MIRACLE HOUSES-SWEARINGAN

Observed door to bedroom 4 in need of repair. Observed wall in need of repair in the bathroom, bedroom 1/2 and the living room. **15A NCAC 18A .1608 (b) Wall and ceiling attachments, such as light fixtures, fans, and vent covers, shall be kept in good repair.

Observed dresser in need of repair in bedroom 4 and 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.

Observed kitchen cabinets in need of repair. **15A NCAC 18A .1618 (a) All food service equipment and utensils shall be kept in good repair.

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 broken dresser in double bedroom. Observed damaged cabinets in kitchen. Needs repair.

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 plan. EHS emailed a copy.

All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Observed dresser and night stand missing handles in bed 4. Observed blinds broken in Staff bathroom. Observed worn couch cushion in living area. Observed broken bed frame and dresser in 1/2 bedroom. Needs repair. Observed damage to kitchen cabinets. Manager stated the order has been made to have kitchen cabinets and back porch replaced.

All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607. Observed ripped carpet in bedroom 4. Observed missing carpet in area behind dresser in 1/2 bedroom. Observed damaged tile in staff bath and laundry room. Needs repair.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed scuffs on walls throughout living area. Observed cracks on wall in 1/2 bedroom. Observed damaged walls in garage space. Observed vynil siding loose on back of house. Needs repair.

REPEAT 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 rusted and peeling paint on microwave. Need repair or replace.

All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Observed damaged black leather couches in the living room and table in the kitchen. Need repair or replace and keep in good 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 damaged pillow with holes pillow case and pillow. Need replacement, and keep in good repair.

REPEAT All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607. Observed missing transitional between the closet and floor, along the edges of the floor in bedrooms, leaving long gaps all along. Need repair and seal all gaps. Observed damaged carpet, need repair/replace. Observed displaced tile in staff bathroom, need repair. Keep all floor in good repair.

REPEAT The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed patched damage wall behind the door in one of bedroom. Touch up and repaint.

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 cabinets throughout kitchen damaged and in need of repair.

All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607. Observed carpet damaged throughout (ripped, rolled up, wore out) in need of repair.

REPEAT The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed scuffs on walls throughout home 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 mattress on the left hand side down across from the front door with a hole. Observed comforter in the shared room with a large tear. Observed stain on the curtains in the restroom. Observed couch in the front room tearing.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed cracks and scuffs on walls throughout.

Observed package of raw pork chops stored with drinks in refrigerator. Keep all raw foods separate from ready to eat food and drinks. All foods, while being stored, prepared, served, and during transportation, shall be protected from contamination. 15A NCAC 18A .1620 (a).

Observed toilet seat peeling 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 and sheet in bedroom closest to staff bathroom and stain on sheet on tall bed. 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 damage in bedroom with 2 beds and main bathroom around sink and behind/near toilet. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed damaged kitchen counter top and hole in kitchen cabinet door. Repair kitchen counter top and repair or replace damaged kitchen cabinet door. Wipe/clean exterior of cabinet door. Wipe/clean gasket on refrigeration unit door and shelving in refrigeration unit. Monitor and replace damaged dry food storage shelving. Thoroughly clean utensil shelving and base of utensil bins in kitchen. Observed utensil shelving soiled and debris in base of utensil bin. Clean area around top of door to dish machine. Repair or replace damaged utensil shelving in cabinet area. 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).

Replace damaged toilet seats in bathrooms. Provide correct toilet seat for toilet in bathroom near living room area. Replace damaged shower curtain. Thoroughly clean toilet in room that is not being used. Replace pitted faucet fixture on hand washing sink. Toilet, hand washing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Replace damaged window blinds, mattress, foot board and box spring in resident room. Thoroughly clean or replace stained and damaged pillow in resident room. Observed stained and damaged linen on resident bed and pillow. Change linen on beds and pillow regular and when visibly soiled. Clean area under couch cushions. Thoroughly clean chairs to dining room table. Repair covering on chairs to dining room tables or replace. 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).

Repair transitional molding at entrance to resident room and remove protruding nail. Secure loose shoe molding in hallway area. Install transitional floor molding at entrance to bathroom within resident room. Clean spot on carpet. All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Patch hole in wall in resident room. Secure loose door framing. Repair wall behind toilet in bathroom near living room area. Clean edge of front door, wall beside toilet, door framings, wall in resident rooms, light switch covering. Finish repairs around window in bathroom within resident room that is not being used at this time. Patch hole in closet door or replace. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Repair ventilation duct work in closet area within resident room. Thoroughly clean ceiling fan blades in living room area. Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b).

