RELATIVES, THE

Observed build up on shower liner in the boys bathroom. Observed staining on the shower curtain in the girls bathroom. **15A NCAC 18A .1610 (a) Residential care facilities shall provide toilet, handwashing, and bathing facilities that are available for use by residents and employees that are kept clean and in good repair.

Observed hot water reach 121F in both of the bathrooms upstairs. **15A NCAC 18A .1611 (d) Residential care facilities shall provide water heating facilities. Hot water shall be provided at temperatures between 105F and 116F at handwashing and bathing facilities.

Observed shower in need of cleaning in bathroom 1. Observed shower curtain in need of cleaning in bathroom 2. **15A NCAC 18A .1610 (a) Residential care facilities shall provide toilet, handwashing, and bathing facilities that are available for use by residents and employees that are kept clean and in good repair.

Observed mattress cover torn in bedroom 3. Observed pillow torn in bedroom 3. Rooms are currently not being used. **15A NCAC 18A .1617 (b) Clean bed linen in good repair shall be provided for each resident

15A NCAC 18A .1611 (d) Residential care facilities 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 120F. Needs to be 105-116F. No points deducted due to item being part of new rule updates.

15A NCAC 18A .1620 (c) Equipment shall be provided and maintained to keep all food at required temperatures during storage and transport. Cold holding equipment shall be provided with an indicating thermometer that is accurate to ±3 degrees Fahrenheit or ±1.5 degrees Celsius. Observed no thermometer in refrigerator needs thermometer.

15A NCAC 18A .1621 (c) Residential care facility 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. Observed facility did not have an employee health policy. EHS provided facility a copy. No points deducted due to item being part of the new rule updates.

15A NCAC 18A .1621 (d) The residential care facility 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 facility 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 facility does not have a vomit and diarrhea procedure. EHS provided a copy. No points deducted due to item being part of new rule updates.

Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed bathroom in upstairs office space was out of order. Observed build up in toilet and shower. Needs cleaning.

All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Observed mirror cabinet in half bath behind kitchen had been screwed shut but has come free. Cabinet needs to be cleaned and/or have screws removed or reinstalled to close cabinet.

Observed blinds torn in bedroom 3. Needs to be replaced. **All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Observed walls in need of painting in bedroom 1 and 2. Observed black build up on the ceiling in the bathroom between bedrooms 1 and 2. Ensure that moisture is able to escape bathroom through proper ventilation. **The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed loose toilet seat in lower restroom located near kitchen. Observed loose toilet seat in upstairs restroom in between rooms 2 and 3. Observed black build up inside of the grout of all showers located within home. Observed sink detaching from wall in upstairs restroom located in between rooms 2 and 3.

All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Observed window blinds in room 2 with staining on them. Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b). Observed stains on bed linen located in room 1.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed walls throughout facility with markings and peeling paint. Observed restroom located downstairs within kitchen with holes in the wall. Observed window frame peeling in staff restroom located downstairs.

Repeat Observed cabinets and drawers collecting debris in need of cleaning in kitchen. Observed cleaning needed on exterior cabinet faces in kitchen. **Non-food-contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. 15A NCAC 18A .1618 (c ). GENERAL COMMENT: Observed carton of eggs on shelf in refrigerator without protection. Ensure raw food items are stored in leak-proof containers or stored on the bottom shelf where they cannot contaminate ready-to-eat foods. No ready-to-eat foods were being stored below eggs at time of inspection.

Observed build-up on shower caulk and grout in restrooms. Observed build-up on shower heads in restrooms. Observed tub peeling in restroom of rooms #1 and #2. Observed loose toilet seat in restroom of rooms #1 and #2. **Toilet, hand washing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Repeat Observed walls with damage in room #2 and in hallway downstairs above coat hooks. Observed heavy growth on ceiling in bathroom of rooms #1 and #2. Observed paint peeling on doors in areas throughout. Observed water stained ceiling in carriage house. **The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

-Observed the utensil holders in the kitchen cabinets collecting residue and debris. Clean. -Observed debris collecting under the shelf liners in the kitchen cabinets. Clean. Non-food-contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. 15A NCAC 18A .1618 (c ).

