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| CDI=Corrected During Inspection | |
R=Repeat Violation | |
VR=Verification Required | |
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| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
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|
10
|
1.50
|
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 (med rooms, clean linen room) hand soap dispenser is not dispensing soap, some of paper towels dispenser is jammed. The issue was fixed at the time of inspection. Ensure all hand washing supplies are ready and available when installed for proper hand hygiene at all hand sinks at all time. |
|
11
|
0
|
EPA registered disinfectants used according to manufacturers' instructions; approved testing methods and devices used |
No |
No
|
No |
General Comment:
.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.- According to a housekeeper, when asked about the contact time for cleaning solution, minimum knowledge demonstrated of how to use sanitizing/disinfecting for effective cleaning. Education provided with housekeeper and maintenance personnel. Obtain correct information about contact time for type of chemical use in order to clean effectively throughout the facility. Provide education to cleaning staff and ensure cleaning effectively. |
|
16
|
1.50
|
Hot water between 105°F and 116°F |
No |
No
|
No |
REPEAT
.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities.- Observed hot water temperature measure at 120F -136F at hand sink (500-600 hallway sinks, room: 503, 602, 701, 706, 804, 803, restroom 700-800 hallway). Ensure to provide tempered water between 105F - 116F. |
|
20
|
0
|
Ice protected and clean; dispensed properly; ice machines, scoops, containers; clean, good repair |
No |
No
|
No |
General Comment:
.1314 (c) Ice machines, buckets, and scoops shall be kept clean and in good repair.- Observed soiled/mildew of ice machine on surfaces and in the chute. Detail cleaning needed and keep clean. |
|
38
|
0.50
|
Food service equipment and utensils clean, good repair |
No |
No
|
No |
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair.- Observed soiled refrigerators, freezers, and microwaves in all satellite kitchen, the bottom of oven in therapy room. Observed soiled/dust/debris in drawer and cabinets in all satellite kitchen. All food equipment and cabinets pantry need detail cleaning and keep clean. |
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