INREACH/LARKHAVEN RD

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 at 119F. Needs to be 105-116F. No points deducted due to violation being part of new rules.

General Comment: 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 does not have employee health policy. EHS emailed a copy.

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. Observed facility does not have vomit and diarrhea cleaning plan. EHS emailed a copy.

REPEAT The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed door frame inside bedroom collecting microbial growth in need of general cleaning / removal. (area is directly under air vent resulting in a moist environment). (NOTE) use disinfectant to wipe down surface to ensure no microbial growth; recommend leaving door ajar to prevent moisture from accumulating between frame and door.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed door frame inside bedroom collecting microbial growth in need of general cleaning / removal. (area is directly under air vent resulting in a moist environment)

Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b). Observed return vent / grates having heavy dust build up in need of general cleaning; (all missing filters).

Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b). Observed bed skirt ripped in residents room in need of replacing; Observed pillow soiled in residents room in need of replacing.

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 closets in residents rooms overflowing with piled clothing in need of cleaning.

Observed counter above sink bulking in small bathroom. Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed wall damage in small bathroom. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Thoroughly clean shower curtain and upper section of shower wall in bathroom with walk-in shower. Replace damaged shower head in bathroom with tub/shower fixture. Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Repair drawers on resident dresser. Clean spots/stain on pillow in resident room. All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Repair flooring near both back exit doors or replace damaged flooring. Monitor flooring and quarter round shoe molding near exit door in kitchen. Observed water damaged quarter round shoe molding---What cause shoe molding to become water damaged? All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Repair ceiling where nails are coming out and touch-up paint. Address gap along edge of flooring and wall in resident room. Seal gap along base of wall and flooring in resident room. WIpe/clean wall in bathroom with walk-in shower. Touch-up paint beside vanity in bathroom with tub/shower fixture. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Replace rusted ceiling ventilation in living room area and in kitchen or repaint rusted ventilation covers. Clean/dust ceiling ventilation in bathrooms. Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b).

Observed damaged laminate on kitchen counter top between stove and up-right freezer unit. Repair damaged laminate on kitchen counter top. 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 (1) plastic container with lid on it stored on clean shelving in cabinet area. Thoroughly air-dry utensil/equipment before stacking or storing.

Observed storage on the floor in several residents closets. Remove clothes storage off the floor. Provide plastic bin for residents to store stuff in. 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).

Repair or replace damaged flooring in dining room area. Install quarter round shoe molding in back corner resident room to eliminate gap between base of wall and base moulding. All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607. General Comment: Touch-up paint throughout where needed; if needed. Replace damaged door sweep on base of screen door located at the front. Install back flow prevention device on shower hose wand in bathroom near laundry room/office area. Shower hose wand extend down below flood level of bath tub. Ms. Burns present at time of inspection.

Observed eggs stored above ready to eat food in the refrigerator.All foods, while being stored, prepared, served, and during transportation, shall be protected from contamination. 15A NCAC 18A .1620 (a).

Observed knife with rust preset on blade stored clean.All multi-use eating and drinking utensils shall be thoroughly cleaned after each usage, and the facilities needed for the operations of washing and rinsing shall be provided. 15A NCAC 18A .1618 (b).

Observed debris collecting in utensil tray in drawer.Containers and clean utensils shall be covered, inverted, stored in tight, clean cabinets, or otherwise stored in such a manner as to prevent contamination. 15A NCAC 18A .1618 (f).

Observed single use spoons, cups, and storage bags stored below chemicals in supply closet. **Disposable utensils shall be purchased only in sanitary containers, shall be stored therein in a clean, dry place until used, and shall be handled in a sanitary manner. See rule .1618 (g). Observed damaged knife, and ice cream scoop. Reside collecting on can opener blade. **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. See rule .1618 (a).

Observed vents throughout facility collecting dust on returns in resident rooms. **Ventilation equipment shall be kept clean and in good repair. See rule .1609 (b).