VOCA-PURSER GROUP HOME

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 102F at handsink in both bathrooms within facility.

15A NCAC 18A .1614 (b) Outside waste containers shall be kept covered with tight-fitting lids when not in use. Observed 1 outside dumpster container missing a lid. -General comment.

15A NCAC 18A .1617 (b) Clean bed linen in good repair shall be provided for each resident. Observed staining on fitted sheet in room 3. Observed top blanket torn in room 6.

15A NCAC 18A .1618 (a) All food service equipment and utensils shall be kept clean. Observed minor food debris build up inside of microwave. Clean. -General comment.

15A NCAC 18A .1607 All floors shall be kept clean and in good repair.- Observed flooring underneath beds in rooms and in laundry room behind machines in need of cleaning. 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 black mildew along the edge of shower floor in B hallway. Cleaning/new caulking needed. Keep clean. Observed debris and hairs in drawers in both bathroom A and B hallway, cleaning needed and keep clean.

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 in the kitchen sink measure at 118F, 104F in shower tub of A hallway bathroom, and 102F at hand sink in B hallway bathroom. Ensure to provide tempered water between 105F to 116F.

General Comment: 15A NCAC 18A .1618 (b) All food contact surfaces of utensils and equipment shall be cleaned after each use.- Observed minor soiled microwave, cleaning needed and keep clean.

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 bacon stored above and ready to eat and produce in refrigerator. Proper food storage discussed with PIC at the time of inspection of inspection. - Observed cases of water bottles and boxes of medication cups stored directly on the floor in closet A hallway. Ensure to stored all food items and clean supplies above the floor at least 6 inches at all time.

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 hot water the facility has the vomit and diarrhea written plan, however without the cleaning supplies/kits ready to clean up for such an event. Ensure to gather all supplies ready to go along with a written plan in place at anytime.

Observed touch up paint needed in bedrooms 1 and 3. **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 dresser handles missing in bedroom 4. **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 raw eggs stored above ready to eat foods. **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 staining on the under side of tub chair in bathroom 1. Observed loose toilet seat in bathroom 1. Observed base of toilet in need of cleaning in bathroom 2. **Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed dresser knob missing in bedrooms 2 and 4. Needs to be replaced. Observed sofa staining in living room. **All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Observed baseboard missing in emergency food storage closet. Observed wall damage in bedroom 6. Observed touch up paint needed throughout. **The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

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 behind chair in living room. *NOTE: House Manager, Destiny Hallback was present during time of inspection. Report emailed to her at: Destiny.hallback@gmail.com

Observed loose toilet seat and shower floor in need of cleaning in the bathroom near the side entrance. Observed front face of cabinet drawer missing in the bathroom on the right side of the house. **Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed dresser handle missing in rooms 3, 4, 5 and 6. 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 ceiling peeling in the bathroom on the left side of the house. Observed wall damage behind the recliners in the front room. **The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

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

Observed loose toilet seat in the bathroom closest to the side entrance. **Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed torn blinds in the dining area. **All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Observed black build-up on the ceiling around the vent cover in the activity room. **The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed loose toilet seat in the bathroom on the right side of the facility. Needs to be tightened. Observed drawer face missing on the cabinet in the bathroom on the right side of the facility. Needs to be repaired. **Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed dresser handles missing in bedrooms #2, 3 and 6. 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 mattress cover stain in bedroom #4. Needs to be cleaned. **Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b).

Observed loose toilet seat on the side of the home near the office. Needs to be tightened. Observed sink leaking in kitchen. Needs to be repaired. **Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed handles on dressers missing in rooms 2 and 4. Observed curtain rod hanging in the activity room. Observed plastic mattress cover torn in room 2. 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 personal items stored on the floor in room 1 and closet in need of cleaning in room 4. **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 wall damage in the activity and dining room. 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 sofas in the back yard. Needs to be removed. **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 toilet seat loose on the left side of the house. Repeat Noncompliance. Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed wall damage (scrapes) in dining room and common area. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed dryer vent that leads to outside cover missing on outer wall of house. Needs to be replaced. 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 cabinet door missing, residue collecting on cabinets, and fridge shelf damaged. Observed back lining behind kitchen sink in disrepair. Keep all kitchen equipment clean and in good repair. **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). **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 loose toilet seat in left side hallway. Tighten toilet seat. **Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed stain on comforter located in left side hallway back room right side. **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 scrapes in dinning room. **The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Repeat Non Compliance: Observed thermometer not present in fridge at time of inspection.**An indicating thermometer shall be located in each refrigerator. 15A NCAC 18A .1620 (a).

