STARNES GROUP HOME

Observed dust build up on vent covers missing in the bathroom on the right side of the home. **15A NCAC 18A .1609 (b) Ventilation equipment shall be kept clean and in good repair.

Observed dresser drawer face missing in bedroom 1. Observed dresser drawer knobs missing in bedroom 3. **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.

15A NCAC 18A .1610 (a) All residential care facilities shall provide toilet, handwashing, and bathing facilities that are available for use by residents and employees. These facilities shall be kept clean and in good repair. Observed stained shower liner in bathroom 2. Needs replacement.

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 provided a copy of the policy.

15A NCAC 18A .1621 (d) The residential care facility shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent 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 employees shall take to minimize the exposure of employees, residents, guests, food, and additional surfaces to vomitus or fecal matter. Observed facility does not have a vomit and diarrhea cleaning procedure. EHS provided a copy.

Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed staining at the bottom of the curtain in large bathroom.

All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Observed tears on sides of couches in common room. Observed broken dresser in bedroom 1. Observed broken and missing blinds in bedroom 3. Observed tearing chair in bedroom 5. Observed build up in cabinets under bathroom sink in small bathroom and in kitchen cabinet on island. Needs repair/cleaning.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed dust build up on window sills and dust build up on ceiling of bedroom 3. Observed scuffs and smudging on walls near switches and in closets of a few rooms. Needs cleaning.

Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b). Observed vent in living room with dust build up and filter in need of changing.

Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Clean shower curtain in jack-and-jill bathroom between residents rooms. Thoroughly clean shower floor and wall in common walk-in shower in hallway area. General Comment: Install back flow preventer on shower wand in jack-and-jill bathroom between residents room.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Thoroughly clean walls throughout in rooms and bathrooms. Repair wall in resident room, hallway and anywhere else needed. Touch-up paint/repaint throughout where needed.

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). Replace missing window screen in resident room.

REPEAT Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed shower curtain having bio-film / mildew build-up on surfaces in need of replacing. Observed loose toilet seat in need of tightening in back bathroom.

All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607. Observed flooring in back bathroom in need of cleaning; Observed most flooring inside closets in need of general cleaning.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed walls scuffed in back bedroom in need of touch-up painting; Observed ceiling in need of painting (cover old water damage stains) inside closet of bedroom on right side of home.

Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b). Observed exhaust vents inside bathrooms in need of cleaning.

An indicating thermometer shall be located in each refrigerator. 15A NCAC 18A .1620 (a). Observed refrigerator without working thermometer.

Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed build-up on floors and walls of shower. Keep showers clean.

All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Observed debris build-up on mattress cover. Keep mattress covers clean.

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 residents clothing stored on the floor. Keep clothing organized and off the floor.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed hole in dry wall at kitchen island. Observed peeling ceiling in bathroom.

Observed black residue around baseboard in shower (large restroom). Observed counter damaged above toilet in large restroom. Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed lighter fluid stored above food in pantry. Keep all hazardous items (chemicals) stored away from food. Pesticides, herbicides and other substances which may be hazardous if ingested, inhaled, or handled, shall be stored in a closet, cabinet or box not accessible to young children unless otherwise required in the rules of the licensing agency. 15A NCAC 18A .1616 (b).

Observed microwave stains and debris on top of freezer in pantry. 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 ). 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 rolls of tissue on floor in storage room. Observed bags of clothes on floor in bedroom. Store up off of floor. 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 bedroom near restroom on left side of the house. Observed pen/markers markings on the wall in bedroom on left side of the house. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Replace damaged gasket on up-right freezer unit. Kitchen counter top will be replaced Thursday of this week. 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). Clean utensil/equipment shelving in cabinet area. Utensils shall be handled in such a manner as to prevent contamination. 15A NCAC 18A .1618 (f).

Thoroughly clean shower curtain and shower head in yellow jack-n-jill bathroom. Clean area around lid to clothes washer Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Remove items off the floor in storage closet(paper and envelopes). 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 floor throughout house! All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Continue to patch holes in walls and repaint/touch-up paint throughout. Apply wood sealant/varnish to bare wood door. Paint corner walls molding in resident room. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. ' •

Replace damaged floor register/vent cover in bathroom. Clean ceiling fan blades in resident room. Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b).

Provide back flow prevention device on all three shower wands in bathrooms! No backflow connections or cross connections with unapproved supplies shall exist. 15A NCAC 18A .1611 (c ).

Observed milk thawing in vat of two compartment sink and soiled utensil/equipment was in sink! Observed raw eggs stored above other food products. Observed several bags of dry food products opened in pantry area. Store food products in or on clean area and in a manner to prevent contamination. Store raw eggs below and away from other food products. Store opened packages of dry food products in sealable container. 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).

