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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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3
|
6
|
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 |
Repeat non-compliance: Observed no thermometer in kitchen refrigerator. Observed raw eggs stored above ready to eat foods.An indicating thermometer shall be located in each refrigerator. 15A NCAC 18A .1620 (a).All foods, while being stored, prepared, served, and during transportation, shall be protected from contamination. 15A NCAC 18A .1620 (a). |
|
4
|
6
|
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 utensil trays insert in kitchen drawer collecting food residue. Observed cabinet finish and drawer finish damaged thoughout kitchen. Observed coffee mug stored in kitchen cabnet with handle broken off, ceramic mug, break area not cleanable.All containers and clean utensils shall be stored in a clean place. 15A NCAC 18A .1618 (f).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
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4
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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 toilet tank loose in master bathroom. Observed hand sinks with pitting finish in hall restroom. Observed no papertowels at all bathroom hand sinks.Each resident will be provided soap and individual towels. These towels will be stored separately after being used. 15A NCAC 18A .1610 (b).Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). |
|
9
|
2
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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 damged mattress in care room at left end of hall, springs bent holes in cover.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 |
Repeat non-compliance: Observed kitchen and dining area floor damaged, holes in vinyl.All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607. |
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12
|
1
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WALLS AND CEILINGS: In good repair 1; kept clean 2 (.1608) |
No |
No
|
No |
Repeat non-compliance: Observed holes in doors and closet doors.The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. |
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