MCLEOD CENTERS FOR WELLBEING

.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed a few stained ceiling tiles in various areas throughout hallways. Replace and check for any leaks.

.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed stained ceiling tile outside electrical room 1267. Replace. Observed scuffed/peeling walls in phone rooms. Repair.

.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed showers with soap scum, pink buildup at bottom of shower curtains. Replace/keep clean. REPEAT

.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities. Observed hot water in bathrooms throughout facility below 105F (100-101F). Ensure hot water is 105-116F.

.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed microwave with food debris in need of cleaning. REPEAT

1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair. Observed some vacant rooms being used to hang out. Keep trash and debris picked up

.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed showers with soap scum, pink mold at bottom of shower curtains. Showers with discolored grout.

.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed no soap at hand sink in area that was supposed to be center’s laundry, but is only storage. Keep soap at all hand sinks

.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed water fountains need regulating on women’s side, splattering on floor

.1315 (b) Mop basins or mop sinks shall only be used to wash mops and dispose of the water used for mopping. Observed mop sink with a lot of build-up in bottom. Keep area clean to prevent smells.

.1319 (b) Linens that are not clean shall be placed in a covered container or bag devoted to this purpose at the point of use and stored in the covered container or bag until sanitized in accordance with Paragraph (c) of this Rule to contain and minimize aerosolization of and exposure to any waste products. Such covered containers or bags shall be kept clean between uses and labeled to indicate the contents. .1319 (b) A resident's bed linens shall be changed when no longer clean. Repeat-Observed soiled bedding in 2 rooms. Repeat-Observed linens (washcloths) left in common bathrooms. .1319 (b) Linens that are not clean shall be placed in a covered container or bag devoted to this purpose at the point of use and stored in the covered container or bag until sanitized in accordance with Paragraph (c) of this Rule to contain and minimize aerosolization of and exposure to any waste products. Such covered containers or bags shall be kept clean between uses and labeled to indicate the contents.

.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed microwave with food splatters.

.1324 (d) The institution 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 institution 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. Gave hand-out

.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed no hand soap at dining area hand sink.

.1319 (b) A resident's bed linens shall be changed when no longer clean. Observed soiled bedding in 2 rooms. Observed linens left in common bathrooms. .1319 (b) Linens that are not clean shall be placed in a covered container or bag devoted to this purpose at the point of use and stored in the covered container or bag until sanitized in accordance with Paragraph (c) of this Rule to contain and minimize aerosolization of and exposure to any waste products. Such covered containers or bags shall be kept clean between uses and labeled to indicate the contents.

.1319 (c) Linens provided by the institution that are not clean shall be cleaned and sanitized in accordance with this paragraph. When hot water in washing machines is used to sanitize linens provided by the institution, the washing machines shall be operated in accordance with the manufacturer's instructions. When chemicals are used to sanitize linens provided by the institution, linens shall be washed in accordance with the following: (1) using a solution of at least 50 parts per million chlorine; or (2) using laundry sanitizer that is registered in accordance with 40 C.F.R. 152 and that is used in accordance with the manufacturer's instructions. Observed machines for laundry chemicals not set up yet. Use bleach at min 50 ppm until chemical dispensers are installed.

.1321 (a) All food and food supplies provided by an institution for consumption by residents shall be from approved sources, stored, and handled as set forth in 15A NCAC 18A .2600. Observed apples in grab n go basket. Facility has no kitchen area to wash apples. Provide fruit with inedible skins or have food vendor supply washed, individually bagged apples.

.1324 (d) The institution 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 institution 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 no vomiting and diarrheal clean up plan.