reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3306 - FOOD STORAGE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Opened food
				  products shall be stored in approved, clean, tightly covered, storage
				  containers. Containers shall be impervious and nonabsorbent.
(b) Foods not stored in the product container
				  or package in which it was obtained, shall be stored in a tightly covered,
				  approved food storage container identifying the food by common name.
(c) Food shall be stored above the floor in a
				  manner that protects the food from splash and other contamination and that
				  permits easy cleaning of the storage area.
(d) Food and containers of food shall not be
				  stored under exposed or unprotected sewer lines or water lines, except for
				  automatic fire protection sprinkler heads that may be required by law. Food
				  shall not be stored in toilet or laundry rooms, or other areas where there is a
				  potential for contamination.
(e)
				  All food shall be stored in a manner to protect it from dust, insects, drip,
				  splash and other contamination.
(f)
				  Packaged food such as milk or other fluid containers may be stored in undrained
				  ice as long as any individual units are not submerged in water. Wrapped
				  sandwiches shall not be stored in direct contact with ice.
(g) Refrigerated storage:
(1) Refrigeration equipment shall be provided
				  in such number and of such capacity to assure the maintenance of potentially
				  hazardous food at required temperatures during storage. Each refrigerator shall
				  be provided with a numerically scaled indicating thermometer, accurate to
				  ±3°F, (± 1.5°C) located to measure the air temperature in
				  the warmest part of the refrigerator and located to be easily readable.
				  Recording thermometers, accurate to ±3°F (± 1.5°C), may
				  be used in lieu of indicating thermometers.
(2) Potentially hazardous food requiring
				  refrigeration after preparation shall be cooled to an internal temperature of
				  45°F (7°C), or below. Cooling of potentially hazardous foods shall be
				  initiated upon completion of preparation or a period of hot storage. Methods
				  such as shallow pans, agitation, quick chilling or water circulation external
				  to the food containers shall be used to cool large quantities of potentially
				  hazardous food. Potentially hazardous food to be transported cold shall be
				  prechilled and held at a temperature of 45°F (7°C) or below.
(3) Ice used for cooling stored food and food
				  containers shall not be used for human consumption.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3307 - FOOD PREPARATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Food shall be
				  prepared with the least possible manual contact, with utensils, and on surfaces
				  that have been cleaned, rinsed, and sanitized prior to use in order to prevent
				  cross-contamination.
(b) Whenever
				  there is a change in processing from raw to ready-to-eat foods, the new
				  operation shall begin with food-contact surfaces and utensils which are clean
				  and sanitized.
(c) Raw fruits and
				  raw vegetables shall be thoroughly washed with potable water before being
				  cooked or served.
(d) Potentially
				  hazardous foods requiring cooking shall be cooked to heat all parts of the food
				  to a temperature of at least 140°F (60°C), except that:
(1) Poultry, poultry stuffings, stuffed meats
				  and stuffings containing meat shall be cooked to heat all parts of the food to
				  at least 165°F (74°C) with no interruption of the cooking
				  process;
(2) Pork and any food
				  containing pork shall be cooked to heat all parts of the food to at least
				  155°F (68°C) for 15 seconds with no interruption in the cooking
				  process;
(3) Ground beef and foods
				  containing ground beef shall be cooked to an internal temperature of at least
				  155°F (68°C) with no interruption in the cooking process;
(4) Rare roast beef shall be cooked to an
				  internal temperature of at least 130°F (54°C) with no interruption in
				  the cooking process.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3308 - FOOD SERVICE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Milk and milk
				  products for drinking purposes shall be served from a commercially filled
				  container of not more than one gallon capacity or drawn from a commercially
				  filled container stored in a mechanically refrigerated bulk milk dispenser
				  directly into the drinking utensil.
(b) Ice shall be made, handled, transported,
				  stored and dispensed in such a manner as to be protected against contamination.
				  Ice shall be dispensed with scoops, tongs, or other ice-dispensing utensils or
				  through automatic ice-dispensing equipment. Ice-dispensing utensils shall be
				  stored on a clean surface or in the ice with the dispensing utensil's handle
				  extended out of the ice. Between uses, ice transfer receptacles shall be stored
				  to protect them from dust, drip, splash and other contamination. Ice storage
				  bins shall be drained through an air gap.
