Premises Information


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Name

CHRIST CHURCH COTTAGE

Address

6722 ST PETER'S LN

City/State/ZIP

MATTHEWS

28105

Premise Type

43 - Residential Care

County

Mecklenburg

Inspection Date

9/5/2013

Final Score @ Grade

General Comments

Mike Seibel (director of facilities) was present during the inspection.General Comments:#6 - Observed the water fountain mouth spout with pink buildup. **Keep drinking water fountains clean.#14 - Observed fire ants on the new playground. **Effective measures shall be taken to keep insects, rodents, and other vermin out of the residential care facility and to prevent their breeding, harborage, or presence on the premises. See rule .1615 (a).#15 - Observed the dumpster lids were bent and unable the close. **All solid wastes shall be kept in durable, rust-resistant, nonabsorbent, watertight, rodent-proof standard waste containers which shall be kept covered when filled or stored or not in continuous use. See rule .1614 (a)..

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
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	Observed the shower grout with mold/mildew on most restrooms and some toilets were dirty.Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. See rule .1610 (a).Observed no paper towels in any of the restrooms, and no soap in most restrooms.Each resident will be provided soap and individual towels. These towels will be stored separately after being used. See rule .1610 (b).
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 a pillow with blood on a resident's bed.**Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. See rule .1617 (b).
11	3	FLOORS: In good repair 1; kept clean 2 (.1607)	No	No	No	Observed the carpets in the living room and game room were stained and the areas rugs were frayed.Observed the floor tile near the door was damaged/missing in room 7 and near the floor vent in room 3.**All floors shall be easily cleanable and shall be kept clean and in good repair. See rule .1607.
12	1	WALLS AND CEILINGS: In good repair 1; kept clean 2 (.1608)	No	No	No	Observed the staircase wall with mold and the ceiling grid with rust in the basement.**The walls and ceilings of all rooms and areas shall be kept clean and in good repair. See rule .1608.
13	1	LIGHTING AND VENTILATION: Windows and fixtures in good repair 1; kept clean 2 (.1609)	No	No	No	Observed some vents with rust and a bathroom light was not working.All rooms shall be well lighted by natural or artificial means. See rule .1609 (a). Ventilation equipment shall be kept clean and in good repair. See rule .1609 (b).