| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
7
|
1
|
Facilities provided, accessible, clean, good repair |
No |
No
|
No |
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed dirty toilet in room 52 in Cardinal Trail, Need cleaning and keep clean. Observed damaged toilet seat in room 15D in need of replacement for smooth and easily cleanable surface. Observed tapes on a hand rail in bathroom 42D in Willard Way, Need cleaning and removing the tapes. |
|
10
|
1.50
|
Handwashing facilities properly located and equipped |
No |
No
|
No |
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed no paper towel available at the hand washing sinks in laundry room on Oriole Place and Willard Way. ENSURE TO PROVIDE SOAP AND PAPER TOWEL AT ALL HAND WASHING SINK AT ALL TIME. |
|
11
|
1
|
EPA registered disinfectants used according to manufacturers' instructions; approved testing methods and devices used |
No |
No
|
No |
.1312 (e) EPA registered disinfectants shall be used in accordance with the manufacturer's instructions. When EPA registered disinfectants are mixed and prepared by institution employees, a measuring device, chemical testing device, or the methods and devices prescribed by the chemical manufacturer shall be used to prepare the concentration of chemicals in accordance with the disinfectant's label and the manufacturer's instructions. Observed facility without the manufacturer’s instructions of how to use the disinfectant properly and amount of contact time on surfaces to effectively clean. Staff is contacting the chemical company to provide that information. The management will educate staff/cleaning staff about proper and effective cleaning procedures to ensure the effective cleaning throughout the facility. |
|
32
|
0
|
Furnishings clean and in good repair; mattresses dry, clean, good repair |
No |
No
|
No |
.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Observed damaged table in front of room 11D, staff stated that the table belong to the resident and they will not be repair/replace since it is a memory item for the family. Observed brown stain on sofa chairs and couches. Observed food debris under the seat when lifting them up in common room on Willard Way and Cardinal Trail. General cleaning needed and maintain clean. Observed fraying at/around the edges of a mattress in room 52 Cardinal Trail. Repair or replace as needed. |
|
33
|
0
|
Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled |
No |
No
|
No |
.1319 (b) A resident's bed linens shall be changed when no longer clean. Observed stain on pillow in room 52 on Cardinal Trail hall way. Recommend to have pillow protection case covering. |
|
36
|
0
|
Laundry area and equipment kept clean |
No |
No
|
No |
.1319 (e) Laundry areas and equipment shall be kept clean. Observed chemical spilled on the floor in laundry room in Oriole Place, Need cleaning and keep clean. Observed little collection of debris around the corner of washer and dryer machines, need general cleaning and keep clean as often as needed. |
|
51
|
0
|
Proper use of restriction, exclusion, and reporting |
No |
No
|
No |
.1324 (c) Institution employees shall comply with the requirements for exclusion from work and restriction due to communicable disease or illness required for food employees as set forth in Parts 2-201.12 and 2-201.13 of the Food Code incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2652. New rules. NO POINT DEDUCTION. CDI- Employee Health Policy Posters provided at the time of inspection. Website will be emailed to the facility for more information as needed. |
|
52
|
0
|
Vomitus and diarrheal clean up supplies; written clean up procedures available and complete |
No |
No
|
No |
.1324 (d) The institution shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent on-site for employees to use and a written procedure for employees to follow when responding to vomitus or fecal matter on institution surfaces. The procedure shall specify the actions that employees shall take to minimize the exposure of employees, residents, guests, food, and additional surfaces to vomitus or fecal matter. Observed a facility without the Vomiting and Diarrhea clean up procedures. This is a new rule and it requires to have a plan and kits in place for such an event. NO POINT DEDUCTION. CDI- V&D clean up procedures poster provided at the time of inspection. Website will be emailed to the facility for more information as needed. |