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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 |
|
|---|
|
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 toilet/toilet chair needed cleaning in room 220, 311. Loose toilet seat in room 210. Shower bench needs cleaning on the bottom in room 307. Keep clean and good repair. |
|
8
|
1
|
Toilet rooms free of storage, handwash signs posted |
No |
No
|
No |
REPEAT
.1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed wheelchair, medicine carts, walkers, stored in spa room in 400 hall. Remove items and only store bath related/permitted items. |
|
10
|
0
|
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 no paper towel in soiled utility room in 400 hall, need refill. Ensure to provide hand washing supplies at all hand sink 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 cleaning bottles with labeled, and other bottle with faded labels. Ensure to label all chemical bottles and ensure all labeled are legible. |
|
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 the facility without incomplete back up water supply plan. EHS emailed a sample plan to an administrator at the time of inspection. The facility will working on getting a complete plan. |
|
23
|
0
|
Solid waste containers properly constructed, covered where required; good repair |
No |
No
|
No |
.1316 (a) All solid wastes containing food scraps or other putrescible materials shall be kept in leak-proof, non-absorbent containers which shall be kept covered with tight-fitting lids when not in use. Observed dumpster door left open when not in used. Keep all lids/doors close to prevent pest harborage. |
|
32
|
0.50
|
Furnishings clean and in good repair; mattresses dry, clean, good repair |
No |
No
|
No |
REPEAT
.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 dusts/residues under sofa chairs in Huntersville room and Yatch club in memory care. Need cleaning and keep clean. |
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