|
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 opened packages of dry food products(mash potatoes, rice, cookies, etc) not properly stored. Store opened packages of dry food products in sealable container labeled and kept clean. Observed crates of raw eggs stored above other food products in refrigeration unit. Store raw meat and raw eggs below and away from other food products.All foods, while being stored, prepared, served, and during transportation, shall be protected from contamination. 15A NCAC 18A .1620 (a). |
|
4
|
2
|
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 |
Observed base of shelving where baking pans are stored soiled. Thoroughly clean base of utensil shelving. Observed damaged drawers in kitchen area. Repair or replace damaged drawers. Clean exterior of cabinet near dishwasher and keep clean.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).Non-food-contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. 15A NCAC 18A .1618 (c ). |
|
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 some stains on bed linens in residents room. Change and clean linen on residents bed when visibly soiled. Observed damaged hospital bed mattress on resident bed and urine smell coming from damaged mattress. REPLACE DAMAGED MATTRESS IMMEDIATELY! Observed damaged mattress covers on resident bed. Either replace or remove mattress covers from residents bed.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). |
|
11
|
1
|
FLOORS: In good repair 1; kept clean 2 (.1607) |
No |
No
|
No |
Observed damaged flooring throughout facility in shower, entrance to bathroom, residents room and at entrance to resident room. Repair or replace damaged flooring throughout entire facility. Provide a transitional floor moulding where carpet meet wooden floor at entrance to residents room. Tightly secure loose base moulding and replace missing base moulding in resident closet.All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607. |
|
12
|
1
|
WALLS AND CEILINGS: In good repair 1; kept clean 2 (.1608) |
No |
No
|
No |
Observed wall damaged throughout in resident room and bathroom. Properly repair walls throughout and repaint. Replace missing door stopper behind bedroom doors. Observed nails backing out of sheet rock on wall and ceiling in bathroom. Nail back in nails and repaint. Monitor water stains on ceiling throughout and repair any roof leaks if needed.The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. |
|
13
|
1
|
LIGHTING AND VENTILATION: Windows and fixtures in good repair 1; kept clean 2 (.1609) |
No |
No
|
No |
Observed light fixtures not operating in bathroom over shower and handsink vanity. Also observed light fixture not operating in hallway area. Replace blown light bulbs or repair light fixtures. Observed dead bugs present in enclosed light fixtures. Clean dead bugs from within light shield.All rooms shall be well lighted by natural or artificial means. 15A NCAC 18A .1609 (a). |
|
15
|
2
|
SOLID WASTES: Garbage in standard containers, properly covered and stored, approved disposal 4; containers, storage area kept clean 2; dry rubbish in suitable receptacles, approved storage and disposal 2 (.1614) |
No |
No
|
No |
Observed roll out trash can missing lid. Replace trash can with missing lid.All solid wastes shall be kept in durable, rust-resistant, nonabsorbent, watertight, rodent-proof standard waste containers which shall be kept covered when filled or stored or not in continuous use. 15A NCAC 18A .1614 (a). |