Repeat Non Compliance: Observed debris collecting in kitchen cabinets under shelf lining. Observed baseboard not present under bottom cabinets connecting to floor. Baseboards in need of reattaching to prevent outside rodents.**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).**All surfaces with which food or drink comes in contact shall be easily accessible for cleaning, nontoxic, corrosion-resistant, non absorbent, and free of open crevices. 15A NCAC 18A .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 ).

Repeat Non Compliance: Observed grout tiles collecting black residue.Repeat Non Compliance: Observed broken back of toilet lid. Porcelain cracked on right side.**Toilet, hand washing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Repeat Non Compliance: Observed vinyl floor ripped throughout, carpet has fraying seam stretching across living room and hall way. **All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Repeat Non Compliance: Observed wall chips, scuffs, small holes throughout facility. Observed some debris present on kitchen ceiling. **The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A . 1608

Repeat Non Compliance: Observed thermometer not present in fridge at time of inspection. **An indicating thermometer shall be located in each refrigerator. 15A NCAC 18A .1620 (a).

Repeat Non Compliance: Observed debris collecting in kitchen cabinets under shelf lining, and in oven drawer. Repeat Non Compliance: Observed raw, flaking play board in some of kitchen cabinets. This material is not smooth, easily cleanable, nor nonabsorbant. **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).**All containers and clean utensils shall be stored in a clean place. 15A NCAC 18A .1618 (f).

Repeat Non Compliance: Observed shower curtain and grout tiles collecting black residue. Observed broken back of toilet lid. Porcelain cracked on right side. Observed pink microbial growth in soap holder in shower and on shower floor in bathroom with plastic lining.**Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Repeat Non Compliance: Observed linen stained in 1/2 of rooms articles include pillow cases, undersides of comforters, and sheets. **All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Repeat Non Compliance: Observed vinyl floor ripped throughout, carpet has fraying seam stretching across living room. **All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Repeat Non Compliance: Observed carpet on hall wall separating from wall, wall damaged in dinning room, and throughout facility. **The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed kitchen refrigerator without a thermometer.**An indicating thermometer shall be located in each refrigerator. See rule .1620 (a).

-Observed debris collecting in kitchen cabinets under shelf liner.-Observed raw, flaking ply board in some of the kitchen cabinets. This material is not smooth, easily cleanable, nor nonabsorbant.**Acceptable storage facilities include residential kitchen cabinets, which should be kept clean and free of vermin. See rule .1618 (i). **All equipment and utensils shall be so constructed as to be easily cleaned and shall be kept in good repair. See rule .1618 (a).-Observed container holding clean utensils collecting debris.**All containers and clean utensils shall be stored in a clean place. See rule .1618 (f).

Observed scoop for ice buried under the ice. Handle of scoop must be stored out of the product.**If ice is provided for residents, it shall be handled, transported, stored and dispensed in such a manner as to be protected against contamination. See rule .1612.

Repeat Non-Compliance: Observed residue on shower curtain.**Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. See rule .1610 (a).

-Observed stained linen and/or pillow cases on 3 of the 6 beds.**Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. See rule .1617 (b).-Observed white dresser in 1 bedroom with damage to the top surface.-Observed missing knob on night stand in one bedroom.**All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. See rule .1617 (a).

-Repeat Non-Compliance: Observed vinyl floor throughout ripped.-Observed carpet frayed in the living room.**All floors shall be easily cleanable and shall be kept clean and in good repair. See rule .1607.

Repeat Non-Compliance: Observed carpet on hall wall separating from the wall.Observed wall damaged in dining room.**The walls and ceilings of all rooms and areas shall be kept clean and in good repair. See rule .1608.______________________________________________________________________________Dreama McCree present.