(c) Employees preparing or serving food shall
				  wash their hands in accordance with
				  15A NCAC
				  18A .3328 and shall either use antibacterial
				  soap, dips, or hand sanitizers immediately prior to food preparation or service
				  or use clean, disposable gloves during food preparation or service. This
				  requirement is in addition to all handwashing requirements in Rule .3328 of
				  this Section.
(d) Once served,
				  portions of leftover food shall not be served again unless the package is
				  intact and the food is not potentially hazardous.
(e) Between uses during service, dispensing
				  utensils shall be stored in the food with the dispensing utensil handle
				  extended out of the food or stored clean and dry.
(f) Nothing in the Rules of this Section
				  shall be construed as prohibiting family style food service at adult day
				  service facilities so long as supervision of the participants is maintained
				  throughout each meal except that family style food service may be prohibited
				  during the outbreak and investigation of communicable diseases.
Authority
					 G.S.
					 130A-285;
Eff. August 1,
					 2002;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3309 - FOOD SERVICE EQUIPMENT AND UTENSILS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Material and Construction:
(1) Materials used
				  in the construction of utensils and equipment shall, under normal use
				  conditions, be durable; corrosion-resistant; nonabsorbent; non-toxic; of
				  sufficient weight and thickness to permit cleaning and sanitizing by normal
				  warewashing methods; finished to have a smooth, easily cleanable surface; and
				  resistant to pitting, chipping, cracking, scratching, scoring, distortion, and
				  decomposition;
(2) Solder shall be
				  comprised of approved, non-toxic; corrosion-resistant materials.
(3) Wood and wicker shall not be used as
				  food-contact surfaces, except hard maple or an equivalent nonabsorbent wood may
				  be used for cutting boards, cutting blocks or bakers' tables.
(4) Galvanized metal shall not be used for
				  utensils which have general utility or for utensils or food-contact equipment
				  which contacts beverages or moist or hygroscopic food.
(5) Linens shall not be used as food-contact
				  surfaces, except that clean linen may be used in contact with bread and
				  rolls.
(6) Single-use and
				  single-service articles shall be fabricated from approved, clean
				  materials.
(7) Single-use articles
				  such as formed buckets, bread wrappers, aluminum pie plates and No. 10 cans
				  shall be used only once except that containers made of plastic, glass or other
				  food grade material having smooth sides and of a construction so as to be
				  easily cleaned may be reused.
(8)
				  Equipment, utensils, and single-service articles that impart odors, color or
				  taste, or contribute to the contamination of food shall not be used.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3310 - SPECIFICATIONS FOR KITCHENS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) For
				  adult day service facilities licensed for or serving food to fewer than 30
				  participants:
(1) Domestic kitchen equipment
				  may be used. Domestic kitchen equipment shall include at least a
				  two-compartment sink, drainboards or countertop space of adequate size,
				  refrigeration equipment and adequate cooking equipment. Adult day service
				  facilities using multi-service articles shall also provide a dishwasher. In
				  lieu of a dishwasher and two-compartment sink, a three-compartment sink with
				  drainboards or counter top space of adequate size on each end may be
				  used;
(2) When domestic
				  refrigeration equipment is used the following provisions shall apply:
(A) Potentially hazardous foods shall not be
				  prepared prior to the day that such foods are to be served;
(B) Potentially hazardous foods that have
				  been heated shall not be reheated or placed in refrigeration to be used in
				  whole or in part on another day; and
(C) Salads containing potentially hazardous
				  food shall not be prepared on-site.
(3) A separate lavatory for handwashing is
				  required in food preparation areas. If the dishwashing area is separate from
				  the food preparation area, an additional lavatory shall be required in the
				  dishwashing area. These handwashing lavatories shall be used only by food
				  service personnel; and
(4) A
				  commercial hood shall be installed when foods are fried on-site. The hood shall
				  be installed in accordance with the North Carolina Building Code and approved
				  by the local building code enforcement agent.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3311 - CLEANING AND SANITIZING OF EQUIPMENT AND UTENSILS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Multi-use tableware shall be washed, rinsed, and sanitized after each
				  use.
