|
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 |
Thoroughly clean or replace damaged shelving under kitchen two compartment sink. Repair damaged gasket on up-right freezer unit in pantry area. Observed flaking/chipping utensil shelving in cabinet area. Replace damaged utensil shelving in cabinet area. Observed base drawer under oven soiled. Thoroughly clean drawer under oven where broiler and sheet pans are stored.
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 ).
Utensils shall be handled in such a manner as to prevent contamination. 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 |
Thoroughly clean shower curtains in all bathrooms. Thoroughly clean bath tubs in bathroom. Observed bath tubs and shower curtains soiled in bathroom. Clean area around top of washer machine. Observed build up around top of washer machine.
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 |
Replace damaged couches in living room area. Do not cover damaged couches with a throw/cover; REPLACE! Thoroughly clean or replace residents pillow. Observed pillow soiled throughout in residents room. Clean cabinet area under hand washing sink in jack and jill bathroom. Clean chairs to dining room table. Observed soiled pillow covering on bed. Change covering on bed at least weekly and when visibly soiled! Monitor resident room that smell like urine. Recommend replacing wooden bed witha metal bed. When covers are pulled back on bed, you can smell a strong odor of urine coming off of the wood of bed. Clean and replace broken 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 |
Clean and organize resident closet, closet in hallway and storage shed out back. Remove envelope of paper work of closet floor. Clean and organize outside storage shed and repair door on shed so critters will not get into shed.
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 |
Repair floor throughout house. Repair flooring in main living room area. Remove tape off of flooring where different section of flooring connects and install a transitional floor moulding. Repair transitional floor moulding leading into pantry area.
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 |
Clean walls throughout house, bathrooms and resident room. Patch holes in wall and repaint. Clean area around door framing to rooms and repaint. Clean residents door and bathroom doors. Highly recommend staining or sealing bare wood bathroom door. Patch hole in resident closet door.
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 |
Clean ceiling ventilation in bathroom. Repair light fixture in living room area or replace blown light bulbs. Clean return air ventilation at end of hallway. Replace damaged floor register in bathroom at end of hallway.
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).
GENERAL COMMENTS/ NO POINTS DEDUCTED! #1. INSTALL BACK FLOW PREVENTION DEVICE ON SHOWER WANDS IN BOTH BATHROOMS LOCATED AT END OF HALLWAY. |