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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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|---|
|
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. Repeat-Observed several showers with molded grouting. One shower with build-up on shower curtain. |
|
16
|
0
|
Hot water between 105°F and 116°F |
No |
No
|
No |
.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 reached 70F in staff bathroom end of south wing. |
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22
|
0
|
Mop basins or mop sinks used for mop waste |
No |
No
|
No |
.1315 (b) Mop basins or mop sinks shall only be used to wash mops and dispose of the water used for mopping. Observed utility sink not draining because of dirt build-up. Keep clean |
|
32
|
0.50
|
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 small tear in mattress observation area rm 0220. Torn pillow (ED peds) and pull-out chair (ED adult). Several bed frames with hardened or excessive amounts of debris under mattresses. Housekeeping should be doing a thorough clean under the mattresses at turn over |
|
33
|
0.50
|
Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled |
No |
No
|
No |
.1319 (b) Linens that are not clean shall be placed in a covered container or bag devoted to this purpose at the point of use and stored in the covered container or bag until sanitized in accordance with Paragraph (c) of this Rule to contain and minimize aerosolization of and exposure to any waste products. Such covered containers or bags shall be kept clean between uses and labeled to indicate the contents. Observed large bins and one rolling soiled laundry bin unlabeled. |
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39
|
0
|
Utensils properly cleaned and sanitized; approved methods used |
No |
No
|
No |
.1320 (b) Utensils that have been used to prepare, serve, or consume food or drink shall be returned to the dietary kitchen and shall be washed, rinsed, and sanitized. Utensils may be washed, rinsed, and sanitized at activity kitchens, rehabilitation kitchens, and nourishment stations that have required equipment listed per .1320 (b) (1) and (2). Observed a wet ice cream scooper in 1st floor break room to scoop from 2-gallon tubs of ice cream. Hand sink was designated as a dishwashing sink. This sink is to be used as a hand washing sink. All multi-use utensils must be W/R/S in the kitchen. |
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44
|
0
|
Time/Temperature Control for Safety (TCS) foods maintained as required |
No |
No
|
No |
.1323 (a) All TCS food shall be maintained at temperatures required by Part 3-501.19 of the Food Code incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2653 during storage, preparation, transportation, display, and service of the TCS food. Observed staff member stocking refrigerator sitting in a chair with refrigerator door open. Turkey sandwich from previous day 47F, top of new sandwiches 45F, bottom of stack of new sandwiches 41F. This process needs to be streamlined. Domestic refrigeration is not designed to have the door open for an extensive amount of time. Sandwiches should not be getting out of temperature during the delivery process. |
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