MYERS PARK NURSING CENTER

6-501.11 Floors, walls, and ceilings including the attachments such as soap and towel dispensers; light fixtures; and heat/ac vents shall be maintained in good repair. Observed minor damage to ceiling plaster within kitchen.

6-301.12 Provide paper towels or approved alternative for hand drying at each handsink. -Pf- Observed no paper towels at the handwashing sink. Corrected during the inspection (CDI) - Paper towels were provided.

4-501.11 Maintain equipment in good repair. - Observed reach-in cooler handle missing. Observed walk-in freezer door in need of repair. Needs to be repaired.

5-205.15 Maintain a plumbing system in good repair. - Observed 3 compartment sink faucet leaking. Needs to be repaired.

6-101.11/6-201.11 Floors, walls and ceilings shall be designed, constructed, and installed so they are smooth and easily cleanable. Floors shall be non-absorbent in areas subject to moisture. - Observed tile floor in need of repair near the dish machine and near the steam table.

2-501.11 A food establishment shall have written procedures for employees to follow when responding to vomiting or diarrheal events. -Pf- Observed no written procedures for cleaning up vomit and/or diarrhea in the event an accident occurs. CDI - Procedures were provided during the inspection. Facility has PPE in the event of an occurrence.

3-302.12 Label all working containers of food (oils, spices, salts, flour, sugar) except food that is easy to identify such as dry pasta. - Observed flour and thickener not labeled. Corrected during the inspection (CDI) - Person in charge (PIC) added labels.

4-501.11 Maintain equipment in good repair. - Observed handle broken on walk-in cooler door. Observed handle to tall reach-in cooler in need of repair.

6-101.11/6-201.11 Floors, walls and ceilings shall be designed, constructed, and installed so they are smooth and easily cleanable. Floors shall be non-absorbent in areas subject to moisture. - Observed tile floor in need of repair near the dish machine.

3-501.17 Date mark/label all TCS foods that are ready-to-eat once opened or prepared and held more than 24hrs. -Pf- Observed food items in the walk-in cooler with no dates. PIC informed me the items were prepared the previous day. Dates were added.

4-501.11 Maintain equipment in good repair. - Observed reach-in cooler handle missing. Needs to be repaired.

4-601.11(C ) Keep non food contact surfaces of equipment clean to avoid build up of dust, food residue or debris.4-602.13 Non food contact surfaces of equipment shall be cleaned frequently to preclude accumulation of soil residues. - Observed shelving in the walk-in cooler in need of cleaning. Observed grease build up on hood above oven. Needs to be cleaned.

5-501.113(B) Keep dumpster, outside waste containers covered with tight-fitting lids or doors. - Observed doors to the dumpster open. Needs to be closed.

6-101.11/6-201.11 Floors, walls and ceilings shall be designed, constructed, and installed so they are smooth and easily cleanable. Floors shall be non-absorbent in areas subject to moisture. - Observed floor tile in the kitchen in need of repair. Observed ceiling near the dish machine in need of repair. 6-501.12 Floors, walls, ceilings including the attachments such as soap, towel dispensers; light fixtures; and heat/ac vent covers shall be clean. Caution should be used to minimize food exposure. - Observed floor with build up around the oven. Needs to be cleaned.

3-501.16(A)(2) Maintain TCS foods in cold holding at 41F or less. -P- Observed items from breakfast in the walk-in cooler above 41F. See chart. Corrected during the inspection (CDI) - Items were discarded.

3-501.15 Quickly cool foods. Use methods such as open/vented shallow pans, large ice baths and active stirring. Cold air must flow around product to remove the heat. -Pf- Observed food items from breakfast in the walk-in cooler, cooling tightly wrapped and stacked. Allow items to cool uncovered until it reaches 41F or below. CDI - Items were discarded.

6-501.111 Keep the premises free of insects, rodents, and other pests. - Observed dead insects in the kitchen. Increase pest management.

4-501.11 Maintain equipment in good repair. - Observed reach-in cooler's door hand broken and gaskets torn. Needs to be repaired.

4-601.11(C )/4-602.13 Keep the equipment clean to avoid build up of dust, food residue or debris. - Observed shelving in the walk-in cooler with black build up. Needs to be cleaned.

5-501.17 Toilet Room Receptacle, Covered - C - Observed trash can in restroom with no lid. Needs to be provided.

