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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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|---|
|
4
|
8
|
FOOD SERVICE UTENSILS/EQUIPMENT: Utensils/Equipment in good repair, clean 4; eating and drinking utensils clean, cleaned after each use; approved facilities 4; clean utensils properly stored 2; substances containing poisonous material not used 6; disposable properly stored/handled, used once 2 (.1618) |
No |
No
|
No |
Repeat Non Compliance: Observed microwave inside surface/front plate paint flaking & chipping; observed disposal leaking at kitchen sink, with damaged shelf in cabinet to left of disposal. Observed glass dishes stored to left of oven stored clean with food debris still present on surface. Observed debris present in oven drawer and in cabinet shelving. Observed sugar scoop stored inside glass container at kitchen counter. Observed date marked tape present on plastic container lids.**All multi-use eating and drinking utensils shall be thoroughly cleaned after each usage, and the facilities needed for the operations of washing and rinsing shall be provided. 15A NCAC 18A .1618 (b).**All equipment and utensils shall be so constructed as to be easily cleaned and shall be kept in good repair. 15A NCAC 18A .1618 (a). |
|
6
|
2
|
DRINKING WATER FACILITIES: ICE HANDLING: Common drinking cups not used 4; ice, if provided, handled and dispensed in a sanitary manner 2 (.1612) |
No |
No
|
No |
Repeat Non Compliance: Observed ice put into cup with hand, no hand wash first. Use utensil/push dispenser for dispensing. **If ice is provided for residents, it shall be handled, transported, stored and dispensed in such a manner as to be protected against contamination. 15A NCAC 18A .1612. |
|
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 |
Repeat Non Compliance: Observed black debris present on shower tile grout, soap scum and black debris on shower curtains, hand rails in shower starting to rust leaving brown debris on tiles. Observed siding peeling on left side of hand wash sink at front of facility starting to peel away in need of new bead of caulk. Observed loose toilet seat in bathroom on back hall. Observed shower head stem with corrosion on front bathing facility. **Toilet, hand washing, 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 |
Repeat Non Compliance: Observed soiled linen on bed in room 3; Observed rips and or stains on comforter, linen, pillow case.**Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b).**Clean linen shall be stored and handled in a sanitary manner and separate from soiled linen. 15A NCAC 18A .1617 (c ).**All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). |
|
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 resident closets packed with items and personal belongings stored on floor. Closets shall be arranged to facilitate easy cleaning. **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). |
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