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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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|---|
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4
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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 |
Observed the stove drawer with food debris, some stored pans with dried food residue, some cabinets and drawers with missing knobs, and the kitchen backsplash laminate was damaged near the sink.**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 ).**All pots, pans and other utensils used in the preparation or serving of food or drink, and all food storage utensils, shall be thoroughly cleaned after each use. 15A NCAC 18A .1618 (c ). |
|
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 one sink faucet beginning to corrode, the bathroom grout with dark discoloration, a shower chair with pink and black residue, the wooden toilet seat was worn, and a shower curtain with pink staining.**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 the sky windows with webs, the exterior wooden tables and benches needed pressure washing, and some resident bed pillows were stained/soiled.**All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). |
|
11
|
2
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FLOORS: In good repair 1; kept clean 2 (.1607) |
No |
No
|
No |
Observed the floor with dust and debris in the storage closets and in the activity room, and the carpet was stained in two resident rooms.**All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607. |
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14
|
2
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VERMIN CONTROL: PREMISES: Outside openings effectively screened or otherwise protected against entrance of flying insects, and flying insects absent 4; effective control of rodents and other vermin 4; approved pesticides properly used 4; premises neat, clean, drained and free of litter and vermin harborages and breeding areas 2 (.1615) |
No |
No
|
No |
REPEAT - Observed a large wood pile in the front yard from a fallen tree. Remove the piled wood to prevent rodent/animal harborage.**The premises shall be kept neat, clean, adequately drained, and free of litter and vermin harborage. 15A NCAC 18A .1615(a).GENERAL COMMENT: Tameka Coles was present during the inspection.#3 - Observed bottled water was stored on the floor in the living room storage closet. **Keep all food/consumable products stored above of the floor. |
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