| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
6
|
WATER SUPPLY: Public supply; private supply approved 6 (.1611) |
No |
No
|
No |
Repeat Non-compliance:Observed no back flow preventer on the exterior spigot in the back yard. **No back flow connections or cross connections with unapproved supplies shall exist. See rule .1611 (c ). |
|
3
|
5
|
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 raw chicken was thawing on the counter top in the kitchen. All raw meat and poultry must be thawed properly by refrigerating below 45F, microwave or as part of the cooking process. **All perishable foods shall be stored at such temperatures as will protect against spoilage. All potentially hazardous food shall be maintained at safe temperatures (45° F. or below, or 140° F. or above) except during necessary periods of preparation and serving. 15A NCAC 18A .1620 (a). |
|
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 pots and pans stored in the kitchen cabinets were not clean and had damaged surfaces, the kitchen cabinet with water damage/rot and with mold, and the oven/microwave/toaster/cabinets with collected food debris.Observed the oven handle was missing.**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. See rule .1618 (c ).**All equipment and utensils shall be so constructed as to be easily cleaned and shall be kept in good repair. See rule .1618 (a). |
|
8
|
4
|
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 the hand washing sink in the bathroom was not clean, and the sink faucet was corroded. .**Toilet; hand washing; bathing; and laundry facilities shall be kept clean and in good repair. See rule .1610 (a).Observed no soap and towels at the kitchen sink and no paper towels at the staff bathroom sink. Observed an insufficient amount of towels for each resident.**Each resident will be provided soap and individual towels. These towels will be stored separately after being used. 15A NCAC 18A .1610 (b). |
|
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 damaged blinds, bed spreads, box springs and several dressers without knobs.Observed the couch in the living room with stains and tears, and a chair in the dining area with a damaged seat. **All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).Observed some sheets with tears/stains, and some pillows were soiled. **Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b). |
|
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 |
Observed stored items in the storage room were stored on the floor. The floor had accumulated debris. **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). |
|
11
|
2
|
FLOORS: In good repair 1; kept clean 2 (.1607) |
No |
No
|
No |
Observed the floors were dusty and had debris under the beds in the resident rooms. **All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607. |
|
13
|
3
|
LIGHTING AND VENTILATION: Windows and fixtures in good repair 1; kept clean 2 (.1609) |
No |
No
|
No |
Observed the windows had no screens, the window sills had collected dirty and debris, a broken window in the dining room, and several windows with spider webs.Observed no functioning light in 2 bedrooms, and the ceiling fan accumulated on the blades in the dining room.**Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b). |
|
14
|
2
|
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 |
Observed a fallen tree and a pile of tree limbs in the backyard.**The premises shall be kept neat, clean, adequately drained, and free of litter and vermin harborage. 15A NCAC 18A .1615(a). |