| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
2
|
1
|
Walls and ceilings clean, good repair |
No |
No
|
No |
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed peeling wall paper and ceiling in 100 hall. Need repair/ paint touch up, reseal wallpaper. Keep all in good repair. |
|
5
|
0
|
Ventilation equipment clean, good repair |
No |
No
|
No |
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed air conditioning filters in rooms throughout the building in need of cleaning regularly and keep clean. |
|
7
|
1
|
Facilities provided, accessible, clean, good repair |
No |
No
|
No |
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed soiled toilets and or rusted toilet chair in room 402, 604, need cleaning, repair or replace the toilet chair. Keep in good repair. |
|
8
|
0
|
Toilet rooms free of storage, handwash signs posted |
No |
No
|
No |
.1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed wheelchair stored in bathroom 506 and 807. |
|
10
|
0
|
Handwashing facilities properly located and equipped |
No |
No
|
No |
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed broken soap dispenser causing no soap to be available in one of a utility room in main hall, and paper towels dispenser without batteries/broken causing no paper towel to be available in biohazard room in 800 hall. Need repair/replace and ENSURE ALL HAND WASHING SUPPLIES AVAILABLE AT ALL TIME AT ALL HAND WASHING SINKS. |
|
11
|
1
|
EPA registered disinfectants used according to manufacturers' instructions; approved testing methods and devices used |
No |
No
|
No |
.1312 (e) EPA registered disinfectants shall be used in accordance with the manufacturer's instructions. When EPA registered disinfectants are mixed and prepared by institution employees, a measuring device, chemical testing device, or the methods and devices prescribed by the chemical manufacturer shall be used to prepare the concentration of chemicals in accordance with the disinfectant's label and the manufacturer's instructions. Observed cleaning/disinfecting bottles without a label. When asked cleaning staff, no one seems to know how to use the solution properly and the amount of contacting time for effective cleaning. Administrators and head of maintenance person is ordering new bottles and labels, and will train their staff accordance with the manufacturer's instructions. |
|
20
|
1
|
Ice protected and clean; dispensed properly; ice machines, scoops, containers; clean, good repair |
No |
No
|
No |
.1314 (c) Ice machines, buckets, and scoops shall be kept clean and in good repair. Observed black mildew and pink/brown residue on ice dispenser machines all around wall ice basin and ice shut. Need deep cleaning and maintain clean. |
|
32
|
0.50
|
Furnishings clean and in good repair; mattresses dry, clean, good repair |
No |
No
|
No |
.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Observed stain/sofa chairs in most rooms and some in common areas. According to head of maintenance, the facility is in the process of replacing those chairs. Observed disrepair side table in room 301. Need to be repair or replace and keep in good repair. Observed stain/very soiled green mattress in room 104, 308, need cleaning or replacement. |
|
51
|
0
|
Proper use of restriction, exclusion, and reporting |
No |
No
|
No |
.1324 (c) Institution employees shall comply with the requirements for exclusion from work and restriction due to communicable disease or illness required for food employees as set forth in Parts 2-201.12 and 2-201.13 of the Food Code incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2652. NEW RULE. No point deductions at this time. Provide facility a health employee policy poster at the time of inspection. EHS, head of maintenance person went over the policy and facility will train their staff according to rules. |
|
52
|
0
|
Vomitus and diarrheal clean up supplies; written clean up procedures available and complete |
No |
No
|
No |
.1324 (d) The institution shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent on-site for employees to use and a written procedure for employees to follow when responding to vomitus or fecal matter on institution surfaces. The procedure shall specify the actions that employees shall take to minimize the exposure of employees, residents, guests, food, and additional surfaces to vomitus or fecal matter. NEW RULE. No point deductions. Provide facility with a vomitus and diarrheal poster. Facility will need to obtain a kit for such an event. |