(b) Food-contact surfaces of
				  equipment and utensils shall be washed, rinsed, and sanitized:
(1) Each time there is a change from raw to
				  ready-to-eat foods;
(2) Each time
				  there is a change in processing between types of raw animal products such as
				  beef, fish, lamb, pork, and poultry;
(3) After any contamination may have
				  occurred;
(4) Whenever necessitated
				  by food temperature, room temperature, type of food, and food particle
				  accumulation; and
(5) After final
				  use each working day.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3313 - MECHANICAL CLEANING AND SANITIZING

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Machine or water line mounted numerically scaled indicating thermometers,
				  accurate to ±3°F (± 1.5°C), shall be provided for
				  commercial dishwashing equipment to indicate the temperature of the water in
				  each tank of the machine and the temperature of the final rinse water as it
				  enters the manifold.
(b)
				  Drainboards or counter top space of adequate size for the proper handling of
				  soiled utensils prior to washing and cleaned utensils following sanitization
				  shall be provided.
(c) Equipment
				  and utensils shall be flushed or scraped and, when necessary, soaked to remove
				  large food particles and soil prior to being washed in a dishwashing machine
				  unless a prewash cycle is a part of the dishwashing machine operation.
				  Equipment and utensils shall be placed in racks, trays, or baskets, or on
				  conveyors, in a way that food-contact surfaces are exposed to the unobstructed
				  application of detergent wash and clean rinse waters and that permits free
				  draining.
(d) Machines using
				  chemicals for sanitization may be used provided that a testing method or
				  equipment is available, convenient, and used to test chemical sanitizers to
				  insure minimum prescribed strengths.
(e) All dishwashing machines shall be
				  thoroughly cleaned at least once a day or more often when necessary to maintain
				  them in operating condition.
(f)
				  After sanitization, all equipment and utensils shall be air dried.
Authority
					 G.S.
					 130A-235;
Eff. August 1,
					 2002;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3314 - FOOD SERVICE EQUIPMENT AND UTENSIL STORAGE

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Cleaned and sanitized equipment and utensils shall be handled in a way that
				  protects the food-contact surfaces from contamination. Spoons, knives, and
				  forks shall be touched only by their handles. Cups, glasses, bowls, plates, and
				  similar items shall be handled without contact with inside surfaces or surfaces
				  that contact the user's mouth.
(b)
				  Cleaned and sanitized utensils and equipment shall be stored above the floor in
				  a clean, dry location in a way that protects them from dust, insects, drip,
				  splash and other contamination and facilitates floor cleaning. The food-contact
				  surfaces of fixed equipment shall also be protected from contamination.
				  Equipment and utensils shall not be placed under exposed sewer lines or water
				  lines, except for automatic fire protection sprinkler heads that may be
				  required by law.
(c) Single-service
				  articles shall be purchased only in clean containers, shall be stored in a
				  clean, dry container until used, and shall be handled in accordance with the
				  rules of this Section.
Authority
					 G.S.
					 130A-235;
Eff. August 1,
					 2002;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3315 - WATER SUPPLY

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Running water
				  under pressure shall be provided in sufficient quantities to meet the needs of
				  cooking, cleaning, drinking, toilets, and outside uses without producing water
				  pressure lower than that required by the North Carolina Plumbing
				  Code.
(b) The water supply shall
				  meet the requirements of
				  15A NCAC
				  18C or
				  15A NCAC
				  18A .1700 Protection of Water Supplies.
				  Samples of water shall be collected by the Environmental Health Specialist and
				  submitted to a state certified laboratory for bacteriological analysis
				  annually. Other tests of water quality, as indicated by possible sources of
				  contamination, may be collected by the Environmental Health
				  Specialist.
(c) No
				  cross-connections with an unapproved water supply shall exist. If potential
				  back-flow conditions exist, an approved back-flow prevention device shall be
				  provided.
(d) Water heating
				  equipment that is sufficient to meet the maximum expected requirements of the
				  adult day service facility shall be provided. Capacity and recovery rates of
				  hot water heating equipment shall be based on number and size of sinks,
				  capacity of dishwashing machines, capacity of laundering machines, clothing
				  changing facilities, and other food service and cleaning needs. Hot and cold
				  water under pressure shall be easily accessible to all rooms where food is
				  processed or handled, rooms in which utensils or equipment are washed, and
				  other areas where water is required for cleaning and sanitizing, including
				  lavatories and diaper changing areas.
