|
3
|
2
|
FOOD SUPPLIES PROTECTION: All food clean, wholesome, no spoilage 6 (.1619) Adequate during storage/preparation/serving, potentially hazardous food 45° or 140°F above 5; refrigerators with temps 2; meat products cooked; meat products handled as required, no re-serving food 4; food stored above floor protected 2; No animals 4 (.1620) |
No |
No
|
No |
Observed the red line broken in the thermometer in the kitchen refrigerator. Replace with an accurate thermometer.
An indicating thermometer shall be located in each refrigerator. 15A NCAC 18A .1620 (a). |
|
8
|
2
|
TOILET: HANDWASHING: LAUNDRY AND BATHING FACILITIES: Toilet, lavatory and bathing facilities adequate 4; fixtures in good repair and kept clean 2; soap and towels provided 2 (.1610) |
No |
No
|
No |
Observed buildup on the shower curtain and in the shower grout. Clean.
Observed residue on the toilet seat.
Observed the toilet seat barely attached. New toilet seat present.
Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). |
|
9
|
4
|
BEDS: LINEN: FURNITURE: All furniture, mattresses, linen, drapes, blinds and similar items in good repair and clean 2; bed linen changed as required 2; clean and soiled linens properly stored and handled 2 (.1617) |
No |
No
|
No |
-Observed mattress in disrepair in room 2 (per manager, new mattress will arrive by the end of the week).
-Observed mattress cover stained in room 5 & 6.
-Observed the bed broken in room 6 (per manager, the resident's family has been informed).
-Observed the leather ripping off on the couch and the single chair in the living room. Repair or replace.
All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).
Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b). |
|
10
|
2
|
STORAGE: MISCELLANEOUS: Rooms or areas provided for storage of clothes, personal effects, luggage, supplies and equipment kept clean 2; medications, cleaning supplies, pesticides and other hazardous products properly stored as required 4 (.1616) |
No |
No
|
No |
Observed clothes and items stored on the floor in the closet (it is unknown if items are clean or dirty or both) in rooms 2, 4, & 5. Organize and clean.
Rooms or spaces which are provided and used for the storage of clothing, personal effects, luggage, necessary equipment and supplies and for items not in routine use, shall be kept clean. 15A NCAC 18A .1616 (a). |
|
11
|
2
|
FLOORS: In good repair 1; kept clean 2 (.1607) |
No |
No
|
No |
Observed debris in the small hall closet floor (where the ironing board is stored). Clean
Observed debris built up on the floor around baseboards and under the bed in room 2. Clean.
All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607. |
|
12
|
2
|
WALLS AND CEILINGS: In good repair 1; kept clean 2 (.1608) |
No |
No
|
No |
Observed residue on the walls in room 2. Clean.
The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. |
|
13
|
2
|
LIGHTING AND VENTILATION: Windows and fixtures in good repair 1; kept clean 2 (.1609) |
No |
No
|
No |
Observed dust buildup on the ceiling vent in room 4. Clean.
Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b). |