| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
6
|
WATER SUPPLY: Public supply; private supply approved 6 (.1611) |
No |
No
|
No |
Provide back flow prevention device on all three shower wands in bathrooms!
No backflow connections or cross connections with unapproved supplies shall exist. 15A NCAC 18A .1611 (c ). |
|
3
|
2
|
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 milk thawing in vat of two compartment sink and soiled utensil/equipment was in sink! Observed raw eggs stored above other food products. Observed several bags of dry food products opened in pantry area. Store food products in or on clean area and in a manner to prevent contamination. Store raw eggs below and away from other food products. Store opened packages of dry food products in sealable container. All foods, while being stored, prepared, served, and during transportation, shall be protected from contamination. 15A NCAC 18A .1620 (a). Containers of food shall be stored above the floor, on clean racks, shelves, or other clean surfaces, in such a manner as to be protected from splash and other contamination. 15A NCAC 18A .1620 (d). |
|
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 |
Repair kitchen counter top above dish machine. Thoroughly clean shelving under two compartment sink and replace damaged shelving. Repair any leaks under kitchen two compartment sink. Repair damaged gasket on up-right freezer unit. WIpe/clean shelving in kitchen pantry. Observed utensil/equipment storage area(shelving and drawer under stove) soiled. Thoroughly clean utensil shelving and storage area. Observed "clean" utensil stored on soiled rag in utensil air-drying rack. Store and handle clean utensil/equipment in or on clean area and in a manner to prevent contamination. Replace damaged utensil shelving in kitchen cabinets where cups are stored. Observed flaking particle board on utensil shelving. 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 ).
Utensils shall be handled in such a manner as to prevent contamination. 15A NCAC 18A .1618 (f). |
|
8
|
4
|
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 |
Provide soap and paper towels at all hand washing sinks at all times. Observed paper towels missing from hand washing sink in bathroom. Observed shower head, shower curtains, wall and base wall in walk-in shower and bath tub/shower fixture soiled in bathrooms. Thoroughly clean fixtures. Replace damaged shower head/wand in walk-in shower. Clean lid around top of clothes washer machine. Each resident will be provided soap and individual towels. These towels will be stored separately after being used. 15A NCAC 18A .1610 (b).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 furniture in living room area. Observed chairs and cushions damaged in living room area. Thoroughly clean resident pillows with stains or replace pillows. Replace damaged pillow in resident room. Replace broken/damaged window blinds in resident room. Thoroughly clean chair in resident room or replace stained chair. Replace missing handles on furniture in resident room. Replace damaged mattress in resident room. Observed linen on bed soiled! Change linen on bed when visibly soiled and at least weekly! Clean/dust furniture in resident room.
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 unorganized storage on floor in residents closet. Organize storage in closet and remove loose articles off the floor in closet.
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
|
3
|
FLOORS: In good repair 1; kept clean 2 (.1607) |
No |
No
|
No |
Thoroughly clean base board and along edge of flooring throughout house. Repair flooring in living room area and bathroom. Do not use tape to repair flooring. Tightly secure loose transitional floor molding near living room and hallway area. Install quarter round shoe molding in bathroom where linoleum flooring is coming up. Repair flooring throughout house.
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 |
Thoroughly clean walls, area around door handles, edges of doors, area around light switches throughout house. Patch holes in walls and repaint. Clean upper section of wall in living room area. Observed sheet rock tape coming loose in living room area and hallway area. Address any issues causing sheet rock tape to come loose and repair and repaint. Apply wood sealant/varnish to newly installed bathroom door so door will be easy to clean. Clean door framing entering into rooms and repaint. Paint bare wood molding in residents room.
The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. |
|
13
|
3
|
LIGHTING AND VENTILATION: Windows and fixtures in good repair 1; kept clean 2 (.1609) |
No |
No
|
No |
Repair light fixture in living room area. Clean return air ventilation cover in living room area. Replace rusted floor register/vent cover. Replace damaged floor register in bathroom with walk-in shower. Clean ceiling fan in resident room. Replace missing and secure loose window screens.
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). |
|
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 |
Repair door on outside storage shed to prevent rodents from getting in storage shed.
The premises shall be kept neat, clean, adequately drained, and free of litter and vermin harborage. 15A NCAC 18A .1615(a). |