(e) Hot water heating equipment shall provide
				  hot water as follows:
(1) at a minimum
				  temperature of 140°F at the point of use when hot water is used for
				  sanitizing; and
(2) at a
				  temperature of no less than 90°F and no more than 120°F at hand sinks
				  and in other areas accessible to participants, and in kitchens not used to
				  prepare meals.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3316 - DRINKING WATER FACILITIES

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Drinking fountains of an approved type or individual drinking utensils shall
				  constitute approved drinking water facilities.
(b) Drinking fountains, if provided, shall be
				  of sanitary angle-jet design and kept clean. The pressure shall be regulated so
				  that the individual's mouth does not come in contact with the nozzle and so
				  that water does not splash on the floor.
(c) All multi-use utensils used for drinking
				  purposes shall be easily cleanable, cleaned and sanitized after each use.
				  Single-service articles used for drinking water shall be stored and handled so
				  as not to become contaminated by insects, splash, dust, and other
				  contamination.
Authority
					 G.S.
					 130A-285;
Eff. August 1,
					 2002;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3317 - TOILETS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) All toilet
				  fixtures and toilet rooms shall be located to comply with the requirements of
				  this Section. Storage in toilet rooms shall be limited to toileting and
				  clothing changing supplies except that cleaning supplies can be stored in
				  toilet rooms in a locked cabinet. All toilet fixtures shall be easily
				  cleanable, and in good repair.
(b)
				  Toilet fixtures shall be cleaned and sanitized when soiled and at least on a
				  daily basis. A solution of 100 ppm chlorine solution or other equivalent
				  methods approved by the Department shall be used for sanitizing.
(c) If bedside commodes, bedpans or urinals
				  are used, they shall be located in a room equipped with a spray rinse toilet or
				  utility sink. Bedside commodes, bedpans and urinals shall be emptied and rinsed
				  or discarded when used, and cleaned and sanitized before use by any other
				  participant, with 100 ppm chlorine solution or equivalent method approved by
				  the Department.
Authority
					 G.S.
					 130A-235;
Eff. August 1,
					 2002;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3318 - LAVATORIES AND BATHING FACILITIES

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Lavatories shall be sized and located to comply with the appropriate
				  handwashing requirements of this Section, easily cleanable, in good repair, and
				  kept free of storage.
(b) All
				  lavatories and bathing facilities shall be equipped with hot and cold running
				  water through mixing faucets except that automatic mixing faucets or pre-mixing
				  devices which provide water at the temperature specified in Rule .3315(e) of
				  this Section may be provided.
(c)
				  Lavatories shall be cleaned and sanitized as needed and at least on a daily
				  basis. A solution of 100 ppm chlorine or other approved methods shall be used
				  for sanitizing.
(d) Soap and
				  disposable towels or heated air hand drying device shall be provided at every
				  handwash lavatory area.
(e)
				  Handwash signs shall be posted at each employee handwashing lavatory.
(f) If bathing facilities or hydrotherapy
				  equipment are provided, they shall be kept clean. Bathing equipment which has
				  contact with participant's skin shall be cleaned with a detergent and an EPA
				  listed Germicidal disinfectant between participant uses. Manufacturer's
				  instructions shall be followed for cleaning equipment with pumps. A supply of
				  cleaning and disinfectant agents shall be accessible to bathing areas. Chemical
				  test kits shall be used to test the concentration of disinfectants mixed on
				  site.
Authority
					 G.S.
					 130A-235;
Eff. August 1,
					 2002;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3319 - CLOTHING AND CLOTHING CHANGING

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Clothing changes shall be done in restrooms or other areas designated for that
				  purpose.
(b) Clothing Changing
				  surfaces shall be smooth, nonabsorbent, easily cleanable and shall be approved
				  by the Department.
(c) Clothing
				  Changing surfaces shall be kept free of storage and shall be cleaned with a
				  mild solution of water and detergent and sanitized after each changing. A
				  solution of 100 ppm chlorine or equivalent methods approved by the Department
				  shall be used for sanitizing. A testing method or kit shall be available and
				  used daily to measure sanitizer concentration and insure compliance with the
				  minimum prescribed strength. These solutions shall be used from hand pump spray
				  bottles which are labeled to identify the contents.
