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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 |
|
|---|
|
1
|
1
|
Floors and carpets cleanable, clean, good repair; carpet odor free |
No |
No
|
No |
REPEAT
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 bathroom floor peeling/damaging in room 305 and 312. Observed damaged/stained shower floor in 614, Repair, resurfacing needed. |
|
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 damaged walls in residents room by headboards throughout, shower room wall. (602, 607, 703, 108, 403,..) Observed hand sink and wall separation in spa room 100 hall, restroom near gym1/100 hall. Needs repair. |
|
10
|
0
|
Handwashing facilities properly located and equipped |
No |
No
|
No |
General Comment:
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed no paper towels and soap at hand sink in clean linen room 300 hall, no paper towels at hand sink in soiled utility room 500 hall. Ensure to provide all hand washing supplies at all hand sinks at all time.
NOTE: Do not block the pathway to hand sinks for hand hygiene at anytime. Ensure to provide access to hand washing in all the utility rooms. |
|
16
|
0
|
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 at 125 in room 607, 122F in room 614. Needs to be 105-116F. No point deduction at this time due to major improvements from previous inspection. |
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17
|
0
|
Back-up water supply plan available and complete |
No |
No
|
No |
General Comment:
.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 has incomplete written plan. EHS email the checklist to administrator. The facility will put together a complete plan and have it available upon request. |
|
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 microwaves in nourishment rooms need cleaning. Soiled refrigerator needs cleaning, broken ice machine needs repair in nourishment room 500 hall. |
|
44
|
2
|
Time/Temperature Control for Safety (TCS) foods maintained as required |
No |
No
|
No |
REPEAT
.1323 (a) All TCS food shall be maintained at temperatures required by Part 3-501.19 of the Food Code incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2653 during storage, preparation, transportation, display, and service of the TCS food. Observed tuna, ham/cheese sandwiches in refrigerator in nourishment room measured above 41F. All TCS foods shall maintain the safe holding temperature at 41F or below. CDI- Kitchen staff discarded items at the time of inspection. |
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