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General Comment: 15A NCAC 18A .1611 (d) Residential care facilities shall provide water heating facilities. Hot water shall be provided at temperatures between 105F and 116F at handwashing and bathing facilities.- Observed the hot water temperature in the bathrooms range between 98F-101F. CDI- Water temperature corrected during the visit at 105.1F.

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 with diarrhea and vomiting poster, however without the kit. The facility is ordering the kit and it will be delivered today.

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.