TUCKASEEGEE GROUP HOME

Observed build up on faucet in the hallway restroom. Observed underside of shower chair in need of cleaning in the restroom. **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 dresser handles missing in rooms 5 and 6. Needs to be repaired. **15A NCAC 18A .1617 (a) Furnishings, including furniture, curtains, draperies, and blinds, shall be kept in good repair. Mattresses shall be kept in good repair.

Observed dresser knob missing in rooms 3 and 5. **15A NCAC 18A .1617 (a) Furnishings, including furniture, curtains, draperies, and blinds, shall be kept in good repair. Mattresses shall be kept in good repair.

Observed stained cover in room 2. **15A NCAC 18A .1617 (b) Clean bed linen shall be changed when no longer clean.

15A NCAC 18A .1608 (a) The interior walls and ceilings, including doors, window, and window trim, shall be kept clean and in good repair. Observed damage to wall in bathroom from shower chair. Needs repair.

(a) All TCS food shall be maintained at temperatures required by Part 3-501.16 of the Food Code, incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2653, during storage, preparation, transportation, display, and service of the TCS food. Observed food in refrigerator being held at 50F. Cooling setting was set on refrigerator to bring temperature down. Temperature shall be checked regularly by operator. Should be 41F.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed mildew accumulating on ceiling inside group bathroom nearest laundry room; in need of cleaning / removal.

Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b). Observed bedroom located left of laundry room having rusty floor vent outlet grate, in need of replacing.

An indicating thermometer shall be located in each refrigerator. 15A NCAC 18A .1620 (a). Observed a broken thermometer in the refrigerator unit in kitchen. PIC retrieved a working thermometer from the freezer located in the pantry area.

All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Observed deep cracks in cushions in sofa in living room area. Cushions are no longer smooth and easily cleanable.

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). Clean debris from cabinets underneath stove, and in cabinets that hold pots and pans in kitchen area. CDI.

Observed wall damage beside/near toilets in all bathrooms. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed blender beside kitchen sink damaged. All equipment and utensils shall be so constructed as to be easily cleaned and shall be kept in good repair. 15A NCAC 18A .1618 (a).

Observed stained pillow cases in 1st and 3rd bedroom. Observed ripped plastic mattress cover in 1st bedroom. Observed tear in couch near big windows. All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Observed wall damage beside/near toilets in all bathrooms. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Clean corner bench within tile shower. Observed corner of bench within shower soiled. Observed cloth shower curtain soiled in bathroom containing bathtub/shower combination. Thoroughly clean corner of bench seat in shower and cloth shower curtain. Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observe hole on pillow covering and fitted sheet in resident room. Replace any damaged linen on bedding. Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b).

Touch-up paint throughout facility( living room area, hallway area, resident room and bathroom). Observed most pilling paint in bathroom around/near toilets. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. General Comment: Replace (1) rusted floor vent register in resident closet. Clean out gutters! Observed leaves and small tree growth in gutters.

Replace broken thermometer in up-right refrigeration unit. Red indicator line is broken in thermometer. An indicating thermometer shall be located in each refrigerator. 15A NCAC 18A .1620 (a).

Replace pitted/damaged faucet fixture and damaged toilet seat in bathroom on left hand side at end of hallway. Thoroughly clean shower head wand in bathroom on left hand side of hallway. Clean corner of bench seating in shower area in tiled bathroom. ***Provide back flow prevention device on shower wand in bathroom to the right with bathtub/shower fixture**** (COULD BE SIX POINTS DEMERIT AND CAN PLACE FACILITY ON PROVISIONAL)! PROVIDE BACK FLOW ON SHOWER WAND AS SOON AS POSSIBLE! Toilet, hand washing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Replace damaged quarter round shoe molding in hallway area. Monitor flooring in resident room beside bathroom located to the right at end of hallway. Observed urine smell in room. Smell is coming from the flooring. All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Patch hole and repaint wall in resident room behind bedroom door. Wipe/clean walls throughout around light switch. WIpe/clean closet doors in rooms. Touch-up paint in rooms. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Remove old van seating on the ground from opposite end of house. Observed standing water in large flower pot and mosquito larvae were present in large flower pot. Keep property free of standing water-----> TIP AND TOSS! The premises shall be kept neat, clean, adequately drained, and free of litter and vermin harborage. 15A NCAC 18A .1615(a). GEneral Comment:#13. REplace damaged floor vent cover register in kitchen.