Repair kitchen counter top above dish machine. Thoroughly clean shelving under two compartment sink and replace damaged shelving. Repair any leaks under kitchen two compartment sink. Repair damaged gasket on up-right freezer unit. WIpe/clean shelving in kitchen pantry. Observed utensil/equipment storage area(shelving and drawer under stove) soiled. Thoroughly clean utensil shelving and storage area. Observed "clean" utensil stored on soiled rag in utensil air-drying rack. Store and handle clean utensil/equipment in or on clean area and in a manner to prevent contamination. Replace damaged utensil shelving in kitchen cabinets where cups are stored. Observed flaking particle board on utensil shelving. 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 ). Utensils shall be handled in such a manner as to prevent contamination. 15A NCAC 18A .1618 (f).

Provide soap and paper towels at all hand washing sinks at all times. Observed paper towels missing from hand washing sink in bathroom. Observed shower head, shower curtains, wall and base wall in walk-in shower and bath tub/shower fixture soiled in bathrooms. Thoroughly clean fixtures. Replace damaged shower head/wand in walk-in shower. Clean lid around top of clothes washer machine. Each resident will be provided soap and individual towels. These towels will be stored separately after being used. 15A NCAC 18A .1610 (b).Toilet, hand washing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Replace damaged furniture in living room area. Observed chairs and cushions damaged in living room area. Thoroughly clean resident pillows with stains or replace pillows. Replace damaged pillow in resident room. Replace broken/damaged window blinds in resident room. Thoroughly clean chair in resident room or replace stained chair. Replace missing handles on furniture in resident room. Replace damaged mattress in resident room. Observed linen on bed soiled! Change linen on bed when visibly soiled and at least weekly! Clean/dust furniture in resident 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 unorganized storage on floor in residents closet. Organize storage in closet and remove loose articles off the floor in closet. 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).

Thoroughly clean base board and along edge of flooring throughout house. Repair flooring in living room area and bathroom. Do not use tape to repair flooring. Tightly secure loose transitional floor molding near living room and hallway area. Install quarter round shoe molding in bathroom where linoleum flooring is coming up. Repair flooring throughout house. All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Thoroughly clean walls, area around door handles, edges of doors, area around light switches throughout house. Patch holes in walls and repaint. Clean upper section of wall in living room area. Observed sheet rock tape coming loose in living room area and hallway area. Address any issues causing sheet rock tape to come loose and repair and repaint. Apply wood sealant/varnish to newly installed bathroom door so door will be easy to clean. Clean door framing entering into rooms and repaint. Paint bare wood molding in residents room. 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 living room area. Clean return air ventilation cover in living room area. Replace rusted floor register/vent cover. Replace damaged floor register in bathroom with walk-in shower. Clean ceiling fan in resident room. Replace missing and secure loose window screens. 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).

Repair door on outside storage shed to prevent rodents from getting in storage shed. The premises shall be kept neat, clean, adequately drained, and free of litter and vermin harborage. 15A NCAC 18A .1615(a).

Thoroughly clean or replace damaged shelving under kitchen two compartment sink. Repair damaged gasket on up-right freezer unit in pantry area. Observed flaking/chipping utensil shelving in cabinet area. Replace damaged utensil shelving in cabinet area. Observed base drawer under oven soiled. Thoroughly clean drawer under oven where broiler and sheet pans are stored. 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 ). Utensils shall be handled in such a manner as to prevent contamination. 15A NCAC 18A .1618 (f).

Thoroughly clean shower curtains in all bathrooms. Thoroughly clean bath tubs in bathroom. Observed bath tubs and shower curtains soiled in bathroom. Clean area around top of washer machine. Observed build up around top of washer machine. Toilet, hand washing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Replace damaged couches in living room area. Do not cover damaged couches with a throw/cover; REPLACE! Thoroughly clean or replace residents pillow. Observed pillow soiled throughout in residents room. Clean cabinet area under hand washing sink in jack and jill bathroom. Clean chairs to dining room table. Observed soiled pillow covering on bed. Change covering on bed at least weekly and when visibly soiled! Monitor resident room that smell like urine. Recommend replacing wooden bed witha metal bed. When covers are pulled back on bed, you can smell a strong odor of urine coming off of the wood of bed. Clean and replace broken window blinds. 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).

Clean and organize resident closet, closet in hallway and storage shed out back. Remove envelope of paper work of closet floor. Clean and organize outside storage shed and repair door on shed so critters will not get into shed. 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 floor throughout house. Repair flooring in main living room area. Remove tape off of flooring where different section of flooring connects and install a transitional floor moulding. Repair transitional floor moulding leading into pantry area. All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Clean walls throughout house, bathrooms and resident room. Patch holes in wall and repaint. Clean area around door framing to rooms and repaint. Clean residents door and bathroom doors. Highly recommend staining or sealing bare wood bathroom door. Patch hole in resident closet door. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Clean ceiling ventilation in bathroom. Repair light fixture in living room area or replace blown light bulbs. Clean return air ventilation at end of hallway. Replace damaged floor register in bathroom at end of hallway. 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). GENERAL COMMENTS/ NO POINTS DEDUCTED! #1. INSTALL BACK FLOW PREVENTION DEVICE ON SHOWER WANDS IN BOTH BATHROOMS LOCATED AT END OF HALLWAY.

Replace missing thermometer in refrigeration unit.An indicating thermometer shall be located in each refrigerator. 15A NCAC 18A .1620 (a).

