Premises Information


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Name

ETTA LOVE FAMILY CARE HOME

Address

1951 DIETRICH LN

City/State/ZIP

CHARLOTTE

28262

Premise Type

43 - Residential Care

County

Mecklenburg

Inspection Date

11/20/2014

Final Score @ Grade

General Comments

10. Observed clothes stored on floor in closet in front left bedroom. **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).Observed leak at back hose bib. Per Mr. Washington leak will be repaired today. Confirmation will made via phone that leak is fixed.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
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 siding of counter tops damagedRepeat Non Compliance: Observed fridge gaskets collecting debrisObserved damaged spatula in kitchen drawer. Observed leak in kitchen disposal**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).
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	Repeat Non Compliance: Observed hand bar brackets on tub and toilet rusting. Repeat Non Compliance: Observed calcium collecting on shower head**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	Repeat Non Compliance: Observed furniture damaged in front bonus room, damaged tv stand back left bedroom.Repeat Non Compliance: Observed hole in bed spread in back right double 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).
12	3	WALLS AND CEILINGS: In good repair 1; kept clean 2 (.1608)	No	No	No	Repeat Non Compliance: Observed cobwebs in hall restroom, restroom with double bed, and in bedrooms.Repeat Non Compliance: Observed wall repairs not complete in kitchen over exhaust hood. Observed slight hole in wall in back left bedroom near TV.**The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.