|
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 |
-Observed residue on and inside of the kitchen cabinets. Clean.
-Observed residue inside of the microwave (ceiling). Clean.
-Observed debris inside of the kitchen cabinets and under the liners. Cleaned.
-Observed debris in the white utensil holder.
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 ). |
|
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 no soap and towels at any of the hand washing sinks in the bathrooms. **Each resident will be provided soap and individual towels. These towels will be stored separately after being used. 15A NCAC 18A .1610 (b).
-Observed a loose toilet seat in room 6. Tighten.
-Observed residue on the handsink and toilet in room 1. Clean.
-Observed urine on the toilet seat in room 7. Clean.
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 |
-Observed one of the couches torn (under the cushion) in the rec room. Repair or replace.
-Observed stains on pillow in rooms 4 and 5. Wash.
-Observed a hole in the plastic that is covering the mattress- room 5. Replace.
All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). |
|
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 water damage in the storage cabinet under the kitchen dish sink with black microbial growth present. The water damage has leaked to the cabinets to the right. Repair.
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). |
|
12
|
1
|
WALLS AND CEILINGS: In good repair 1; kept clean 2 (.1608) |
No |
No
|
No |
-Observed the wall/ ceiling area in the restroom peeling- room 9.
-Observed plastic wrapped over the sprinkler head in the restroom- room 9. Removed.
The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. |
|
13
|
2
|
LIGHTING AND VENTILATION: Windows and fixtures in good repair 1; kept clean 2 (.1609) |
No |
No
|
No |
Observed heavy buildup on the wall vent in the hallway. Clean.
Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b).
**NOTES**:
-Observed a loose blue capsule pill on the floor in room 9 along with an inhaler under the mattress.
-Observed mothballs on the floor and window sill in the restroom and room.- room 3. |