(d) Each clothing changing area shall include
				  a handwash lavatory.
(e) The use of
				  disposable gloves by caregivers during the clothing changing process is
				  required if the worker has cuts or sores on hands or chapped hands. Gloves
				  shall be discarded after use.
(f)
				  Caregivers may dispose of feces in the toilet, and soiled clothing shall be
				  placed in a tightly closed plastic bag or other equivalent container approved
				  by the Department and sent daily to the participant's home or a laundry area to
				  be laundered. Clothing shall not be rinsed except where a utility sink is
				  provided for that purpose.
(g) Only
				  pre-moistened towelettes or paper towels shall be used for cleaning
				  participants during the changing process. Soiled paper or towelettes shall be
				  discarded after use in a covered plastic-lined receptacle.
(h) Soiled disposable diapers shall be placed
				  in a cleanable, plastic-lined, covered container and removed to an exterior
				  garbage area at least daily.
(i)
				  Whether or not disposable gloves are used, caregivers shall wash their hands
				  after each individual clothing change in accordance with Rule .3328 of this
				  Section.
(j) Participant's hands
				  shall be washed in the lavatory after each individual clothing change in
				  accordance with Rule .3328 of this Section.
Authority
					 G.S.
					 130A-235;
Eff. August 1,
					 2002;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3320 - STORAGE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Rooms or spaces
				  shall be provided for the storage of equipment, furniture, clothes, beds, cots,
				  mats, and supplies and shall be kept clean. Shelving or other storage,
				  constructed in a manner to facilitate cleaning, shall be provided for orderly
				  storage of supplies and equipment.
(b) 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 if ingested, inhaled,
				  or handled shall be stored in a locked storage room or cabinet, locked with a
				  combination lock or key except at psychosocial rehabilitation programs where
				  participants need access to the chemicals. Keys shall be kept out of the reach
				  of participants and shall not be stored in the lock.
(c) A properly mixed sanitizing solution and
				  a mild detergent solution approved by the Department shall not be required to
				  be stored in a locked storage room or locked cabinet. These solutions shall be
				  clearly labeled.
(d) Medications
				  not under the control of a participant shall be stored in a separate locked
				  cabinet or other locked container. Medications which require refrigeration
				  shall be stored in a locked box or locked container in a
				  refrigerator.
(e) Closets, lockers,
				  or coat hooks shall be provided for storage of coats, hats, or similar items.
				  Personal items such as toothbrushes, dentures or combs shall be stored in
				  containers labeled with the participant's name.
Authority
					 G.S.
					 130A-235;
Eff. August 1,
					 2002;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3321 - BEDS AND LINENS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) All beds,
				  chairs, cots, and mats shall be clean, in good repair and stored to protect
				  them from splash, drip and other contamination.
(b) Individual beds used for sleeping shall
				  be covered with waterproof, washable material and shall be equipped with
				  individual linen.
(c) All bed linen
				  shall be kept clean and in good repair and shall be changed between participant
				  uses.
(d) Blankets, throws or other
				  covers shall be kept clean.
(e)
				  Linen shall be stored with the individual mat or cot until laundered or stored
				  individually for each participant in a designated area if taken off the mats or
				  cots. Linen shall be laundered a minimum of one time per week, or more often if
				  soiled. Linen used for more than one participant shall be laundered between
				  users. Linen used in clothing changing areas shall be changed and laundered
				  when soiled or at least on a daily basis. Linens shall be large enough to cover
				  the sleeping surface.
Authority
					 G.S.
					 130A-235;
Eff. August 1,
					 2002;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3322 - FURNITURE, EQUIPMENT AND ACTIVITY SUPPLIES

Current through Register Vol. 39, No. 2, July 15, 2024
Furniture, equipment and activity supplies provided by the
					 adult day service facility shall be of easily cleanable construction, and shall
					 be kept clean and in good repair.
Authority
					 G.S.
					 130A-285;
Eff. August 1,
					 2002;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3323 - PERSONNEL

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Employees shall
				  wear clean outer clothing and shall be clean as to their person and methods of
				  foodhandling and participant care. Employees shall keep their fingernails clean
				  and trimmed.
