Premises Information


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Name

HOUSE OF PEACE FAMILY CARE HOME

Address

3505 ORIOLE PL

City/State/ZIP

CHARLOTTE

28269

Premise Type

43 - Residential Care

County

Mecklenburg

Inspection Date

8/7/2017

Final Score @ Grade

General Comments

NO POINTS WERE TAKEN FOR THE FOLLOWING: #8 - Observed cleaning needed in unused bathtubs where minor debris and dead bugs are collecting. Observed tiles in main shower in need of repair or replacement at the bottom of shower. Caulking is clumpy and collecting build-up. Consider replacing caulking. Observed rusted toilet lid hinges in the front bathroom. Observed cleaning and touch-up paint needed in bathroom cabinets and drawers. #12 - Observed chipped walls and minor touch-up paint needed in several areas throughout. Observed cleaning needed on several doors where finger prints have built up. #13 - Observed lights out in bedroom and low lighting in several other areas. Ensure all light bulbs are in working order. Observed dust build-up on ceiling vents. Observed several areas with rusted air vents.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
3	5	FOOD SUPPLIES PROTECTION: All food clean, wholesome, no spoilage 6 (.1619) Adequate during storage/preparation/serving, potentially hazardous food 45° or 140°F above 5; refrigerators with temps 2; meat products cooked; meat products handled as required, no re-serving food 4; food stored above floor protected 2; No animals 4 (.1620)	No	No	No	Observed refrigerator holding foods above 45F. Refrigerator is at the coldest setting. PIC stated a new refrigerator will be purchased. Observed no thermometer in resident Pat's personal refrigerator. Ensure accurate thermometers are provided in all refrigerators. All perishable foods shall be stored at such temperatures as will protect against spoilage. All potentially hazardous food shall be maintained at safe temperatures (45° F. or below, or 140° F. or above) except during necessary periods of preparation and serving. 15A NCAC 18A .1620 (a). An indicating thermometer shall be located in each refrigerator. 15A NCAC 18A .1620 (a).
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 debris collecting in drawers and cabinets in kitchen. Observed water damage under kitchen sink. Observed cleaning needed in microwave. Observed stove out-of-order and dishwasher not working. PIC stated new stove will be purchased. Observed broken cabinets in kitchen #2. Acceptable storage facilities include residential kitchen cabinets, which should be kept clean and free of vermin. 15A NCAC 18A .1618 (i). All equipment and utensils shall be so constructed as to be easily cleaned and shall be kept in good repair. 15A NCAC 18A .1618 (a). **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 ).