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| CDI=Corrected During Inspection | |
R=Repeat Violation | |
VR=Verification Required | |
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| | Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
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|---|
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1
|
0
|
Floors and carpets cleanable, clean, good repair; carpet odor free |
No |
No
|
No |
1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair. Observed flooring in oxygen room on admin hall and 1000 hall closet floor need deep cleaning, and keep clean. Observed pick mildew of flooring in 300 -500 hall bath, need cleaning and remain clean -0 pts- |
|
7
|
2
|
Facilities provided, accessible, clean, good repair |
No |
No
|
No |
REPEAT
.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 toilet need cleaning/better cleaning in room 600, 700, 900 hall restroom, 300-500 hall bath, 113, 802. Observed loose seat in room 811, 905, 900 hall restroom, 113, need repair or replace. Observed damaged toilet seat that need replace in room 307, 707. Observed rusted or damaged toilet seat/chair in need of repairing or replacing in room 600, 310. Observed slow drain in hand sink in room 501, 600, need repair. Observed leaks toilet in room 805, need repair or replace. -2 pts- |
|
8
|
0.50
|
Toilet rooms free of storage, handwash signs posted |
No |
No
|
No |
.1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed two outdoor umbrellas and files boxes store in toilet room on admin hallway. Remove all items that are not bathroom related. -0.5 pts- |
|
11
|
0
|
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 cleaning employee does not have knowledge about the amount of contact time for cleaning and disinfecting surfaces. Cleaning manager will educate all cleaning staff for effectively cleaning. -0 pts- |
|
16
|
3
|
Hot water between 105°F and 116°F |
No |
No
|
No |
REPEAT
.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities. Observed hot water excess the range between 117F to 126F (900 hall nourishment room behind nursing station, 902, 501, salon, 905, 204, 103, 108, 307, 310, 300 hall dining, 802. Adjust hot water to be between 105F - 116F and remain in the range. VERIFICATION NEEDED. -3 pts- |
|
17
|
1
|
Back-up water supply plan available and complete |
No |
No
|
No |
REPEAT
.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees.
Observed the facility with incomplete written plan for backup water supply. EHS emailed backup water supply plan checklist to administer at the time of inspection. The facility will get the plan put together -1 pts- |
|
20
|
1
|
Ice protected and clean; dispensed properly; ice machines, scoops, containers; clean, good repair |
No |
No
|
No |
.1314 (c) Ice shall be protected against physical, chemical, and biological contamination and shall be kept clean. Observed ice cooler on the roller cart sit in the hallway upon entrance of the building. Observed the unlock room where ice cooler stored in it in 800 hall. EHS asked for the receptionist to move the cooler into a lock storage room and locked the room where ice can be protected. -1 pts- |
|
38
|
0.50
|
Food service equipment and utensils clean, good repair |
No |
No
|
No |
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed very soiled microwave in 1000 hall dining and pink mildew inside the ice machine in nourishment room near the front entrance, need details cleaning and keep clean. -0.5 pts- |
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