| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
0
|
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 closets flooring need cleaning and tidy up, removed empty boxes of the floor. |
|
2
|
0
|
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 damaged wall trim/base board in 312. Need repair. |
|
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 toilets need cleaning in room 106, spa room in 300/100 hall. Observed shower floor/ grouting tiles need details cleaning in spa room 300 hall. Rusted toilet chair and slow drained at hand sink in room 312, repair or replace. |
|
10
|
1.50
|
Handwashing facilities properly located and equipped |
No |
No
|
No |
REPEAT
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed soap and/or paper towel dispensers is not working causing no soap/paper towel available for hand washing at hand sinks in clean linen rooms, soil rooms, 100/300/700 hall spa, hair salon, and some residents room. Ensure to provide hand washing supplies and made available 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 |
.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 the facility is using incorrect disinfectant/cleaner to clean the facility. The facility has the correct disinfectant/cleaner solution to use in stock, the administrator is correcting the action at the time of inspection. The housekeeper know the correct contact time for proper cleaning. |
|
16
|
1.50
|
Hot water between 105°F and 116°F |
No |
No
|
No |
.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 2/3 of the facility water temperature range from 91F- 102F. Ensure to provide tempered water between 105F -116F. |
|
17
|
0.50
|
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 the facility with an incomplete water back up supplied plan. EHS sent administrator a checklist plan and discussed details needed at the time of inspection. The facility is going to make a detail plan and put it together for next inspection. No point escalated. |
|
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 stained mattress in room 106, damaged wheelchair seat in 302. Need cleaning, replacing or repairing. |
|
38
|
0
|
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 evidence of corrosions inside the ice machine in nourishment room near 700 hall. Need repair or replace. |