|
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 gasket on fridge torn, paint chipping in kitchen cabinets & microwave. Observed gasket with debris build up above fridge, and broken interior shelving of fridge.Observed multi use utensils with tape debris on surfaces in need of cleaning. **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).**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 ).**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). |
|
6
|
2
|
DRINKING WATER FACILITIES: ICE HANDLING: Common drinking cups not used 4; ice, if provided, handled and dispensed in a sanitary manner 2 (.1612) |
No |
No
|
No |
Repeat Non Compliance: Observed ice bin in freezer with no ice scoop or other dispensing method to protect it against contamination. **If ice is provided for residents, it shall be handled, transported, stored and dispensed in such a manner as to be protected against contamination. 15A NCAC 18A .1612. |
|
8
|
2
|
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 calcium build up on shower heads and loose toilet seat in hall bathroom in need of repair. **Toilet, handwashing, 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 linen throughout residents rooms with stains/debris present on pillow cases, sheets, and blankets. linen shall be changed, replaced when soiled. **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). |
|
12
|
1
|
WALLS AND CEILINGS: In good repair 1; kept clean 2 (.1608) |
No |
No
|
No |
Repeat Non Complinace: Observed walls, corner walls, baseboards, and window sills with chips in disrepair in need of patching or repainting.Observed piece of ceiling on left side of front porch to be missing. Operator stated ceiling was in the process of repair. **The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. |
|
13
|
2
|
LIGHTING AND VENTILATION: Windows and fixtures in good repair 1; kept clean 2 (.1609) |
No |
No
|
No |
Repeat Non Compliance: Observed a/c vents, floor vents with dust debris build up. **Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b). |