| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
2
|
Floors and carpets cleanable, clean, good repair; carpet odor free |
No |
No
|
No |
1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair. Observed dirty looking and sticky when walking on it though out the facility. Deep floor cleaning needed and maintain clean. |
|
2
|
2
|
Walls and ceilings clean, good repair |
No |
No
|
No |
REPEAT
.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 holes on wall in bathroom A10, evidence of wall patching here and there. Scraping doors/door frames throughout the facility. Need repair, touch up, repaint, and keep all in good condition. Observed damaged wall behind toilet in room B29. Repair needed and keep in good repair. Observed dusty window trim and all around near air conditioner in most rooms. Need general cleaning and maintain clean. Observed peeling ceiling in bathroom A39, need repair and keep in good repair. |
|
7
|
2
|
Facilities provided, accessible, clean, good repair |
No |
No
|
No |
REPEAT
.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 loose toilet seats, need repair or replace. As well as dirty toilets, need cleaning and maintain clean throughout the facility. Some toilets throughout the facility need replace or caulking and maintain in good repair and keep clean. Damaged shower faucet, need repair or replace in room A39, A36, B30. Observed shower chair in room B45 has a cut on the seat, and the leg was not standing up properly. Need to take a look, repair or replace as necessary for safety. Observed stain tub in room B30, need repair. Observed cleaning needed underneath a shower chair in A hall, and maintain clean. |
|
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 no paper towel available at the hand sinks in A hall bath, and general storage room next to staff launch in B hall. Paper towel was provided at the time of inspection. ENSURE TO PROVIDE ALL HAND WASHING SUPPLIES AT ALL HAND SINKS AT ALL TIME. |
|
17
|
1
|
Back-up water supply plan available and complete |
No |
No
|
No |
REPEAT
.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. Observed facility without Back-up water supply plan available and complete. The facility did not have it at the last inspection as well. The example of plan emailed to administrator at the time of inspection. |
|
18
|
0.50
|
Drinking fountains clean, good repair |
No |
No
|
No |
.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed soiled water fountain in B hall, need cleaning. The facility cut water supply off, however the fountain need to kept clean. |
|
28
|
1
|
No pest presence; effective pest control measures |
No |
No
|
No |
REPEAT
.1317 (a) Pests shall not be present in an institution's building or buildings. Observed drain flies in women restroom in A hall, in the kitchen near the dishwasher machine, outside the building on the way to the dumpsters. A lot of drain flies in room B45, observed them on bedsheets, throughout the room and bathroom. Room B45 smells like urine. Observed dead cockroaches in Salon room and room 26. Remove dead bugs and keep facility free of pests. |
|
32
|
1
|
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 many chairs in common rooms have soiled spots on them. Deep cleaning needed and keep clean. Observed damaged mattress in room B30. Need replacement. |
|
33
|
1
|
Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled |
No |
No
|
No |
.1319 (b) A resident's bed linens shall be changed when no longer clean. Observed soiled and smelly bed linens in room B45 causing drain flies to be everywhere in the room. ENSURE TO PROVIDE CLEAN LINENS AND CHANGE THEM WHEN NEEDED FOR ALL RESIDENTS. |
|
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 deduction. Employee Health Policy poster provided and discussed with staff and administrators at the time of inspection. |
|
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 deduction. Vomiting and diarrhea procedure poster provided at the time of inspection. EHS inform the facility to obtain a vomiting and diarrhea kit. |