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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 |
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|---|
|
1
|
0
|
Floors and carpets cleanable, clean, good repair; carpet odor free |
No |
No
|
No |
General Comment:
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 laundry floor need details cleaning around and behind the machines. Keep clean. |
|
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 damaged toilet seat in Wilmington spa room, need replace. Observed clogged/very slow drainage of hand sink in Charlotte room 314, and general sinks in the main hall. Observed one disrepair hair shampooing basin in the salon, and the other one is leaking. Need repair. |
|
16
|
0
|
Hot water between 105°F and 116°F |
No |
No
|
No |
General Comment:
.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 water temperature throughout the building measured between 82F- 103F. The facility is working on the issue and will have a contractor coming out soon to address the issues. |
|
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 with an incomplete water backup supply written plan. EHS emailed the director of maintenance a backup water supply plan checklist via email at the time of inspection. The facility will work on and obtain a complete written plan for next 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 water fountains need details cleaning all around spouts, nozzles, and surfaces. Keep clean from hard water buildup and residues. |
|
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 debris under sofas/couches, dust in/on surfaces inside the cabinets in the common areas. Need details cleaning and keep clean. |
|
52
|
0
|
Vomitus and diarrheal clean up supplies; written clean up procedures available and complete |
No |
No
|
No |
General Comment:
.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.- Observed the facility without diarrhea and vomitus written plan and supplies. EHS provided a hard copy and email the plan to maintenance director at the time of inspection. Education provided. |
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