|
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 stove hood with accumulated grease and with rust, refrigerator gasket collecting debris and split. Repeat Non Compliance: Observed rust collecting in microwave, damaged peeling shelving paper, and debris collecting in bottom side of fridge. **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 ). |
|
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 |
Repeat Non Compliance: Observed washing machine collecting residue around the lid hinges.Observed paper towels not present in upstairs restroom.**All residential care facilities shall be provided with approved sanitary toilet, hand washing and bathing facilities complying with state licensure requirements. 15A NCAC 18A .1610 (a).**\Toilet, hand washing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). |
|
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 |
Repeat Non Compliance: Observed some bedroom dressers with surface damage, linen with stains present in upstairs bedroom and rip in pillow in bed room upstairs as well and worn mattresses. **All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).**Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b). |
|
11
|
3
|
FLOORS: In good repair 1; kept clean 2 (.1607) |
No |
No
|
No |
Repeat Non Compliance: Observed carpet stained and or damaged throughout house, with vinyl peeling in upstairs and downstairs restroom with chips in kitchen floor at transitional from living room into kitchen. **All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607 |
|
12
|
3
|
WALLS AND CEILINGS: In good repair 1; kept clean 2 (.1608) |
No |
No
|
No |
Repeat Non Compliance: Observed ceiling surface damaged in upstairs restroom, downstairs in kitchen, wall paneling in upstairs restroom was damaged and not secured**The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. |
|
13
|
1
|
LIGHTING AND VENTILATION: Windows and fixtures in good repair 1; kept clean 2 (.1609) |
No |
No
|
No |
Repeat Non Compliance: Observed ceiling and floor vents collecting rust throughout the house. **Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b). |