Premises Information


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Name

NEVIN #4

Address

3823 NEVIN RD

City/State/ZIP

CHARLOTTE

28269

Premise Type

43 - Residential Care

County

Mecklenburg

Inspection Date

6/10/2021

Final Score @ Grade

General Comments

8. 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) Replace shower curtain in toilet #2. Replaced during inspection. 11. FLOORS: In good repair 1; kept clean 2 (.1607) Observed dirty carpet in common area. PIC has a scheduled work order in place to get cleaned. Did not take points because PIC is already aware and has proactively placed work orders for deficiencies observed during inspection.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
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 broken cabinet drawer in kitchen. Repair broken kitchen cabinet drawer. (Work order submitted) Replace bulb in pantry.
12	2	WALLS AND CEILINGS: In good repair 1; kept clean 2 (.1608)	No	No	No	Affix loose molding around wall securely. Observed dust particles accumulating on wall in client's bedrooms. Wipe down wall and corners.