6-501.12 Floors, walls, ceilings including the attachments such as soap, towel dispensers; light fixtures; and heat/ac vent covers shall be clean. Caution should be used to minimize food exposure. - Observed floors in need of cleaning in the kitchen and storage room. Observed large vent cover near three compartment sink in need of cleaning. Observed wall behind stove in need of cleaning.

2-103.11(A-L) PIC shall ensure rules in the code for food safety and handling are met. 2-103.11 (A)-(L)Person-In-Charge-Duties - PF Observed walk in cooler ambient air temperature ranging between 48F-50F upon EHS arrival to facility. All TCS foods were out of temperature. PIC shall follow the above rules at all times to ensure food safety.

3-501.14(A) Quickly cool cooked foods within 2 hours from 135F to 70F; and within a total of 6 hours from 135F to 41F. -P. Observed baked ravioli prepared day previous holding at 46F in walk in cooler. CDI, PIC voluntarily discarded ravioli.

3-501.16(A)(2) Maintain TCS foods in cold holding at 41F or less. -P. Observed several TCS foods cold holding above 41F, refer to temperature chart above. CDI, TCS foods were voluntarily discarded.

6-501.12 Floors, walls, ceilings including the attachments such as soap, towel dispensers; light fixtures; and heat/ac vent covers shall be clean. Caution should be used to minimize food exposure. 6-501.11 Floors, walls, and ceilings including the attachments such as soap and towel dispensers; light fixtures; and heat/ac vents shall be maintained in good repair. Observed ceiling damage near dish washing machine. Observed detailed cleaning needed to floor and walls throughout facility. Observed heavy dust accumulation on wall vent near 3 compartment sink.

2-101.11 PIC shall be present during all hours of operation. -PF No certified PIC present.

-Observed the sanitizer at 10ppm chlorine in the dish machine. CDI- Educated the employee on how to prime the machine. Now at 200ppm chlorine. 4-501.114 Maintain sanitizer at correct concentrations when being used to sanitize. -P -Observed buildup inside of the ice machine. Clean. 4-601.11(A) Equipment food contact surfaces and utensils shall be clean to sight and touch. -Pf

3-501.14(A) Quickly cool cooked foods within 2 hours from 135F to 70F; and within a total of 6 hours from 135F to 41F. -P Observed a bag of scrambled eggs and a bag of sausage links stored in a zipped bag from breakfast. The 2 hour limit had expired. The eggs were at 84F and the sausage was at 73F. CDI: All were voluntarily discarded.

No Points Deducted: 3-501.16(A)(1) Maintain TCS foods in hot holding at 135F or above. -P Observed the chicken on the service/hot line at 122F. CDI- Placed in the steamer. 185F now. Follow the rule above.

3-501.16(A)(2) Maintain TCS foods in cold holding at 41F or less. -P Observed all potentially hazardous items in the walkin cooler at 45F-61F. CDI- All items discarded.

3-501.15 Quickly cool foods. Use methods such as open/vented shallow pans, large ice baths and active stirring. Cold air must flow around product to remove the heat. -Pf Observed sausage and eggs in zipped bags cooling from breakfast. CDI- Discarded and informed the PIC on proper cooling methods. Follow the rule above.

No Points Deducted: 2-303.11 Remove jewelry on hands and arms while preparing food. A plain ring, such as a wedding band, is allowed. Observed an employee wearing a watch making mashed potatoes. Follow the rule above.

No Points Deducted: 4-901.11(A) Air dry equipment and utensils after cleaning and sanitizing. Observed the trays stored and stacked wet. Follow the rule above.

4-302.14 Provide a test kit that accurately measures sanitizer concentrations. -Pf Observed no sanitizer test strips. Provide. CDI- EHS left test strips onsite.

4-601.11(C )/4-602.13 Keep the equipment clean to avoid build up of dust, food residue or debris. Observed the shelves in the walkin cooler and storage shelves in the back of the kitchen with buildup. Clean.

No Points Deducted: 6-501.11 Floors, walls, and ceilings including the attachments such as soap and towel dispensers; light fixtures; and heat/ac vents shall be maintained in good repair. Observed the floor lifting in the walkin freezer. Repair. Report emailed to: TLEWIS@CITADEL-MYERSPARK.COM