Observed gap around top of two compartment sink and top of kitchen counter top. Repair two compartment sink. Tightly secure and seal two compartment kitchen sink to kitchen counter top. Wipe/clean base drawer under stove where broiler pans are stored. All equipment and utensils shall be so constructed as to be easily cleaned and shall be kept in good repair. 15A NCAC 18A .1618 (a).

Replace toilet seat in bathroom on the left. Laminate/covering on toilet seat is wearing off. Tighten loose toilet seat in bathroom on the right and replace damaged lid. Also observed toilet broken behind seat area of toilet. Recommend just replacing entire toilet. Observed broken handle on toilet with tile shower. Repair broken handle on toilet. Observed some microbial build-up on shower head in bathroom on the left. Thoroughly clean shower head! Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Repair damaged arm rest on chair in common living room area. Repair damaged drawer on dresser in last resident room on the right. Touch-up furniture in resident room with a furniture marker. All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Thoroughly clean walls throughout residential care facility(wall around/near light swithes, hallway, bathrooms, laundry room, etc). Repaint wall throughout where patch work has taken place. Thoroughly clean ceiling in bathroom on left side. Touch-up paint corners of walls and door framing throughout. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Repair light fixture in pantry closet and closet within resident room. Replace rusted and damaged floor register in dining room area, common living room and resident room. All rooms shall be well lighted by natural or artificial means. 15A NCAC 18A .1609 (a). Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b).

Clean grounds under back patio deck and near deck. Remove boards from under back steps at end of house. Tighten loose section of railing on steps at end of house. Remove protruding nail from from railing where boards are missing. The premises shall be kept neat, clean, adequately drained, and free of litter and vermin harborage. 15A NCAC 18A .1615(a). General Comment: #10. Clean and organize outside storage room and clean floor in storage room. #1. Provide a back flow prevention device on shower wand in bathroom on the right. The shower wand and hose extend down below tub rim. Ms. Mary present at time of inspection.

Replace torn/damaged chair in common living room area. Replace damaged window on blind in first bedroom on the left at end of hallway. Replace missing handle on dresser drawer.All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Touch-up paint throughout kitchen, resident rooms, bathrooms and laundry room. Patch hole in wall behind bathroom door in bathroom on the left at end of hallway. Install a door stopper behind bathroom door. Wipe/clean walls throughout where needed; if needed. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed counter top damaged beside two compartment sink in kitchen area. Caulk/seal counter top to two compartment sink using a mold/mildew resistance caulking. Observed base of utensil drawer, dry storage shelving and edge of freezer door soiled. Thoroughly clean utensil drawer, dry storage shelving and edge of freezer door.**All containers and clean utensils shall be stored in a clean place. 15A NCAC 18A .1618 (f).**All equipment and utensils shall be so constructed as to be easily cleaned and shall be kept in good repair. 15A NCAC 18A .1618 (a).

Observed damaged chairs in living room area. Replace damaged chairs. Observed broken window blinds throughout in different room. Replace broken/damaged window blinds.**All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Replace stained pillow and clean pillow cases on throw pillows.**Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b).

Observed wall damaged near door entering to upstairs office. Repair wall near entrance to office. Touch-up paint throughout where needed. Clean walls throughout where needed.**The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. GENERAL COMMENT: Replace missing window screen on dining room window. Repair loose railing on back deck.