(b) Hair nets, caps,
				  or similar hair restraints shall be worn by employees engaged in the
				  preparation or service of food. Hair spray, barrettes, or visors are not
				  considered an effective hair restraint.
(c) Tobacco use in any form is prohibited in
				  the food preparation area. Smoking shall be prohibited in building areas
				  occupied by non-smokers.
(d)
				  Persons with a communicable disease or a communicable condition shall be
				  excluded from situations in which transmission can be reasonably expected to
				  occur, in accordance with Communicable Disease Control Measures under
				  15A NCAC
				  19A .0200. Any person with boils, sores,
				  burns, infected wounds or other potentially draining lesions on the face, neck,
				  hands, lower arms or other exposed skin shall bandage affected area to
				  eliminate exposure to drainage. If exposure to drainage cannot be eliminated or
				  proper handwashing cannot be maintained, then the employee shall be excluded
				  from the adult day service facility while the condition exists.
(e) Volunteer personnel shall adhere to the
				  same requirements in these Rules as employees.
Authority
					 G.S.
					 130A-235;
Eff. August 1,
					 2002;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3324 - FLOORS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Floors and
				  floor coverings of all food preparation, food storage, utensil-washing areas,
				  toilet rooms, maintenance rooms, utility rooms, and laundry areas shall be
				  constructed of nonabsorbent, easily cleanable, durable material such as sealed
				  concrete, terrazzo, ceramic tile, durable grades of linoleum or plastic, or
				  tight wood impregnated with plastic.
(b) Carpeting used as a floor covering shall
				  be of closely woven construction, installed to prevent hazards or obstacles to
				  cleaning, and easily cleanable. Carpeting is prohibited in food preparation
				  areas, equipment and utensil-washing areas, food storage areas, laundry areas,
				  and toilet rooms.
(c) All floors
				  shall be kept clean and maintained in good repair. Carpeting shall be kept
				  clean and dry.
Authority
					 G.S.
					 130A-235;
Eff. August 1,
					 2002;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3325 - WALLS AND CEILINGS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The walls and
				  ceilings, including doors and windows, of all rooms and areas shall be kept
				  clean, in good repair, and free of microbial growth. All walls shall be
				  non-absorbent and easily cleanable.
(b) Ceilings in rooms in which food is
				  stored, handled or prepared, utensil-washing rooms, and toilet rooms shall be
				  non-absorbent and easily cleanable. Acoustic ceiling material may be used where
				  ventilation precludes the possibility of grease and moisture
				  absorption.
Authority
					 G.S.
					 130A-235;
Eff. August 1,
					 2002;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3326 - LIGHTING AND THERMAL ENVIRONMENT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) All
				  rooms and enclosed areas shall be well lighted by natural or artificial means.
				  Lighting shall be capable of illumination to at least 50 foot-candles at food
				  preparation work surfaces. At least 10 foot-candles of light, at 30 inches
				  above the floor, shall be provided in all other areas, including storage rooms.
				  Light fixtures in all areas shall be kept clean and in good repair. Completely
				  shielded bulbs or shatterproof bulbs shall be used in food preparation,
				  storage, and serving areas.
(b) All
				  rooms used by participants shall be heated, cooled, and ventilated to maintain
				  a temperature between 65°F (19°C) and 85°F (30°C). Ventilation
				  may be in the form of operable windows which are screened or by means of
				  mechanical ventilation to the outside. Windows and window treatments shall be
				  kept clean and in good repair. All ventilation equipment, including heating and
				  cooling vents, fans, and all special ventilation equipment which is required
				  for kitchens and toilet rooms, shall be kept clean and in good
				  repair.
Authority
					 G.S.
					 130A-285;
Eff. August 1,
					 2002;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3327 - COMMUNICABLE DISEASES AND CONDITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Any
				  person who becomes ill at the adult day service facility and is suspected of
				  having a communicable disease or communicable condition shall be separated from
				  the other participants until leaving the facility.
(b) Each adult day service facility shall
				  include a designated area for a person who becomes ill. When in use, such area
				  shall be equipped with a bed, cot or mat and a vomitus receptacle. All
				  materials shall be sanitized after each use. Linens and disposables shall be
				  changed after each use.