Observed opened boxes of cereal in medication closet. Observed opened packages of dry food products in cabinet area throughout kitchen. Store opened bags/boxes of dry food products in sealable containers, labeled and kept clean. All foods, while being stored, prepared, served, and during transportation, shall be protected from contamination. 15A NCAC 18A .1620 (a).

Observed damaged shelving under kitchen two compartment sink, damaged and missing drawer and cabinet doors. Replace damaged shelving under two compartment sink. Remove rotten/damaged boards, then place new board down. Repair cabinet and drawer doors throughout kitchen. Observed utensil/equipment storage areas soiled. Thoroughly clean utensil shelving and base of utensil/equipment drawers in kitchen. Clean utensil/equipment shall be stored in or on clean area and in a manner to prevent contamination. Replace utensil shelving which particle board is breaking and flaking onto other 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). Utensils shall be handled in such a manner as to prevent contamination. 15A NCAC 18A .1618 (f).

Replace damaged toilet seats in bathroom. Observed laminate/covering coming off of toilet seats in two out of three bathrooms. Observed damaged cabinet doors in bathroom. Observed base of drawers in bathrooms soiled. Repair cabinet doors and clean base of drawers. PROVIDE SOAP AND PAPER TOWELS AT ALL HAND WASHING SINKS AT ALL TIMES. Today no paper towels at hand washing sinks throughout house.Clean area around lid 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, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Replace damaged chairs, couch and foot stool in living room area. Replace damaged box spring and thoroughly clean stains from mattresses in rooms. Replace broken/damaged window blinds in rooms. Replace damaged dining room table chairs. Clean blood from furniture in residents rooms. All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Replace damaged carpet throughout entire house. Monitor and repair floor in kitchen area. Thoroughly clean carpet throughout in rooms. All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Patch holes in walls and doors or replace doors with holes present. Clean blood from walls and door. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. General Comment: #15. Replace roll out trash can with broken/missing lid. ****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).Diontaye Walker present at time of inspection

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

Observed interior of microwave soiled/rusted. Clean and replace microwave. Observed exterior of cabinet doors damaged throughout kitchen. Repair damaged cabinet doors throughout kitchen. Observed damaged counter top/loose laminate. Repair kitchen counter top beside oven/stove. Observed utensil shelving in cabinet area soiled. Thoroughly clean utensil shelving in cabinet area. All containers and clean utensils shall be stored in a clean place. 15A NCAC 18A .1618 (f). 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 damaged dining room table. Repair damaged leg on dining room table. Observed stained chairs to kitchen table. Clean stained chairs to kitchen table or replace. OBserved torn/damaged mattress in resident room. Replace damaged mattress. Observed stained linen on resident bed. Change linen on resident bed when visibly soiled. Observed broken/damaged window blinds. 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).

Observed damaged carpet in resident room and damaged flooring near laundry room area and bathroom. Repair damaged carpet and damaged flooring in laundry rooma nd bathroom. All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Observed damaged walls and doors throughout in resident room and closet. Repair holes in wall and repaint. Replace damaged doors throughout facility. Observed paint flaking from ceiling in resident room. Repaint ceiling in resident room. Replace damaged quarter round shoe moulding in front of bathtub/shower. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed light bulbs missing from light fixture in main living room area and bathroom. Replace missing light bulbs in light fixture. Observed rusted floor register i n bathroom. Replace rusted floor register. Observed loose and soiled return air ventilation in hallway area. Tightly secure loose return air ventilation. 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). Ms. Latasha Lanham present at time of inspection.

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

Observed interior of microwave damaged. Observed interior of dishwasher collecting residue. Observed kitchen cabinets drawers, and counter tops damaged.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 bathroom faucets in right and left hall bathrooms damaged. Observed second sink in right hall bathroom not draining. Observed shower curtain rod in right hall bathroom rusting.Toilet, hand washing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed bathroom floor damaged in left hall, right bedroom bathroom. Observed carpet damaged throughout facility.All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Observed doors damaged throughout facility.The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed window trim damaged throughout facility. Observed vent in right hallway damaged. Observed right hall left bedroom duct work in closet damaged.Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b).

Observed meat and eggs stored over milk in refrigerator.All foods, while being stored, prepared, served, and during transportation, shall be protected from contamination. 15A NCAC 18A .1620 (a).

Observed cabinet damaged throughout kitchen. Observed freezer in refrigerator icing up, ice chute in door not closing.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 cabinets damaged in hall bath. Observed hand sinks pitting in hall bath.Toilet, hand washing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed common furniture in living room area damaged.All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Observed carpet and base boards throughout facility damaged.All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Observed walls damaged in resident rooms and hallways.The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed exhaust vent in bathroom not functioning.Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b).

Observed lid on trash can missing, trash in container.All solid wastes shall be kept in durable, rust-resistant, non absorbent, 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).