming any
    beverages.
  • Bottle warming equipment inaccessible to children
    when in use.
  • Meals from home shall be dated labeled.
  • Fruits vegetables grown at the center are
    allowed.

7
Food Service .2810
  • Food service no longer affected by number of
    children served or licensed for.
  • 29 or less 30 or more children no longer a
    criterion.
  • Minimum required kitchen equipment is
    specifically listed.
  • Grandfather clause no longer relevant.
  • Child care centers located in a school may use
    school cafeteria if available during hours of
    operation.

8
Cleaning Sanitizing .2811-.2813
  • Cleaning sanitizing rules have been combined
    into one rule (.2812).

9
Water Supply .2815
  • Any center using a groundwater supply that serves
    25 or more people shall provide documentation
    from the Public Water Supply Section that the
    well meets 15A NCAC 18C .1700 requirements
    (non-community, non-transient system).
  • Water sample to be taken annually by the
    Department.
  • Additional testing may be required if indicated.

10
Water Supply .2815
  • Water used for cleaning, sanitizing food
    utensils, laundry shall be provided at a
    minimum of 120ºF at the point of use. Changed
    from 130ºF/ 140ºF.
  • Water accessible to children shall be tempered
    between 80ºF-110ºF.
  • For lavatories used exclusively by school age
    children the 80ºF minimum temperature shall not
    apply.
  • Water in an area accessible to any child, which
    exceeds 120ºF shall be considered a burn hazard.
    Violations result in a Provisional.

11
Lead Poisoning Hazards .2816
  • Lead poisoning hazards merged into a separate
    section.

12
Toilets .2817
  • Toilet tissue shall be available!
  • Toilet rooms shall include or be adjacent to a
    handwash lavatory.
  • Toilet fixtures shall be cleaned disinfected at
    least daily when visibly soiled.
  • 500 ppm800 ppm chlorine solution shall be used
    or EPA-registered product.
  • A testing method shall be available for bleach
    solution.

13
Lavatories .2818
  • Any lavatory may be used for handwashing as
    specified in .2803 except flush-rimmed sinks
    those with attached operable drinking fountains.
  • Cleaned disinfected with each change of use
    at least daily. A solution of 500 ppm800 ppm
    chlorine shall be used or EPA-registered product.

14
Diapering .2819
  • Each diaper changing station shall include a
    handwash lavatory.
  • Exception for school-age children residential
    centers licensed for
  • Only items needed for diapering shall be placed
    on the diapering surfaces.
  • Cleaned disinfected with each change of use
    at least daily. A solution of 500 ppm800 ppm
    chlorine shall be used or EPA-registered product.

15
Storage .2820
  • Hazardous materials shall be kept locked when
    not in use. Locked rooms/cabinets shall include
    those which are unlocked with a combination,
    electronic, or magnetic device, key, or
    equivalent device. Unlocking devices shall be
    kept out of reach.
  • Toxic substances shall be stored below or
    separate from medicine food.
  • Designated emergency medications shall be stored
    out of reach of children, do not have to be
    locked.

16
Storage .2820
  • Products labeled keep out of reach of children
    without any other warning shall be kept
    inaccessible to children when not in use. Not
    required to be kept locked (non-aerosol
    sanitizers, disinfectants, detergents, hand
    sanitizers, hand lotions).
  • Storage at or above 5 feet in a cabinet or shelf
    above the finished floor is considered
    inaccessible.
  • Employee purses/personal effects kept out of
    reach of children.

17
Toys, Equipment, Furniture .2822
  • In rooms designated for children not toilet
    trained, toys other mouth-contact surfaces
    shall be cleaned sanitized daily when used
    more frequently if visibly dirty.
  • Scrubbed in warm soapy water using a brush,
    rinsed. submerged in sanitizer 50 ppm200 ppm for
    2 minutes air dried.
  • Other methods may be approved. For example, hard
    plastic toys (dishwasher), soft toys (washing
    machine), non-submergible toys (clean spray on
    sanitizer, air dry).

18
Carpet Cleaning .2824
  • Carpeted floors shall be vacuumed daily, when
    children are not present except to clean spills
    or if using a HEPA vacuum (99.97 efficient at
    0.3 micron particulate size).
  • Wall-to-wall carpets shall be cleaned using
    extraction methods at least once each 6 months.
  • Carpets must be completely dry within 12 hours of
    cleaning.

19
Animal Vermin Control .2831
  • Pets shall have vaccination records required by
    state law or local ordinance available for
    review.
  • Turtles, iguanas, other reptiles are not
    allowed to be kept as pets.
  • Traps shall be inaccessible to children. No
    pesticides applied or used when children are
    present.

20
Outdoor Learning Environments .2832
  • Hand sanitizers may be used in lieu of
    handwashing while outdoors.
  • Air quality forecast outdoor activity
    restrictions (when applicable).
  • Activities normally occurring indoors (food
    service, etc.) are allowed in the OLE if in
    compliance with applicable rules.

21
Compliance, Inspections Reports .2834
  • An inspection shall be conducted within 30 days
    when requested by an operator.
  • Unannounced inspections made once each 6 months.
    Original copy sent to DCD.
  • Demerits are listed for each occurrence in this
    section.
  • Procedure for disapproval when inspection is
    denied/stopped.
  • Inspection for licensing vs. when children are
    present.

22
Appeals .2835
  • Appeals concerning the enforcement of the Child
    Care Sanitation Rules should be made to the
    Division of Child Development.

23
Mildly Ill Children .2836
  • Provides guidance regulation for centers
    licensed to care for mildly ill children.
  • Inspection required before keeping mildly ill
    children.
  • Additional requirements are specified. For
    example, no water fountains no cloth diapers 36
    inch separation for beds or partitions installed
    caregivers shall not prepare food no carpet no
    family-style food service special provisions for
    handwashing, glove use, waste disposal.

24
Evaluation Form
  • 48 items on evaluation form (was 55 items).
  • 190 demerits (was 235 demerits).
  • 14 6-demerit items (was 15).

25
Contact Information
  • CEHB Website
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