Premises Information


	Return to Inspections

Name

TERRABELLA LITTLE AVENUE

Address

7745 LITTLE AV

City/State/ZIP

CHARLOTTE

28226

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

6/10/2014

Final Score @ Grade

General Comments

Mr. Carlos Huertas present during inspection.GC #42: Food thermometer in refrigerator in room 225 reading 55F. Make sure residents keep food below 45F in personal refrigerators.**All potentially hazardous food products shall be maintained at 45°F, or below, or 140°F or above except during necessary periods of preparation and serving. 15A NCAC 18A .1323 (a).GC #34: Documentation from laundry service provider on chemical used to sanitizer common laundry and if a method of testing strength is available. Provide documentation that equipment is operating properly.**All common linen including sheets, pillow cases, absorbent pads, towels, and wash cloths provided by the facility must be sanitized between users with an EPA registered laundry sanitizer or by other methods described in 15A NCAC 18A .1319 (b).**Observed several chemical spray bottles unlabeled or mislabeled.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
3	1	Walls and ceilings cleanable, clean, good repair	No	No	No	Observed wall damage in 1st floor laundry. Wall damage in stairwell on 2nd floor landing. Ceiling stains 2nd floor hallway.**Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
8	1	Facilities conveniently located, clean and in good repair	No	No	No	Observed toilet chairs or toilet below toilet chair needing cleaning in rooms 121, 214. Pink and black mold on shower mat in room 121. Water damage inside cabinet, activities area. Product build-up on chair in salon.Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).**Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)
11	1	Hand sinks used only for intended purpose	No	No	No	Observed dirty silverware and flowers in hand sink, memory care.**Except for the stipulations stated in rule .1312 (d), handwashing sinks shall only be used for handwashing. 15A NCAC 18A .1312 (d).
15	2	Approved water supply, no cross-connections	No	No	No	Observed no backflow preventer on sink basin in salon and shower wand in room 121.**Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d).
19	1	Ice protected, dispensed, equipment clean in good repair	No	No	No	Observed unprotected ice on counter in memory care.**All ice machines and storage chests which are accessible to the residents and the public shall be automatic ice dispensing machines. 15A NCAC 18A .1313 (b).
30	1	Medication carts clean, sharps containers affixed, food and utensils handled properly	No	No	No	Observed single service spoons stored with bowl up. Single service spoons stored in cup with hair and a test strip in it, one med. cart.**Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c).