(c) If the
				  area is not a separate room, it shall be separated from space used by other
				  participants by a partition, screen or other means approved by the
				  Environmental Health Specialist to minimize exposure of other participants to a
				  person who is ill. This designated area shall be proximate to a toilet and
				  lavatory, and where health and sanitation measures can be carried out without
				  interrupting activities of other participants and staff. Ill people shall not
				  be allowed in areas where food is prepared or handled.
(d) Facilities providing adult day health
				  services shall have a treatment room which is separate from areas used for
				  storage and handling of food. The treatment room shall have a hand sink or have
				  a doorway which connects it to a room containing a sink.
Authority
					 G.S.
					 130A-235;
Eff. August 1,
					 2002;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3328 - HANDWASHING

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Employees shall
				  be instructed that handwashing is the single most important line of defense in
				  preventing the transmission of disease-causing organisms. Employees shall wash
				  hands upon reporting for work; before and after handling food; before feeding
				  participants; before handling clean utensils or equipment; after toileting or
				  handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine,
				  blood, secretions from sores, pustulant discharge); after clothing changing;
				  after handling soiled items such as garbage, mops, cloths, and clothing; and
				  after removing disposable gloves.
(b) Participants shall wash hands upon
				  arrival at the facility; after each clothing change or visit to the toilet;
				  before eating meals or snacks; and after handling animals or animal
				  cages.
(c) Proper handwashing
				  procedures shall include:
(1) Using soap and
				  tempered running 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 mechanical dryer; and
(6) Turning off faucet with paper
				  towel.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3329 - WASTEWATER

Current through Register Vol. 39, No. 2, July 15, 2024
All wastewater shall be disposed of in a publicly-owned
					 wastewater treatment system or by an approved properly operating on-site
					 wastewater system.
Authority
					 G.S.
					 130A-235;
Eff. August 1,
					 2002;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3330 - SOLID WASTES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Solid wastes
				  containing food scraps or other putrescible materials shall, prior to disposal,
				  be kept in durable, rust-resistant, nonabsorbent, water-tight, rodent-proof,
				  and easily cleanable containers such as standard garbage cans which shall be
				  covered with tight lids when filled or stored or not in continuous use. Refuse
				  including scrap paper, cardboard boxes and similar items shall be stored in
				  containers, rooms or designated areas approved by the Department.
(b) Facilities shall be provided for the
				  washing and storage of all garbage cans and mops for adult day service
				  facilities, except for facilities certified or licensed for fewer than 13
				  participants. Cleaning facilities shall include combination faucet, hot and
				  cold running water, threaded nozzle, and curbed impervious pad sloped to drain
				  into an approved sanitary sewage system.
(c) Where containerized systems are used for
				  garbage storage, facilities shall be provided for the cleaning of such systems.
				  A contract for off-site cleaning shall constitute compliance with this
				  Section.
(d) Solid wastes shall be
				  disposed of so as to prevent insect breeding and public health
				  nuisances.
Authority
					 G.S.
					 130A-235;
Eff. August 1,
					 2002;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3331 - ANIMAL AND VERMIN CONTROL: PREMISES

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Unrestrained animals, except those used in approved pet therapy programs and
				  service animals accompanying persons with disabilities, shall not be allowed in
				  the adult day service facility, including the outdoor area. Animals shall not
				  be allowed in the food preparation areas. Animal cages, bedding, litter boxes
				  and other pet-related items shall be kept clean.
(b) Effective measures shall be taken to keep
				  insects, rodents, and other vermin out of the facility and to prevent their
				  breeding or presence on the premises.
(c) All openings to the outer air shall be
				  protected against the entrance of flying insects. For extermination of flying
				  insects, only approved pyrethrin-based insecticides or a fly swatter shall be
				  used in the food preparation areas. Products shall be used only in accordance
				  with directions and cautions appearing on the manufacturers' labels.
				  Insecticides shall not come in contact with raw or cooked food, utensils, or
				  equipment used in food preparation and serving, or with any other food-contact
				  surface.
(d) Only those pesticides
				  which have been registered with the U.S. Environmental Protection Agency and
				  the North Carolina Department of Agriculture and Consumer Services shall be
				  used. Pesticides shall be used in accordance with the directions on the
				  manufacturers' label and shall be stored in a locked storage room or cabinet
				  separate from foods and medications.
