North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .2800 - SANITATION OF CHILD CARE CENTERS › Section 18A .2827 - COMMUNICABLE DISEASES AND CONDITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) In
				  child care centers, a child who becomes ill to the extent that the child can no
				  longer participate in routine group activities shall be separated from the
				  other children until the child leaves the child care center and in accordance
				  with 10A
				  NCAC 09 .0804.
(b) Each child care center shall include a
				  designated area for a child who becomes ill to the extent that she or he can no
				  longer participate in the routine group activities. When in use, such area
				  shall be equipped with a bed, cot, or mat and a vomitus receptacle and shall be
				  cleaned and disinfected after each use. Thermometers and all materials used in
				  the designated area, including toys, shall be cleaned and sanitized after each
				  use. Linens shall be changed after each use.
(c) If the designated area required under
				  Paragraph (b) of this Rule is not a separate room, then it shall be separated
				  from space used by other children by a partition or screen. The designated area
				  shall be located so that health and sanitation measures can be carried out
				  without interrupting activities of other children and staff.
(d) The child care center shall have written
				  procedures that employees shall follow when responding to vomiting or diarrheal
				  events that involve the discharge of vomitus or fecal matter onto surfaces in
				  the center. The procedures shall address the specific actions employees must
				  take to minimize the spread of contamination and the exposure of employees,
				  children, food, and surfaces to vomitus or fecal matter. The written procedures
				  shall include the following information:
(1)
				  Child care center employees who are part of the designated clean up response
				  team;
(2) A supply list for vomit
				  and diarrhea cleanup kit items that shall be kept on-site at the child care
				  center, including:
(A) disposable personal
				  protective equipment (gloves, apron, mask, shoe covers, and hair
				  restraint);
(B) two disposable
				  plastic bags;
(C) paper
				  towels;
(D) a scoop or
				  scraper;
(E) a mop and bucket;
				  and
(F) an approved
				  disinfectant;
(3) The
				  location of the supplies described in Subparagraph (d)(2) of this
				  Rule;
(4) A procedure for
				  preventing access to the contaminated area;
(5) The steps used to clean and disinfect the
				  contaminated area, which shall include the following:
(A) for hard surfaces, remove the vomit or
				  diarrhea, wash the contaminated surface, and use an approved
				  disinfectant.
(B) for carpet or
				  upholstery, remove the vomit or diarrhea without use of vacuum, wash all
				  surfaces, and steam clean or use an approved disinfectant.
(6) The steps for after clean up, which shall
				  including the following:
(A) throw away all
				  items that came into contact with the vomit or diarrhea;
(B) remove all personal protective equipment
				  (PPE);
(C) discard all cleaning
				  items and PPE in a secured trash area;
(D) disinfect non disposable cleaning items
				  such as scoops, scrapers, mop heads, mop handles, and buckets and discard of
				  disposable cleaning items; and
(E)
				  wash hands in accordance with the procedures in Rule .2803(e) of this
				  Section.
(7) Identify
				  steps for properly storing contaminated articles of clothing and cloth diapers
				  that came into contact with the vomit or diarrhea in accordance with the
				  procedures in Rule .2819(f) of this Section.