-Observed ceiling damage/stains with black growth in the (office) linen closet. -Observed stained ceiling in the basement storage. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

-Observed rust collecting on the air/heat vent covers in the bedrooms. Repair ir replace. -Observed some dust collecting on restroom vent fans. Clean. Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b).

-Observed the toilet clogged in room 1. -Observed the shower curtain with pink buildup in the jack and jill restroom. Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). -Observed the washing sponges and towel stored in the restroom in room 1. Each resident will be provided soap and individual towels. These towels will be stored separately after being used. 15A NCAC 18A .1610 (b).

Observed mattress covers torn in room 2. All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Observed the downstairs clothing area with an overflow of items that are stored on the floor. Organize. Rooms or spaces which are provided and used for the storage of clothing, personal effects, luggage, necessary equipment and supplies and for items not in routine use, shall be kept clean. 15A NCAC 18A .1616 (a).

-Observed black spots (what appears to be mold) in the jack and Jill restroom over the shower and in the tile grout. -Observed wall damage in the jack and jill restroom (over the toilet). -Observed ceiling damage with black growth in the (office) linen closet. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed the ceiling vents dusty. Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b).

Observed ice container in freezer with black smudges. Needs to be cleaned.**If ice is provided for residents, it shall be handled, transported, stored and dispensed in such a manner as to be protected against contamination. 15A NCAC 18A .1612.

Observed toilets soiled in 2 bathrooms, need more thorough/frequent cleaning. Shower with discolored/stained floor. Needs better cleaning.**Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed blinds need dusting. Couple of torn mattress covers. Ceiling fan dusty.**All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Observed luggage closet with storage on floor and very cluttered, cannot easily clean.**Rooms or spaces which are provided and used for the storage of clothing, personal effects, luggage, necessary equipment and supplies and for items not in routine use, shall be kept clean. 15A NCAC 18A .1616 (a).

Observed stained and damaged carpeting, (is in process of being replaced-carpet and kitchen flooring).**All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Observed some damaged walls including in bedrooms. Water stained ceiling upstairs staff workroom.**The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed couple of garbage cans (outside) without lids. Replace with cans with lids.**All solid wastes shall be kept in durable, rust-resistant, nonabsorbent, watertight, rodent-proof standard waste containers which shall be kept covered when filled or stored or not in continuous use. 15A NCAC 18A .1614 (a).

Observed raw burger, uncooked turkey bacon, and shell eggs stored above ready to eat food.**All foods, while being stored, prepared, served, and during transportation, shall be protected from contamination. 15A NCAC 18A .1620 (a).

Observed several mattress covers torn. Most mattresses saggy. Broken drawer below bed. Couches need cleaning of dust accumulation on frames.**All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Observed floor damage at threshold of kitchen and bathroom. Burnt and stained carpeting.**All floors shall be easily cleansable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Observed containers with standing water out back.**The premises shall be kept neat, clean, adequately drained, and free of litter and vermin harborage. 15A NCAC 18A .1615(a).

Observed trash on ground near garbage cans and uncovered cans.**All solid wastes shall be kept in durable, rust-resistant, nonabsorbent, watertight, rodent-proof standard waste containers which shall be kept covered when filled or stored or not in continuous use. 15A NCAC 18A .1614 (a).**All solid wastes shall be disposed of with sufficient frequency and in such a manner as to prevent insect breeding and public health nuisances. 15A NCAC 18A .1614 (c ).

Observed: The flooring damaged in the living room, kitchen, and in the half bath/kitchen transition. All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Observed: An upstairs restroom wall peeling. Water damaged dropped ceiling tiles in the basement. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed: Restroom exhaust vents collecting dust. A loose HVAC panel in the upstairs landing. Missing light shield in the basement. Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b).