Authority
					 G.S.
					 130A-235;
Eff. August 1,
					 2002;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3332 - OUTDOOR AREAS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The premises,
				  including the outdoor area, shall be kept clean, drained and free of litter and
				  hazardous materials. Grass and other vegetation shall be maintained in a manner
				  which does not encourage the harborage of vermin.
(b) All debris, glass, dilapidated
				  structures, and broken equipment shall be removed. The outdoor areas shall be
				  free from unprotected wells, grease traps, cisterns, and utility
				  equipment.
Authority
					 G.S.
					 130A-235;
Eff. August 1,
					 2002;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3333 - SWIMMING AND WADING POOLS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Swimming
				  pools, wading pools and spas shall be designed, constructed, operated and
				  maintained in accordance with the Rules Governing Swimming Pools,
				  15A NCAC
				  18A .2500. Copies of these Rules may be
				  obtained from DENR, Division of Environmental Health, Environmental Health
				  Services Section, 1630 Mail Service Center, Raleigh, NC 27699-1630.
(b) Unfiltered and nondisinfected
				  containments of water shall not be utilized for water recreation
				  activities.
Authority
					 G.S.
					 130A-235;
Eff. August 1,
					 2002;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3334 - COMPLIANCE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  Environmental Health Specialist shall indicate on the Sanitation Inspection of
				  Adult Day Service Facility Form whether the adult day service facility is
				  superior, approved, provisional, or disapproved based on compliance with the
				  rules of this Section. The classification shall be posted in the facility in a
				  conspicuous place designated by the Environmental Health Specialist.
(b) The degree of compliance is indicated by
				  the total demerit-point score which is shown on the Sanitation Inspection of
				  Adult Day Service Facility Form that the Environmental Health Specialist
				  completes.
(1) For the purpose of issuing a
				  license or certificate to a new operator, a Sanitation Inspection of Adult Day
				  Service Facility Form, shall be forwarded to the licensing or certifying agency
				  only when the facility can be granted a superior classification;
(2) An adult day service facility shall be
				  classified as superior if the total demerit score is not more than 15 and no
				  6-demerit-point item is violated;
(3) An adult day service facility shall be
				  classified as approved if the total demerit score is more than 15 and not more
				  than 30, and no 6-demerit-point item is violated;
(4) An adult day service facility shall be
				  classified as provisional if any 6-demerit-point item is violated, or if the
				  total demerit-point score is more than 30 but not more than 45. This
				  provisional period shall not exceed seven days unless construction or
				  renovation is necessary to correct any violation, in which case the
				  Environmental Health Specialist may allow a longer provisional
				  period;
(5) An adult day service
				  facility shall be classified as disapproved if the demerit score is 46 or more,
				  or if conditions which resulted in a provisional classification have not been
				  corrected in the time period specified by the Environmental Health
				  Specialist;
(6) If the provisional
				  status period exceeds seven days, or the adult day service facility is
				  disapproved, the licensing or certifying agency shall be notified immediately
				  by forwarding a copy of the inspection report to the Licensing or certifying
				  agency. The Environmental Health Specialist shall notify the licensing or
				  certifying agency in accordance with Rule .3303 of this Section;
(7) The classification card shall not be
				  removed except by or upon the instruction of the Environmental Health
				  Specialist for the purpose of changing classification cards or establishing
				  another conspicuous location.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3300 - ADULT DAY SERVICE FACILITIES › Section 18A .3335 - APPEALS PROCEDURE

Current through Register Vol. 39, No. 2, July 15, 2024
Appeals concerning the interpretation and enforcement of
					 the rules in this Section shall be made in accordance with G.S.
					 150B.
Authority
					 G.S.
					 130A-235;
Eff. August 1,
					 2002;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .3400 - COASTAL RECREATIONAL WATERS MONITORING, EVALUATION, AND NOTIFICATION › Section 18A .3402 - BACTERIOLOGICAL LIMITS FOR SWIMMING AREAS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  enterococcus level in a Tier I swimming area shall not equal or exceed either:
(1) a geometric mean of 35 enterococci per
				  100 milliliters of water; or
(2) a
				  single sample of 104 enterococci per 100 milliliters of water.