YORKE COTTAGE

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 some build up in bathrooms. Needs cleaning.

15A NCAC 18A .1620 (a) All TCS food shall be maintained at temperatures required by Part 3-501.16 of the Food Code, incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2653, during storage, preparation, transportation, display, and service of the TCS food. Time as a public health control as set forth in Part 3-501.19 of the Food Code incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2653, may be used, except that written procedures shall not be required. Observed refrigerator reading 47F in kitchen. Food temperature was slightly elevated (43F). Refrigerator was set on lowest setting and EHS had arrived shortly after breakfast. Ensure refrigerator is operating properly and move food out if temperature cannot be maintained.

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 residue build up inside of handsink in room 1. Clean. Observed toilet in need of cleaning in room 6.

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. EHS emailed facility new required procedure plan, updated rules, and employee health policy. -General comment.

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 residents without individual towels at handsink in their personal bathroom.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed hole in all meditation room.

All surfaces with which food or drink comes in contact shall be easily accessible for cleaning, nontoxic, corrosion-resistant, nonabsorbent, and free of open crevices. 15A NCAC 18A .1618 (a). Observed rusted shelving inside the empty freezer at this time. Shelving need repair, repaint or replace. 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 dirty microwave and very soiled oven in the kitchen are in need of deep cleaning, and maintain clean.

Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed some toilet is missing floor caps on the bottom, exposed metal rod screws. Need repair/cover with caps.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed damaged wall in common area, need some touch up and paint.

Cooking surfaces of equipment, if any, shall be cleaned at least once each day. 15A NCAC 18A .1618 (c ). Observed food debris in microwave.

Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed spring loaded faucet with short run times (less than 5 seconds) in rooms #1; #2; #3; & #4. All toilet need thorough cleaning throughout the cottage. Re-caulk toilet in room #6. Tighten toilet flush button on wall in room #4. Observed what appears to look like dried urine around toilet in room #4.

All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Repair or replace damaged (tears in chairs) chair in common area. Observed completely torn mattress in room #2 and dirty linen on bed in room #3. Observed no sheets on bed in rooms #5 & #6. Both residents (children) stated that they did not want sheets on their beds.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Touch up paint needed in room #2 & #3

All rooms shall be well lighted by natural or artificial means. 15A NCAC 18A .1609 (a). Observed busted night light in room #2 and dim toilet light in room #2.

Clean food debris out of microwave. Clean and wipe down all shelving in kitchen cabinetry. Clean buildup on kitchen cabinetry.

Observed mold around trim at bottom of shower in room #1 Adjust faucet in sinks to run longer that 2 seconds to allow adequate handwashing. Timed faucet between 2 to 5 seconds. Sink in bathroom in room #5 has rust around bottom.

Repair holes or replace chairs in common area. Observed buildup of dust on molding/trim. Wipe down molding/trim around walls.

Clean (shampoo) rug in common area. Observed dingy rug.

Replace missing cover on nightlight in room #1 & #6 Observed chipped paint on door trims throughout; spot paint door trims. Adjust door hinges in each bedroom to allow easy access to bathroom. Doors in rooms #4; #5; & #6 hinges are either loose or uneven not allowing the door to close and stick when opened. Door in room #4 is jammed and requires a work-order. Door will not open.

Acceptable storage facilities include residential kitchen cabinets, which should be kept clean and free of vermin. 15A NCAC 18A .1618 (i). Observed kitchen cabinets need wiping out. 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 hood is rusted

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 paper towels available. Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed toilets, showers, including shower walls, sinks in bathroom need more frequent cleaning. Hand sink turned off in rooms 5 and 6.Sink rusted room 5

Clean linen shall be stored and handled in a sanitary manner and separate from soiled linen. 15A NCAC 18A .1617 (c ). Observed dirty clothes on the floor in several rooms Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b). Bedding including pillows shall be washed when soiled. Observed sheets and pillows soiled.

