MIRACLE HOUSE I

15A NCAC 18A .1607 All floors shall be kept in good repair. Observed tile peeling up in Bedroom 2 bathroom.

15A NCAC 18A .1608 (b) Wall and ceiling attachments, such as light fixtures, fans, and vent covers, shall be kept in good repair. Observed wall damage in multiple areas and damaged doors.

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 caulking needed around fixtures in main bathroom. Observed calcium build up around sink faucet in downstairs bathroom. Observed cleaning needed in Bedroom 2 shower. ( Staff stated the shower is not used).

15A NCAC 18A .1615 (a) Pests shall not be present in a residential care facility. Openings to the outside shall be equipped with doors that are flush with the door frame when closed, closed windows, window screening that can be opened, or controlled air currents to prevent pests from entering. Observed one live and one dead insect in bedroom 2 bathroom shower.

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 minor cracking to kitchen counter. Observed missing doors to cabinets in kitchen. Observed handles and drawers missing on multiple dressers. Needs repair.

15A NCAC 18A. 1607 All floors shall be kept clean and in good repair. Observed carpet lifting and in need of repair under bed in room 3. Observed carpet in need of repair in areas throughout facility.

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 touch up paint needed to walling throughout facility. -General Comment.

15A NCAC 18A .1609 (b) Ventilation equipment shall be kept clean and in good repair. Observed heavy dust accumulation to ceiling vent in bathroom.

15A NCAC 18A .1610(a) All residential care facilities shall provide toilet, handwashing, and bathing facilities that are available foe use by residents and employees. These facilities shall be kept clean and in good repair. Observed black build up around tub. Observed loose toilet seat in bathroom. Observed cleaning needed to handsink basin in shower room.

15A NCAC 18A .1610 (b) All hand sinks and bath shall be supplied with hot and cold running water through mixing devices. 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 hand sink located by kitchen. Paper towels supplied to sink during time of inspection -General hand-sink

15a NCAC 18A . 1617 (a) Furnishings, including furniture, curtains, draperies, and blinds shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Observed blinds torn sporadically throughout facility. Observed staining on mattresses in room 2. Observed dresses knobs missing to 1 dresser in room 3.

15A NCAC 18A. 1618 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed general cleaning needed to inside of microwave in kitchen.

15A NCAC 18A .1621(d) the residential facility shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent onsite for employees to use and a written procedure for employees to follow when responding to a vomitus or fecal matter on facility surfaces. The procedure shall specify the actions that employees shall take to minimize the exposure of employees, residents, guest, food, and additional surfaces to vomitus or fecal matter. EHS emailed facility new required procedure template along with copy of updated rules and employee health policy. -General Comment

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 general cleaning needed to shelving in freezer and inside of microwave.

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 soap or individual towels in bathroom located on level 2. Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed black build up around the shower chalking in bathroom located on level 2.

All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Observed mattress with satin in room 1, bed 1. Observed some handles missing to dresser located in room 1. Observed some blinds within facility damaged.

All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607. Observed carpet lifting in some areas within residence.

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 sporadically throughout home. During time of inspection facility was in the process of getting painted.

Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b). Observed heavy dust accumulation to vents throughout facility. Detailed cleaning needed.

Observed damaged hand sink in 1st bedroom near entrance. Observed shower curtain needing to be replaced in main bathroom. Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed torn comforter on bed in largest bedroom. Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b).

Observed holes in doors and peeling ceiling in common area. Observed missing wall socket in largest bedroom. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Acceptable storage facilities include residential kitchen cabinets, which should be kept clean and free of vermin. 15A NCAC 18A .1618 (i). Clean residue (droppings) out of kitchen cabinets under sink. 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). Wipe down and clean build up on kitchen cabinets. Replace missing tile on kitchen counter. Replace missing knobs on cabinets in kitchen.

Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed pink build up and black mold in bathroom grout.

All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Replace broken dresser in 1st bedroom. Replace damaged blinds in 2nd bedroom. Tighten loose banister railing on stairwell leading to upstairs.

Observed clothing on the floor of closet adjacent to the 1st bedroom.

All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607. Observed weak spots in flooring between laundry and kitchen and on back deck.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. -Observed holes in the entry door leading to the 1st bedroom. Spot paint walls throughout home. -Observed the blinds in disrepair in bedrooms. Replace damaged blinds. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed holes in wall in 2nd bedroom. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Replace face plate on cable outlet.

Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Toilet seat chipped and in need of repair.

