BRIAR CREEK HEALTH CENTER

.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed refrigerators and microwaves in various resident rooms and activity kitchens in need of cleaning. REPEAT

.1312 (b) A sign shall be posted in each toilet room for institution employees, directing them to wash their hands after each visit to the toilet room and before returning to work. Observed staff toilet rooms missing handwashing signs. Needs handwash signs in staff toilet rooms. 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 in rooms throughout facility at 118-120F. Needs to be between 105 and 116F.

.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed build up in freezers on 4th and 5th floor. Needs cleaning.

.1310 (b) Light fixtures, fans, conduits, and heating, ventilation, and air conditioning vents shall be kept clean and in good repair. Observed dusty ceiling vents throughout facility

.1312 (b) A sign shall be posted in each toilet room for institution employees, directing them to wash their hands after each visit to the toilet room and before returning to work. New Rule. Provide hand wash signs.

.1312 (c) Disposable bedpans, emesis basins, and urinals shall not be used by more than one resident. Observed a bagged bedpan in spa room on 3rd floor. Disposable bedpans should not be in a common area. .1312 (c) When disposable bedpans, emesis basins, and urinals are reused, they shall be labeled so that they are associated with an individual resident. Observed unlabeled bedpans in 2 resident rooms on 4th floor. Emesis basins and urinals are now required to be labeled as well.

.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Repeat- Observed no paper towels available in 8th floor laundry, 7th floor clean utility, 3rd floor med room.

.1318 (a) Food, utensils, medications, and equipment used on medication carts shall be kept clean. Observed unprotected pill and water cups on med carts. .1318 (a) Medication carts shall be kept clean. Observed 1 med cart needing drawers wiped up from spills

.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. Repeat-Observed trash, sticky areas under cushions of furniture in common areas. One common chair had a damaged cushion. 3rd floor med room has a broken cabinet drawer.

.1319 (b) Linens that are not clean shall be placed in a covered container or bag devoted to this purpose at the point of use and stored in the covered container or bag until sanitized in accordance with Paragraph (c) of this Rule to contain and minimize aerosolization of and exposure to any waste products. Such covered containers or bags shall be kept clean between uses and labeled to indicate the contents. Observed soiled linen carts not labeled throughout.

.1321 (a) All food and food supplies provided by an institution for consumption by residents shall be from approved sources, stored, and handled as set forth in 15A NCAC 18A .2600. Observed apples stored in refrigerator with sticker. Wash apples in kitchen. Wrap individually or otherwise protect from contamination. Whole loaves of bread in refrigerator, staff said they make PB & J sandwiches for the residents. Resident food needs to be made in kitchen,

.1323 (b) Hot and cold holding equipment shall be used to maintain the required temperatures for TCS food. Each refrigeration unit shall be provided with an indicating thermometer that is accurate to ±3 degrees Fahrenheit or ±1.5 degrees Celsius. Observed no thermometer in refrigerator in kitchenette 4th floor.

.1324 (c) Institution employees shall comply with the requirements for exclusion from work and restriction due to communicable disease or illness required for food employees as set forth in Parts 2-201.12 and 2-201.13 of the Food Code incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2652. New Rule

.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. New Rule

.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed no paper towel/hand-drying provisions in the 8th floor clean utility room, soiled utility room, & laundry room.

.1312 (f) Bathing equipment that has contact with a resident's skin and is used by more than one resident shall be kept clean and shall be disinfected between resident uses. Equipment located within a bathing facility that uses a pump to move water shall be kept clean in accordance with the manufacturer's instructions. Observed spa tub on the floor stained with a dark substance on the bottom of the tub.

.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 broken drawer in the third floor salon near the sink.

Observed no soap at the handwashing sink in the kitchenette on the 4th floor. Observed no disposable paper towels at the handwashing sink in the salon on the third floor. **Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d).

Observed: A hand sink without soap and papertowels in room 6011. Common area sinks on floors that are "in use" without soap and/or paper towels. Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d).

Observed: A couple Med Room refrigerators without thermometers. All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).