|
4
|
6
|
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 leaking plumbing fixture under two compartment sink in kitchen area. Repair leaking plumbing fixture under sink area. Repair base of cabinet under two compartment sink where water leak damaged base of cabinet. Store and handle clean utensil/equipment in or on clean area and in a manner to prevent contamination. Wipe/clean shelving where pots are stored. 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). Utensils shall be handled in such a manner as to prevent contamination. 15A NCAC 18A .1618 (f). |
|
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 base of shower curtains soiled in both bathrooms. Thoroughly clean shower curtains in bathroom. Observed faucet fixture on bath tub extending too far from the wall with a hole present behind faucet fixture. Repair hole behind faucet fixture in bath tub. Observed missing cap from base of shower chair and leg on shower chair bending. Replace shower chair with missing cap onb base and bending leg.Toilet, hand washing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). |
|
9
|
2
|
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 damaged couch and damaged cushions on couch in living room/common sitting area. Replace damaged couch and cushions. Observed damaged box spring on resident bed in first bed room on the left and damaged pillow in third bed room on the right. Replace damaged box spring and pillow. Clean hanging sitting chair in residents room. Wipe/clean window blinds throughout!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 |
Clean and organize storage closets/rooms in living room area and residents room.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). |
|
12
|
3
|
WALLS AND CEILINGS: In good repair 1; kept clean 2 (.1608) |
No |
No
|
No |
Repair wall where corner of walls are damaged. Touch-up paint/repaint throughout house where walls have been repaired. Repair wall under two compartment sink in kitchen area and beside and behind washer and dryer unit in laundry room area. Monitor and repair base of wall in second bathroom on the left. Repaint rusting metal door framing to bathroom. Observed sealant/varnish worn off from wooden bathroom door. Revarnish wooden bathroom door. Clean walls throughout house. Repair wall around dining room window. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. |