VOCA-HARRISBURG ROAD GROUP HOME

15A NCAC 18A .1608 (b) Wall and ceiling attachments, such as light fixtures, fans, and vent covers, shall be kept in good repair. Observed minor touch up paint needed to walling throughout facility to include walls and baseboards.

15A NCAC 18A .1610 (b) The residential care facility shall provide each resident with soap and individual hand-drying towels. These hand-drying towels will be stored separately after being used. Observed no paper towels at handsink in bathroom 2. During time of inspection paper towels were supplied to handsink. -General comment.

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 hot water reach 99F at handsink in bathroom.

15A NCAC 18A .1607 All floors shall be kept clean and in good repair.- Observed debris, dust/dead bug on flooring underneath the beds in rooms and closet in A hallway. Detail cleaning needed and keep clean.

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 soiled back rest and damaged shower chair in bathroom B hallway. Cleaning, repairing, or replacing a shower needed. Observed dust and debris in drawer in bathroom A hallway. Keep clean and in good repair.

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 hot water temperature in bathroom sink B hallway measuring at 99F. Ensure to provide tempered water between 105F to 116F at anytime.

General Comment: 15A NCAC 18A .1620 (d) All food shall be stored as required by Parts 3-302.11, 3-302.12, 3-305.11, and 3-305.12 of the Food Code, incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2653.- Observed raw shell eggs and raw chicken stored in refrigerator above and next to ready to eat food and produce. Proper food storage to prevent cross contamination and food safety discussed with PIC at the time of inspection.

General Comment: 15A NCAC 18A .1621 (d) The residential care facility shall have personal protective equipment 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 should be taken to minimize the exposure to vomitus or fecal matter.-New rule- Observed the facility without vomiting and diarrhea written plan. EHS provided the poster and the facility will gather all supplies needed and have available for such an event.

Observed baseboard in need of repair in room 2 **15A NCAC 18A .1608 (b) Wall (doors, windows and window trim) and ceilings and ceiling attachments (light fixtures, fans, and vent covers) shall be kept in good repair.

Observed raw eggs stored above ready to eat foods in the refrigerator. Eggs were placed in pan to prevent possible cross contamination. **All foods, while being stored, prepared, served, and during transportation, shall be protected from contamination. 15A NCAC 18A .1620 (a).

Observed torn blinds in bedroom 4. Observed dresser drawers off track in bedroom 5. **All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Observed touch up paint needed in bedroom 2. **The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

All foods, while being stored, prepared, served, and during transportation, shall be protected from contamination. 15A NCAC 18A .1620 (a). Observed raw chicken thighs stored above ready-to-eat food (commercially cooked meatloaf and lasagna) inside standing freezer and case of raw eggs stored above produce (bell peppers) inside refrigerator. Storage order corrected. Recommend storing the raw proteins in the bottom drawer/below ready to eat products to prevent contaminating other ready-to-eat foods.

REPEAT: All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Observed staining on tan headboard in room 1. Observed ripped mattress protector in room 2. REPEAT: Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b). Observed minor staining on pillows throughout facility.

REPEAT: The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed repairs and touch up paint needed to walls, baseboards, and door frames throughout facility.

All rooms shall be well lighted by natural or artificial means. 15A NCAC 18A .1609 (a). Observed linen closet light fixture non-functional. Repair. Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b). Observed ceiling vents inside x2 restrooms with dust residue build up. Clean.

The premises shall be kept neat, clean, adequately drained, and free of litter and vermin harborage. 15A NCAC 18A .1615(a). Observed cobwebs on floor corners behind furniture and inside window sills in bedrooms. All openings to the outer air shall be effectively protected against the entrance of flying insects by screens, closed doors, closed windows, or other effective means. 15A NCAC 18A .1615 (a). Observed window screen out of its placement at bedroom 2. Repair.

Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed loose toilet seat in restroom 1. Observed staining inside of toilet bowl in restroom 1. Clean.

All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Observed staining on tan headboard in room 1. Observed tears in large blue floor mat in room 1. Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b). Observed minor staining on bed linen throughout facility.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed touch up paint needed to walls, baseboards, and door frames throughout facility. Observed staining on wall behind trash can in refrigerator. Observed wall damage to wall inside of dining room. Repair.

An indicating thermometer shall be located in each refrigerator. 15A NCAC 18A .1620 (a). Observed no thermometer in kitchen refrigerator.

Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed staining on toilet seat in both client restrooms in house. Clean. Each resident will be provided soap and individual towels. These towels will be stored separately after being used. 15A NCAC 18A .1610 (b). Observed no paper towels in restroom located on right side of house.

All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Observed mattress stained in room 3 and 5. Observed cloth headboard stained in room 3.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed walls in dining rooms with minor holes and scuff marks throughout.

Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b). Observed heavy dust accumulation on wall vent located in laundry room.

Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed black build up in grout of shower room 2. Clean. Observed soiled toilet bowl in shower room 2. Clean. Observed minor black build up under shower chair in shower room 1. Clean.

All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Observed stains on mattress in room 1. Observed stains on pillows in rooms 1, 2 and, 3. Observed tear in pillow in room 1. Observed shower curtains with staining in both bathrooms. Observed food debris build up under couch cushions. 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 in rooms 2 and 5.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed general cleaning needed to walls throughout facility.

Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b). Observed ceiling vent near kitchen table with dust residue build up. Clean.

Observed shower curtains in both bathrooms in need of cleaning. Observed shower mat in bathroom on the left side of the home in need of cleaning. **Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed dresser drawer off track in the 1st bedroom on the left side of the home. Observed knobs missing on dresser in 2nd bedroom on the left side of the home. **All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Observed dust build up on vent cover in 3rd bedroom on the left side of the home. **All rooms shall be well lighted by natural or artificial means. 15A NCAC 18A .1609 (a).

(REPEAT) Observed a large box of raw eggs were stored above ready-to-eat food (lettuce, tomatoes). Recommend storing the raw eggs in the bottom drawer to prevent contaminating other 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 the sink faucet was very loose and needs tightening, the oven drawer with food debris. **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 the shower curtain with pink and black residue in the left side restroom, and black microbial growth in the grout and tiles in the right side restroom. **Toilet, hand washing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed furniture was dusty and the dresser was missing drawer handles in bedroom4 **All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Observed some bedroom closet were disorganized with clothing and other items on the floor, the exterior storage shed with accumulated webs, debris, and insects with items in storage. **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 the floor was not clean in bedroom2 (white powdery dust and baseboards with residue), and the living room carpet was stained and damaged. **All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Observed the wall and ceiling with thick yellow residue in the left side bathroom, the door frame was damaged with rust and a missing section in the left side bathroom, the walls and baseboards around the toilets were splattered with urine in both bathrooms, and the walls with damaged paint in the dining room. **The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed the fences at the front yard and the property line were damaged and in need of repair, deep leaf pile at side of house, exterior windows with spider webs, the front and side entrance doors with chipping paint, a tree branch on the roof, guttered were full of debris which will prevent proper water flow, and the exterior shed with wood rot/damage. **The premises shall be kept neat, clean, adequately drained, and free of litter and vermin harborage. 15A NCAC 18A .1615(a).

Repeat Non Compliance: Observed paper towels missing at both restroom handsinks. Provide paper towels at all handsinks. Observed toilet out of order in right side hallway. Repair toilet **Each resident will be provided soap and individual towels. These towels will be stored separately after being used. 15A NCAC 18A .1610 (b). **Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed boxes stored on floor in medical closet. Boxes were broken down and items were stored off floor. Observed clothes stored on floor in closet in resident room left side hallway. **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 several spots of flooring in disrepair in dinning room and in residents rooms. **All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Repeat Non Compliance: Observed carton of eggs and box of eggs stored on top shelf in kitchen fridge. Items were relocated to bottom shelf to prevent contamination of ready to eat foods. **All foods, while being stored, prepared, served, and during transportation, shall be protected from contamination. 15A NCAC 18A .1620 (a).

Observed tile grout collecting black residue in left side hall shower room. Grout in need of cleaning or replace damaged tiles. **Toilet, hand washing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Repeat Non Compliance: Observed residents sheets were stained in far left bedroom left side of facility. Linen was pulled on site and sent through wash. Repeat Non Compliance: Observed rip in living room sofa cushions.**All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).**Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b).

Repeat Non Compliance: Observed dust accumulation in right side restroom.**Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b).

Observed the kitchen counter with contact paper surface with severl seams and unsmooth areas. **All surfaces with which food or drink comes in contact shall be easily accessible for cleaning, nontoxic, corrosion-resistant, nonabsorbent, and free of open crevices. 15A NCAC 18A .1618 (a).Observed the kitchen cabinets and drawers with crumbs and debris. **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 the paper towel holder was rusty in one bathroom, and shower curtains and liners with mold/mildew. **Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).Observed no paper towels at one bathroom hand washing sink. **Each resident will be provided soap and individual towels. These towels will be stored separately after being used. 15A NCAC 18A .1610 (b).NOTE: Provide toilet paper at each toilet.

Observed the sheets on a resident's bed were not clean. The bed linens were laundered during the inspection. **Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b).Observed the window blinds were dusty and some were damaged in the bedrooms and common areas, and the couch cushions in the game room with crumbs. **All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Observed the ceiling was dusty in one bathroom, one closet door with un-finished wood, and a wall was repaired in one bathroom and was not painted. **The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed several HVAC vents and bathroom vents with accumulated dust. **Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b).General Comment: #3 - Observed raw chicken (frozen) was stored on top of pizza and corn dogs. **Store items in relation to final cook temperatures. Food Storage diagram was provided to operator.

Observed moth balls on the floor/corners and in some windows in the game room and resident rooms. Product label limits use/storage to airtight containers and storage closets. **Only those pesticides shall be used which have been approved for a specific use and properly registered with the Environmental Protection Agency and with the North Carolina Department of Agriculture. Such pesticides shall be used as directed on the label and shall be so handled and stored as to avoid health hazards. 15A NCAC 18A .1615 (a)******Paulus Bonar was present during the inspection.

Observed one hand washing sink faucet in the bathroom was corroded. **Keep all toilet/hand washing fixtures in good repair.

Observed the window blinds in one resident room were broken, some bathroom drawers with debris accumulation, and some furniture with missing knobs.**Keep all furniture clean and in good repair

Observed the ceiling above the toilet in the bathroom was damaged, and a wall at the shower with peeling paint.**Keep all walls and ceilings clean and in good repair.