Premises Information


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Name

NEVIN #3

Address

3829 NEVIN RD

City/State/ZIP

CHARLOTTE

28269

Premise Type

43 - Residential Care

County

Mecklenburg

Inspection Date

7/24/2015

Final Score @ Grade

General Comments

#10 Observed jacket and blanket on floor in room #1. Keep all items stored off floor. #11. Observed stained carpet in room #1 and debris present in living room. Keep floors clean and in good repair. #12 Observed hole in wall in room #4. Keep walls and ceilings in good repair. Ms. Robinson was present during inspection.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
4	4	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 debris present on can opener in kitchen. **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).
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	Repeat Non Compliance: Observed stains and or debris present in rooms 4, 5, and 6.**Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b).