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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
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5
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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 meats and shell eggs stored above ready to eat foods. Raw meat thawing in 2 comp. sink. Uncovered bacon in refrigerator. Opened dry goods not properly sealed in lidded containers or baggies.All foods, while being stored, prepared, served, and during transportation, shall be protected from contamination. 15A NCAC 18A .1620 (a). |
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4
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4
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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 microwave rusted. Cabinets with peeling contact paper and food debris. Spilled food in bottom of freezer. Food debris in oven and in bottom drawer. Cabinet interiors for kitchen and laundry worn. Cracked corner of bar counter.Acceptable storage facilities include residential kitchen cabinets, which should be kept clean and free of vermin. 15A NCAC 18A .1618 (i).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). |
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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 |
Observed: Repeat Non-Compliance: No paper towels at any hand sink throughout. Sink needs cleaning in bedroom 2, 2nd floor. Worn toilet seat, bedroom 1 on 2nd floor. Cabinets in bathrooms in disrepair/very worn. Moldy shower curtain, 3rd floor.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). |
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9
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4
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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 |
Observed: Repeat Non-Compliance: Soiled linens on beds. Torn pillow, 3rd floor. Broken dressers and nightstands in several bedrooms. Bent bed frame, bedroom 2, 2nd floor. Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b).All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). |
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12
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3
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WALLS AND CEILINGS: In good repair 1; kept clean 2 (.1608) |
No |
No
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No |
Observed holes in walls in 3rd floor bedroom. Front door latch not working, can't open front door.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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13
|
3
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LIGHTING AND VENTILATION: Windows and fixtures in good repair 1; kept clean 2 (.1609) |
No |
No
|
No |
Observed cracked window, bedroom, 3rd floor. Dusty vents throughout. Dim lighting in 3rd floor bathroom. Window sills/tracks dirty. Dead frog in window track, bedroom 1, 2nd floor.All rooms shall be well lighted by natural or artificial means. 15A NCAC 18A .1609 (a).Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b). |
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