9 All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Observed dresser drawers off track, missing knobs/handles, some drawers broken. ***REPEAT***

12 The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Some parts of walls chipped and in need of repair

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 soap nor paper towels at the handsink bathroom upstairs. Provide both. 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 towel in the bathroom upstairs. Provide to dry hands after washing them. Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed black buildup in the grout of the shower in upstairs bathroom. Observed broken toilet tissue holder and towel rack in bathroom upstairs. Same sink holds water; clogged and drains slowly ***REPEAT***

All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Observed dresser drawers off track, missing knobs/handles. ***REPEAT***

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed what appears to looks like black mold on ceiling in the bedroom on the mainfloor at the end of the hall. Observed broken light switch in the dining room. ***REPEAT***

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 buildup and mice droppings in the bottom of the kitchen cabinets, drawers, and oven drawer. Clean and provide pest control treatment as needed. Observed a hole in the bottom of the cabinet in the kitchen. Repair and replace counter tile in kitchen. ***REPEAT***

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 soap nor paper towels at the handsink bathroom upstairs. Provide both. 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 towel in the bathroom upstairs. Provide to dry hands after washing them. Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed black buildup in the grout of the shower in upstairs bathroom. Clean upstairs bathroom Observed broken toilet tissue holder and towel rack in bathroom upstairs. Observed small round toilet seat on large oval toilet on first floor. Observed tank on toilet opened with cover leaning against the wall. Observed dirty sink in room on main floor at the end of the hall. Same sink holds water; clogged and drains slowly ***REPEAT***

All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Observed damaged blinds throughout the home. Observed dresser drawers off track, missing knobs/handles. ***REPEAT***

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 clothes and linen on the floor in the closet.

All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607. Tile near washer and dryer has gap; rug in kitchen damaged. Replace missing floor HVAC vent on the floor in empty room adjacent to the kitchen. Observed trash in the crevices of the drawers. Observed trash on carpet in the bedroom at the end of the hall upstairs.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed what appears to looks like black mold on ceiling in the bedroom on the mainfloor at the end of the hall. Observed patched walls throughout the home. Observed broken electrical and cable outlets in the room upstairs at the end of the hall and broken light switch in the dining room. Replace smoke detector on the wall leading to the kitchen, (replaced during inspection). Observed hole in the closet door on the main floor. Observed walls in need of painting. ***REPEAT***

Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b). Replace wall A/C vent under stairs. Clean all A/C vents throughout; observed each vent full of dust. ***REPEAT***

Observed a pack of pork chops sitting on the counter by the kitchen sink thawing. Follow the rule below. 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 buildup and mice droppings in the kitchen cabinets, drawers, and oven drawer. Clean and provide pest control treatment as needed. 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 no soap nor paper towels at the restroom handsink by the kitchen. Provide both. -Observed no paper towels in the kitchen. Provide to dry hands after washing them. Each resident will be provided soap and individual towels. These towels will be stored separately after being used. 15A NCAC 18A .1610 (b).

-Paint raw wood on cabinet in last bedroom. -Observed some of the handles missing off of the drawers. Replace. All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

-Observed holes in the hallway wall. -Observed cobwebs on the walls on the main level bedrooms. -Observed the blinds in disrepair in some of the bedrooms and the hall. Replace. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

-Observed bottom floor restroom lighting very dim. Corners not visible. Repeat. All rooms shall be well lighted by natural or artificial means. 15A NCAC 18A .1609 (a). -Observed restroom vent with a heavy buildup of dust. Clean. Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b). Report emailed to: pinkella@hotmail.com

Observed slow drain (repeat) and missing tub tile in bedroom closest to staircase. Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed stained pillows, torn pillow case, and missing dresser drawer in room next to office. Observed torn comforters in bedrooms. Paint raw wood on cabinet in last bedroom. 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 holes in wall inside closet in bedroom closest to staircase. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed bottom floor restroom lighting very dim. Corners not visible. Repeat. All rooms shall be well lighted by natural or artificial means. 15A NCAC 18A .1609 (a).

Observed microwave damaged. Observed cabinets needing to be cleaned and repaired in kitchen. 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 clogged/slow draining hand sink in blue room on second floor. Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed torn pillows in green room. Observed stained comforter in blue room top floor. Observed torn blinds in main hallway. Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b). All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Observed damaged floor tiles in kitchen. All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Observed holes in walls and peeled paint throughout facility. 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 blue room second floor. Inadequate lighting in bottom floor restroom. All rooms shall be well lighted by natural or artificial means. 15A NCAC 18A .1609 (a).

Observed hot dogs thawing on counter. Eggs stored above ready to eat foods. Opened containers of dry foods not properly resealed. Food not in original containers not labeled. **All foods, while being stored, prepared, served, and during transportation, shall be protected from contamination. 15A NCAC 18A .1620 (a). **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 damaged kitchen drawers and cabinets. Oven and stove top needs cleaning. Kitchen counter tile damaged. **Acceptable storage facilities include residential kitchen cabinets, which should be kept clean and free of vermin. 15A NCAC 18A .1618 (i). **Cooking surfaces of equipment, if any, shall be cleaned at least once each day. 15A NCAC 18A .1618 (c ).

Observed no soap or paper towels in bathrooms or kitchen hand sinks. Loose toilet seat. Mildewed grout. Sinks need cleaning. **Each resident will be provided soap and individual towels. These towels will be stored separately after being used. 15A NCAC 18A .1610 (b).

