MONROE ROAD

15A NCAC 18A .1607 All floors shall be kept in good repair. Observed repair needed to flooring in living room area. REPEAT.

15A NCAC 18A .1608 (b) Wall and ceiling attachments, such as light fixtures, fans, and vent covers, shall be kept in good repair. Observed touch up paint needed to walling in back pink bedroom and dining area. Observed touch up paint needed for doors of bathrooms and closets in living room. REPEAT.

15A NCAC 18A .1609 (b) Ventilation equipment shall be kept clean and in good repair. Observed build up on vent in bathroom 2 shower. Needs cleaning.

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 rust build up to shower handle in bathroom 2. Observed minor build up to shower floor tiles in hall bathroom.

General comment 15A NCAC 18A .1615 (a) Outdoor furniture and playgrounds shall be kept in good repair. Observed boards damaged at front door ramp. Observed damage to boards of small ramp at back of gazebo. Observed damaged fencing in back yard.

15A NCAC 18A .1607 All floors shall be kept in good repair. Observed repair needed to hardwood flooring in living room area.

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

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 loose toilet seat in bathroom 1. -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 100F at handsink in bathroom 1. NEW RULE. -General comment.

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 handles missing on brown dresser in room 1.

15A NCAC 18A .1620 (c) Cold holding equipment shall be provided with an indicating thermometer that is accurate to +/-3 degrees F. Observed thermometer in refrigerator broken.

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. EHS emailed facility new required template, updated rules, and employee health policy. -General comment.

Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed minor black build up within shower tiles in bathroom located closet to living room.

All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607. Observed damage to flooring in living room area.

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 walling/doors/door frames throughout facility.

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 food debris in microwave, need cleaning and keep clean. Observed rusted microwave, need repair or replace, and keep in good repair.

All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607. Observed floor carpet in bedrooms and on dining table near kitchen, need vacuum and keep clean.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed scarring on wall in bedroom on the right and peeling paint on wall in 2nd bathroom on the right. Apply touch up paint on wall. Tighten loose kitchen cabinet door securely and reattach bottom of boarder under dishwasher. Observed debris at the bottom of the cabinet. Wipe down inside bottom of cabinet.

All rooms shall be well lighted by natural or artificial means. 15A NCAC 18A .1609 (a). Replace bulb in shower so that there will be sufficient lighting. Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b). Clean dusty AC vents in gazebo.

Potentially hazardous frozen food shall be thawed at refrigerator temperatures of 45° F. or below; or quick-thawed as part of the cooking process; or by a method approved by the sanitarian. 15A NCAC 18A .1620 (a). Observed raw chicken being thawed in a water bath. Thaw under refrigeration.

All containers and clean utensils shall be stored in a clean place. 15A NCAC 18A .1618 (f). Observed silverware container with hair. Keep storage area clean.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed damaged paint on trim work and doors. Damaged wall in bathroom. Doors need wiping down of grime/hand prints

The premises shall be kept neat, clean, adequately drained, and free of litter and vermin harborage. 15A NCAC 18A .1615(a). Observed rotted board on ramp, front door. Brick walkway covered with algae growth and moss, clean surface is slick.

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 ice buildup inside of the freezer and blocking the seal of the freezer. Defrost to prevent lower temperature change.

All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607. 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 debris on floor under shelving in pantry and all storage closet, sweep and mop under shelves.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed hole in wall in laundry room and dining. Patch hole and spot paint.

-Observed eggs in the garage refrigerator and the thermometer was reading 56F. Eggs were moved to the kitchen refrigerator. All perishable foods shall be stored at such temperatures as will protect against spoilage. All potentially hazardous food shall be maintained at safe temperatures (45° F. or below, or 140° F. or above) except during necessary periods of preparation and serving. 15A NCAC 18A .1620 (a). -Observed the red line broken in the thermometer in the kitchen's refrigerator. Replace to be able to obtain accurate temperature. An indicating thermometer shall be located in each refrigerator. 15A NCAC 18A .1620 (a).

-Observed large handle spoons with burns and rusting. Replace. -Observed the inside frame area of the microwave rusting. -Observed the gaskets torn on the refrigerator in the garage and mold growing in the open/torn area & spills on the shelves. All equipment and utensils shall be so constructed as to be easily cleaned and shall be kept in good repair. 15A NCAC18A.1618 (a). All equipment and utensils shall be so constructed as to be easily cleaned and shall be kept in good repair. 15A NCAC18A.1618 (a). 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 stains on the dividing curtain in bedroom 1. Remove and clean. All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). -Observed yellow stains and urine smell on the mattress cover in bedroom 2. Remove and clean. Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b).

Observed dressers missing handles in 2nd bedroom on the right and bedroom across the hall. Observed dresser drawers off track in 2nd bedroom on the right. Needs to be repaired. **All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Observed wall damage near bed in first bedroom on the right. Needs to be repaired. **The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed rips/tears on sofas in living area. All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Reattach kick plate to refrigerator (bottom). Observed sitting on floor. 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 pink residue on shower head in bathroom near back door. Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Popcorn ceiling peeling in hall bathroom. Repair. Repaint wall at hand sink in bathroom near back door. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

-Observed the oven drawer collecting residue.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 bowls and cutting board with worn and peeling surfaces. Discarded.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 the sink faucet in one of the hall restrooms and in the kitchen loose.Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

-Observed a torn mattress cover in the last bedroom on the right.-Observed urine stained sheets and mattress on 1 of the beds in the bedroom closest to the living room.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).

Observed the ceiling peeling in one of the hall restrooms and the walls needing touching up in the halls and the bedroom closest to the living room.The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.Report emailed to vprophete@rhanet.org

Vashti Prophete present.Observed black build up on the floor and wall tiles in the showers & on the shower chair.Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

-Repeat Non-Compliant: Observed missing dresser knobs in 2 of the 3 bedrooms.-Observed torn mattress covers on 2 of the 6 beds.All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).-Observed urine smell on 2 of the beds in the 2 bedrooms on the right side of the hall.-GENERAL COMMENT: Observed stained sheets on one bed in the back bedroom on the left.Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b).

Observed a closet door knob was missing in a resident's room and the living room coffee table with surface damage.**All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. See rule .1617 (a).General Comments: Sabrina Thomas was present during the inspection.