|
3
|
2
|
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 no thermometer in refrigerator.An indicating thermometer shall be located in each refrigerator. 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 |
Observed gasket refrigerator collecting debris. Observed drawers and cabinets with finish damaged, loose hanging on hinges and damaged. Observed kitchen sink damaged and rusting. Observed backsplash caulk damaged on kitchen counter.All equipment and utensils shall be so constructed as to be easily cleaned and shall be kept in good repair. 15A NCAC 18A .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 no soap at hand sinks for residents. Observed no paper towels at hand sink for staff restroom. Each resident will be provided soap and individual towels. These towels will be stored separately after being used. 15A NCAC 18A .1610 (b). Observed bath tub with damaged around wood for window, water entering wall, water damage present on wall and floor behind toilet in hall restroom. Observed hand sink damaged in restroom connected to bedroom, hanging away from wall. 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 bed damaged in bedroom across from hall restroom.All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). |
|
11
|
1
|
FLOORS: In good repair 1; kept clean 2 (.1607) |
No |
No
|
No |
Observed floor damaged in kitchen.All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607. |
|
12
|
1
|
WALLS AND CEILINGS: In good repair 1; kept clean 2 (.1608) |
No |
No
|
No |
Observed walls damaged throughout facility, wall repairs not complete.The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. |