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

12/14/2018

Final Score @ Grade

General Comments

NO POINTS DEDUCTED #14 Effective measures shall be taken to keep insects, rodents, and other vermin out of the residential care facility and to prevent their breeding, harborage, or presence on the premises. 15A NCAC 18A .1615 (a). Observed live ants inside bathroom area in need of treatment. #9 All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Observed pillow (not case) stained in need of replacing/cleaning.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
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	Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed rusted toilet chair in need of replacing in resident bathroom.
12	1	WALLS AND CEILINGS: In good repair 1; kept clean 2 (.1608)	No	No	No	The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed hole in closet door caused by entrance door into bedroom hitting door surface. (install door jam)