All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607. Observed floors dirty under/behind large bins in pantry. Appliances need cleaning of food debris. Floors need mopping in bathrooms as well as the rest of the bedroom, including under desk.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed walls need cleaning of grime, paint and other unknown smears.

Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed dirty bathrooms throughout. Clean grouts and food and other debris off shower floor. Observed serveral bathroom mirrors missing. Repair damage wall and holes in ceiling in room 5

Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b). Observed stains on pillow with no pillow case in room 1. Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b). Onserved stains and crumbs on bed linen in serveral rooms.

All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607. Observed rubbish on floor in common area. Observed buildup and dirt around the base of the wall in all of the showers and bathrooms.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed visibly dirty walls in need of cleaning. Observed broken night lights affixed to wall in room 3. Repair holes in the ceiling in room 5.

-Observed the majority of the cabinet doors with residue. -Observed shelves inside of the cabinets and inside of the refrigerator with residue. -Observed the microwave rusting inside around the frame. 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 pink buildup on several of the shower heads. Clean. Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). -Observed no soap and towels at any of the hand washing sinks in the bathrooms. **Each resident will be provided soap and individual towels. These towels will be stored separately after being used. 15A NCAC 18A .1610 (b).

Observed stains on pillow and pillow cases in room 2. 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 residue on the restroom walls in room 6. Clean. -Observed the columns in the living room in disrepair (plaster chipping in areas). Repair. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

-Observed the light over the shower not working. Repair to provide lighting in the shower. Room 1 All rooms shall be well lighted by natural or artificial means. 15A NCAC 18A .1609 (a). Note: Observed the light switch in the restroom broken- room 1. Repair.

Observed cabinets in kitchen needing to be cleaned. Acceptable storage facilities include residential kitchen cabinets, which should be kept clean and free of vermin. 15A NCAC 18A .1618 (i).

Observed urine on floor behind toilet in room 6. Clean sink (rm 4) and toilet in room 6. Observed rust on showerheads in rooms, 2,4,5, and 6. Observed porcelain sink chipped at bottom in room 4. Repeat. Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed wall damage above cubbie in room 3. Repeat wall issues. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed refrigerator needing to be cleaned. Acceptable storage facilities include residential kitchen cabinets, which should be kept clean and free of vermin. 15A NCAC 18A .1618 (i).

Observed bottom of hand sink in room 3 peeling/rusting. (spiderman on door) Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed wadded tissue stuck to wall in shower of unused room. Observed ceiling in shower peeling in room 3.(spiderman on door) The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed burned out light in kitchen. All rooms shall be well lighted by natural or artificial means. 15A NCAC 18A .1609 (a).

Observed unlabeled dry foods, opened packages of food not properly sealed. Eggs stored above ready to eat food. Excessive number of containers with grease accumulating in cabinet.**All foods, while being stored, prepared, served, and during transportation, shall be protected from contamination. 15A NCAC 18A .1620 (a).

Observed silverware stored in a dirty tray. Cabinets and appliances need thorough cleaning of grease and grime.**Cooking surfaces of equipment, if any, shall be cleaned at least once each day. 15A NCAC 18A .1618 (c ).**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 ).**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).

Observed scale build up on shower heads.**Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Observed unlabeled container of detergent? Label anything not in its original container.

Observed minor damage to walls and paint.**The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Observed grout with residue and discolored in some bathrooms, the toilet was dirty in room 4, Some sink push faucets did not function for at least 15 seconds, and the shower head with pink/brown residue in rooms 1, 5,6.**Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).Observed no soap a nd paper towels in any of the restrooms. **Each resident will be provided soap and individual towels. These towels will be stored separately after being used. 15A NCAC 18A .1610 (b).

Observed the play structure on the playground was in dis-repair.**All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Observed the walls in some bedrooms and bathrooms needed cleaning (rooms 3, 5), some door casings with damaged paint, and the window apron was missing in room 4.**The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.