ETTA LOVE FAMILY CARE HOME

15A NCAC 18A .1608 (b) Wall and ceiling attachments, such as light fixtures, fans, and vent covers, shall be kept in good repair. Observed repairs needed to walls/paint throughout home.

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 toilet chairs starting to rust. Repair.

REPEAT 15A NCAC 18A .1607 All floors shall be kept clean and in good repair.- Observed flooring under beds, in bedrooms need detail cleaning and keep clean.

REPEAT 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 soiled shower curtain in shared bathroom. Detail cleaning needed. Keep clean.

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

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 the facility without V & D plan and kit on site. Obtain items required, have available for such an event.

15A NCAC 18A .1607 All floors shall be kept clean and in good repair.- Observed flooring under beds, in bedrooms need detail cleaning and keep clean.

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 loose toilet seats in both bathrooms. Observed stain shower floor and minor damage on exterior side of the tub. repair needed.

15A NCAC 18A .1617 (b) Clean bed linen in good repair shall be provided for each resident and shall be changed when no longer clean.- Observed soiled bed linen in two bedrooms next to each other. Changing/cleaning needed and keep clean.

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. - New rule- Observed the facility without vomit and diarrhea written plan. EHS provided the poster and the facility will gather the supplies and have available for such an event.

Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed loose toilet seat in one of bathroom. Need repair.

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 on linen bed sheet in one of a single room, need repair and keep in good repair.

Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed debris build up inside of garden tub located in room 1.

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 walls, baseboards, and doorframes throughout facility.

Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b). Observed linen in need of changing / replacing inside bedroom / stains and damage observed.

REPEAT The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed ceiling in need of repair throughout.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed ceiling damage in rooms in need of repair and touch-up paint.

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

All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Observed furnishings in need of general cleaning throughout. Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b). Observed soiled sheets in bedrooms in need of removal / replacing.

All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607. Observed base boards in bedrooms having collected debris on surfaces(bed bug) fecal matter in need of removal.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed wall outlet covers missing / damaged throughout rooms; Observed corners of walls covered in (bed bug) fecal matter and dead bed bugs in need of removal.

Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b). Observed window sills having bed bug fecal matter collected on surfaces in need of removal / cleaning; observed touch-up paint needed on sills throughout.

Effective measures shall be taken to keep insects, rodents, and other vermin out of the residential care facility and to prevent their breeding, harborage, or presence on the premises. 15A NCAC 18A .1615 (a). Observed live and dead bed bugs throughout bedrooms in need of immediate treatment.

Observed toilets stained. Observed residue around faucet in bathroom (double sinks). Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed stains on comforter or debris in beds in bedrooms. All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Observed floor needing to be cleaned in room with candles. Observed front porch ramp rusted near concrete. All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Observed ceiling discolored in double occupancy room and ceiling peeling in kitchen around vent and above cabinets. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Repair kitchen drawer near oven/stove. Tightly secure loose edge of laminate on side of kitchen counter top or paint area where laminate is missing. 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 spots on resident mattress. Repair or replace damaged door on tv night stand in resident room or just remove door at hinge area of tv night stand. Replace damaged chair in resident room. Replace broken/damaged window blinds 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 at entrance to main bathroom in hallway area. Clean spots on carpet in resident room. Repair ramp at front entrance. All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Patch holes in walls behind doors. Repair lower section of wall in office area near french doors. Replace missing electrical outlet covers in office area. Touch-up paint/repaint throughout where needed The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed hand sink in master bath collecting pink residue. Observed master bath shower basin dirty. Observed toilets in master and hall bathroom fixture collecting rust. Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed bed springs worn on back left bedroom. 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 siding of counter tops damagedRepeat Non Compliance: Observed fridge gaskets collecting debrisObserved damaged spatula in kitchen drawer. Observed leak in kitchen disposal**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).

Repeat Non Compliance: Observed hand bar brackets on tub and toilet rusting. Repeat Non Compliance: Observed calcium collecting on shower head**Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Repeat Non Compliance: Observed furniture damaged in front bonus room, damaged tv stand back left bedroom.Repeat Non Compliance: Observed hole in bed spread in back right double 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).

Repeat Non Compliance: Observed cobwebs in hall restroom, restroom with double bed, and in bedrooms.Repeat Non Compliance: Observed wall repairs not complete in kitchen over exhaust hood. Observed slight hole in wall in back left bedroom near TV.**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 hand bar brackets on tub and toilet rusting.-Observed calcium residue collecting on shower head.**Toilet; handwashing; bathing; and laundry facilities shall be kept clean and in good repair. See rule .1610 (a).

-Repeat non-compliance: Observed furniture damaged in front bonus room.-Observed dresser drawers off track in multiple rooms.-Observed hole in the bed spread in the bedroom farthest from the hall restroom.-Observed the blinds in disrepair in the bedroom closest to the hall restroom.All furniture; mattresses; curtains; draperies; and other furnishings shall be kept clean and in good repair. See rule .1617 (a).-Observed sheets stored on the floor of the hall closet.Clean linen shall be stored and handled in a sanitary manner and separate from soiled linen. 15A NCAC 18A .1617 (c ).

-Observed cobwebs in the hall restroom in the ceiling area.-Observed hole in the wall of the bedroom closest to the hall restroom.The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

.Observed the light in the bedroom near the kitchen closet not working.All rooms shall be well lighted by natural or artificial means. 15A NCAC 18A .1609 (a).