| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
4
|
2
|
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 |
Store clean utensil/equipment in or on clean area and in a manner to prevent contamination. Observed soiled utensil shelving where pots are stored. Observed damaged shelving in cabinet area where cups are stored. Clean utensil shelving and repair or replace damaged utensil shelving in cabinet area. •All containers and clean utensils shall be stored in a clean place. 15A NCAC 18A .1618 (f). |
|
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 pitted faucet fixture on hand washing sink in jack and jill bathroom located on right side of house. Observed soiled faucet fixture on hand washing sink in bathroom on left side of house. Observed shower curtain, shower curtain liner and shower nozzle soiled in both bathrooms. Thoroughly clean shower head, shower curtain and shower curtain liner. Observed broken toilet seat lid and loose toilet seat in bathroom located on left side of house. Replace toilet seat and lid.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 |
Observed torn/damaged chair in main sitting area and damaged chair in foyer area. Repair damaged chair or replace. Observed broken/damaged window blind. Replace broken window blind. Observed sheets on beds soiled. Change linen on bed when visibly soiled. Observed resident bed with no fitted sheet or sheet. Provide fitted sheet and sheet for resident bed. Clean window blinds.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). |
|
10
|
2
|
STORAGE: MISCELLANEOUS: Rooms or areas provided for storage of clothes, personal effects, luggage, supplies and equipment kept clean 2; medications, cleaning supplies, pesticides and other hazardous products properly stored as required 4 (.1616) |
No |
No
|
No |
Observed some resident storage on the floor and not permitting easy cleaning of areas. Store items off the floor or in plastic containers.Rooms or spaces which are provided and used for the storage of clothing, personal effects, luggage, necessary equipment and supplies and for items not in routine use, shall be kept clean. 15A NCAC 18A .1616 (a). |
|
11
|
1
|
FLOORS: In good repair 1; kept clean 2 (.1607) |
No |
No
|
No |
Observed floor damaged in living room area and hallway area. Repair floor throughout facility where needed.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 |
Observed walls soiled throughout entire facility. CLEAN WALLS THROUGHOUT ENTIRE FACILITY! Observed holes in walls. Patch/seal holes in wall and repaint. Replace damaged door stopper behind doors. Clean doors and area around door framing leading to different rooms of house. Repaint ceiling in bathrooms above shower area.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 |
Observed lights not working in light fixture in hallway. Repair light fixture or replace blown light bulbs. Replace blown light bulbs in light fixtures in bathroom. Replace missing window screens. Clean ventilation in bathrooms. Replace rusted floor register in bathroom located in jack and jill bathroom.All rooms shall be well lighted by natural or artificial means. 15A NCAC 18A .1609 (a). |
|
14
|
2
|
VERMIN CONTROL: PREMISES: Outside openings effectively screened or otherwise protected against entrance of flying insects, and flying insects absent 4; effective control of rodents and other vermin 4; approved pesticides properly used 4; premises neat, clean, drained and free of litter and vermin harborages and breeding areas 2 (.1615) |
No |
No
|
No |
Observed rotten boards on backside, side and area near road. Remove rotten/damaged boards from premises. Clean out gutters and reattach gutter on back side of house. Nail down protruding nails on handrails. Spray area around front of house. Observed poison ivy growing near front of house.The premises shall be kept neat, clean, adequately drained, and free of litter and vermin harborage. 15A NCAC 18A .1615(a).Mr. Steven White present at time of inspection. |