Observed utensil shelving soiled and damaged. Thoroughly clean utensil/equipment storage area and repair damaged repair damaged shelving in cabinet area.Utensils shall be handled in such a manner as to prevent contamination. 15A NCAC 18A .1618 (f).

Tighten toilet seats in bathrooms. Thoroughly clean shower curtains and shower wall in bathrooms. Clean area around faucet fixture on hand washing sink and replace pitted faucet fixture on hand washing sink. Thoroughly clean base of bath tub/shower.Toilet, hand washing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Replace damaged mattress in resident room. Replace old worn wooden furniture. Replace damaged chair and recliner in living room area. Observed linen stored on the floor in closet area. Remove linen off the floor in closet area. Clean base of med refrigeration unit.All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Clean linen shall be stored and handled in a sanitary manner and separate from soiled linen. 15A NCAC 18A .1617 (c ).

Observed loose clothes on floor in resident closet. Remove storage off the floor. Store items on hangers or shelving in closet!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 FLOOR THROUGHOUT ENTIRE HOUSE. Clean gum from floor at front entrance. Observed flooring damaged throughout house.All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

CLEAN WALL THROUGHOUT HOUSE! Patch holes in wall and repaint. Repaint walls throughout. Thoroughly clean wall around/near door framing to resident room. Repair ceiling in living room area. Repair ceiling in bathrooms. Remove flaking popcorn ceiling and repaint.The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Repair or replace light fixture in resident shower. Replace rusted floor register/vent cover. Clean ceiling fan and ceiling fan blades in living 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).

Store clean utensil/equipment in or on clean area and in a manner to prevent contamination. Observed soiled utensil shelving where pots are stored. Observed damaged shelving in cabinet area where cups are stored. Clean utensil shelving and repair or replace damaged utensil shelving in cabinet area. •All containers and clean utensils shall be stored in a clean place. 15A NCAC 18A .1618 (f).

Observed pitted faucet fixture on hand washing sink in jack and jill bathroom located on right side of house. Observed soiled faucet fixture on hand washing sink in bathroom on left side of house. Observed shower curtain, shower curtain liner and shower nozzle soiled in both bathrooms. Thoroughly clean shower head, shower curtain and shower curtain liner. Observed broken toilet seat lid and loose toilet seat in bathroom located on left side of house. Replace toilet seat and lid.Toilet, hand washing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed torn/damaged chair in main sitting area and damaged chair in foyer area. Repair damaged chair or replace. Observed broken/damaged window blind. Replace broken window blind. Observed sheets on beds soiled. Change linen on bed when visibly soiled. Observed resident bed with no fitted sheet or sheet. Provide fitted sheet and sheet for resident bed. Clean window blinds.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 some resident storage on the floor and not permitting easy cleaning of areas. Store items off the floor or in plastic containers.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 floor damaged in living room area and hallway area. Repair floor throughout facility where needed.All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Observed walls soiled throughout entire facility. CLEAN WALLS THROUGHOUT ENTIRE FACILITY! Observed holes in walls. Patch/seal holes in wall and repaint. Replace damaged door stopper behind doors. Clean doors and area around door framing leading to different rooms of house. Repaint ceiling in bathrooms above shower area.The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed lights not working in light fixture in hallway. Repair light fixture or replace blown light bulbs. Replace blown light bulbs in light fixtures in bathroom. Replace missing window screens. Clean ventilation in bathrooms. Replace rusted floor register in bathroom located in jack and jill bathroom.All rooms shall be well lighted by natural or artificial means. 15A NCAC 18A .1609 (a).

Observed rotten boards on backside, side and area near road. Remove rotten/damaged boards from premises. Clean out gutters and reattach gutter on back side of house. Nail down protruding nails on handrails. Spray area around front of house. Observed poison ivy growing near front of house.The premises shall be kept neat, clean, adequately drained, and free of litter and vermin harborage. 15A NCAC 18A .1615(a).Mr. Steven White present at time of inspection.

Observed eggs stored on top shelf above ready to eat foods.All foods, while being stored, prepared, served, and during transportation, shall be protected fromcontamination. 15A NCAC 18A .1620 (a).

Observed blade on can opener accumulating food residue. Plates and utensils dirty with dried food debris and residue. Box of single-service cups stored on floor in closet.Non-food-contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean andsanitary condition. 15A NCAC 18A .1618 (c ). All pots, pans and other utensils used in the preparation or serving of food or drink, and all food storage utensils, shall be thoroughly cleaned after each use. 15A NCAC 18A .1618 (c ).

Observed both toilet seats loose in hallway restrooms. Toilet lid cracked in left hallway bathroom. Shower heads with heavy black/pink mold. Hallway bathroom shower collecting black mold in corners. Need to clean and sanitize these areas. No soap or paper towels available in right hallway bathroom.Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).Each resident will be provided soap and individual towels. These towels will be stored separately after being used. 15A NCAC 18A .1610 (b).

Observed some resident storage on floor and not permitting easy cleaning of areas.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 blinds damaged in residents room and in kitchen. Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b).