|
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 |
Observed damaged kitchen counter top and hole in kitchen cabinet door. Repair kitchen counter top and repair or replace damaged kitchen cabinet door. Wipe/clean exterior of cabinet door. Wipe/clean gasket on refrigeration unit door and shelving in refrigeration unit. Monitor and replace damaged dry food storage shelving. Thoroughly clean utensil shelving and base of utensil bins in kitchen. Observed utensil shelving soiled and debris in base of utensil bin. Clean area around top of door to dish machine. Repair or replace damaged utensil shelving in cabinet area. 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 |
Replace damaged toilet seats in bathrooms. Provide correct toilet seat for toilet in bathroom near living room area. Replace damaged shower curtain. Thoroughly clean toilet in room that is not being used. Replace pitted faucet fixture on hand washing sink.
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 window blinds, mattress, foot board and box spring in resident room. Thoroughly clean or replace stained and damaged pillow in resident room. Observed stained and damaged linen on resident bed and pillow. Change linen on beds and pillow regular and when visibly soiled. Clean area under couch cushions. Thoroughly clean chairs to dining room table. Repair covering on chairs to dining room tables or replace.
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). |
|
11
|
1
|
FLOORS: In good repair 1; kept clean 2 (.1607) |
No |
No
|
No |
Repair transitional molding at entrance to resident room and remove protruding nail. Secure loose shoe molding in hallway area. Install transitional floor molding at entrance to bathroom within resident room. Clean spot on carpet.
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 |
Patch hole in wall in resident room. Secure loose door framing. Repair wall behind toilet in bathroom near living room area. Clean edge of front door, wall beside toilet, door framings, wall in resident rooms, light switch covering. Finish repairs around window in bathroom within resident room that is not being used at this time. Patch hole in closet door or replace.
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 |
Repair ventilation duct work in closet area within resident room. Thoroughly clean ceiling fan blades in living room area.
Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b). |