Observed storage room (top floor) needs cleaning and organizing. **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 damaged carpeting near office. Damaged floor tiles in kitchen. **All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Observed holes in walls. Damaged door (front) fixture. Damaged intercoms and electrical outlets in bedrooms. Hanging fire alarms. **The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed inadequate lighting throughout house. Dirty ceiling fan in dining room. **Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b). **All rooms shall be well lighted by natural or artificial means. 15A NCAC 18A .1609 (a).

Observed raw chicken stored above ready to eat foods in refrigerator. Opened dry foods not sealed or put in lidded container.

Observed all kitchen cabinets need cleaning/wiping out.

Observed no paper towels at any hand sink or in kitchen.

Observed all couches in living room with huge tears. Tear in mattress in green bedroom. Damaged dresser handle and soiled/damaged dressers in all bedrooms. Hole in blanket in green bedroom.

Observed cleaning chemicals not locked in bathroom. Attic storage with stuff strewn about on floor.

Observed missing floor tiles in kitchen. Frayed carpeting in several areas.

Observed holes in walls in several rooms. Wall behind sconce on front porch broken. Damaged door in blue bedroom. Hole in door in purple bedroom.

Repeat Non-Compliance: Observed raw sausage, bacon and shell eggs stored above ready to eat foods. Opened packaging of dry goods not put into a lidded contained or sealed baggie.**All foods, while being stored, prepared, served, and during transportation, shall be protected from contamination. 15A NCAC 18A .1620 (a).

Observed no paper towels at kitchen sink, and 2nd floor bathroom. **Each resident will be provided soap and individual towels. These towels will be stored separately after being used. 15A NCAC 18A .1610 (b).

Observed torn mattress on bed in purple bedroom. Leather living room furniture with tears and holes. Dresser very marred in bedroom.**All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Observed storage area upstaiirs still needs cleaning and organizing (much improvement since last inspection).**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 carpeting in disrepair near office. Stained carpeting throughout.**All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Observed holes in walls in green bedroom.**The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed: Repeat Non-Compliance: Raw meat and shell eggs stored with and above uncovered bologna. Sugar, cereal, pasta stored opened without lidded container or baggie. Ramen noodles stored on floor of pantry.**All foods, while being stored, prepared, served, and during transportation, shall be protected from contamination. 15A NCAC 18A .1620 (a).**Containers of food shall be stored above the floor, on clean racks, shelves, or other clean surfaces, in such a manner as to be protected from splash and other contamination. 15A NCAC 18A .1620 (d).

Observed: Repeat Non-Compliance: Cabinets with peeling contact paper and food debris. Appliances need cleaning. Cabinets and drawers in kitchen and laundry in poor condition and need cleaning. Cracked corner of bar counter.**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: Repeat Non-Compliance: No paper towels available at any hand sink. Sink needs cleaning, master bedroom. Cabinets in disrepair, and deep bathtub needs cleaning. Handrail loose.**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 hole in mattress, master bedroom. Broken dresser, 2nd floor bedroom.**All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Observed storage area in attic/ upstairs area with storage on the floor and in disarray.**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: Repeat Non-Compliance: Holes in walls and damage throughout.**The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed: Repeat Non-Compliance: Cracked window, 3rd floor bedroom. Dusty vents. Dim lighting where ulbs removed from fixtures. Window sills and tracks dirty.**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).

Observed: Raw meats and shell eggs stored above ready to eat foods. Raw meat thawing in 2 comp. sink. Uncovered bacon in refrigerator. Opened dry goods not properly sealed in lidded containers or baggies.All foods, while being stored, prepared, served, and during transportation, shall be protected from contamination. 15A NCAC 18A .1620 (a).

Observed microwave rusted. Cabinets with peeling contact paper and food debris. Spilled food in bottom of freezer. Food debris in oven and in bottom drawer. Cabinet interiors for kitchen and laundry worn. Cracked corner of bar counter.Acceptable storage facilities include residential kitchen cabinets, which should be kept clean and free of vermin. 15A NCAC 18A .1618 (i).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: Repeat Non-Compliance: No paper towels at any hand sink throughout. Sink needs cleaning in bedroom 2, 2nd floor. Worn toilet seat, bedroom 1 on 2nd floor. Cabinets in bathrooms in disrepair/very worn. Moldy shower curtain, 3rd floor.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: Repeat Non-Compliance: Soiled linens on beds. Torn pillow, 3rd floor. Broken dressers and nightstands in several bedrooms. Bent bed frame, bedroom 2, 2nd floor. Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b).All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Observed holes in walls in 3rd floor bedroom. Front door latch not working, can't open front door.The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed cracked window, bedroom, 3rd floor. Dusty vents throughout. Dim lighting in 3rd floor bathroom. Window sills/tracks dirty. Dead frog in window track, bedroom 1, 2nd floor.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).