CASCADE SERVICES

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 damaged/loose floor tiles around fire place in 7036I. Observed flooring duct taped in 7032D hallway. Observed stained carpets in 7036I.

General Comment: .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 in living room and laundry room in 7016I. Observed walls in need of cleaning in 7036I. Observed damaged bedroom door in 7100D.

.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 water not in temperature range in room 7104C, 7000D, 7016I, 7032D, and 7016B. Water at handwashing and bathing facilities shall be 105-116F. REPEAT VIOLATION.

.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. Observed facility has template but has not filled out questions for back up water supply plan

General Comment: .1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Observed paint chipping on crib in 7104C.

General Comment: .1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed refrigerator in 7016B needs cleaning. Observed refrigerator door shelving is damaged in 7036I.

.1311 (a) The areas interior to an institution's building or buildings shall be equipped with at least 10 foot candles of light at 30 inches above the floor. Observed light bulbs not functioning in hallway bathroom in unit 7100I. Repair. -General comment.

.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed dust accumulation to hallway wall vent in unit 7036D. -General comment.

.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 cleaning needed to flooring of tubs in units 7100I. Observed loose toilet seat in room 7032D, 7036G hallway bathroom, and hallway bathroom unit 7100I. Observed cleaning needed to toilet seat in hallway bathroom unit 7100I. Observed cleaning needed to rear bathroom in unit 7036B. Observed low water pressure to rear bathroom handsink in unit 7104G.

.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 not within required range in the following units; 80F unit 7032D, 7036 G 135F, and 131F in unit 7036D. REPEAT VIOLATION.

.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. Observed incomplete back up water supply plan. REPEAT VIOLATION.

.1316 (d) An institution's exterior premises, including parking lots, lawns, and walkways, and interior premises within the institution's building or buildings, shall be kept free of garbage, solid waste, yard trash, and pest harborages. Observed 2 bags of trash stored outside dumpster area. -General comment.

.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Observed plastic mattresses cover torn in unit 7036D. Observed staining on mattress cover in rear room of unit 7032D. Replace/Clean. -General comment.

.1319 (b) A resident's bed linens shall be changed when no longer clean. Observed staining on bed linen in room and fitted pillow case in room 7036B , on sheets in rear room of unit 7104G, and room 1 in unit 7036D. Clean.

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 carpet staining and carpet in need of repair sporadically in the following units: 7000D, 7036F, 7100I, 7100K.

.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 markings on walling, wall paper peeling, and touch up paint needed to baseboards and walling in the following units: 7000D, 7036F, 7100I, 7100K.

.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 cleaning needed to rear toilet in unit 7000D.

.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 at 98F in unit 7100I and 78F in unit 7100K.

.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. Observed incomplete back up water supply plan. EHS emailed facility back up water supply plan template.

.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Observed some cabinets off track and missing knobs in rooms sporadically throughout facility.

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. Clean carpet throughout in apartments. Repair or replace damaged carpet and flooring in apartments throughout. Tightly secure loose flooring in bathroom area and laundry room/storage areas.

.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Clean and repair walls throughout in apartments. Patch hole in wall, repair corners of walls near entrance to kitchen and hallway area and repaint. Repair leak in bathroom over shower area in 7036A. Monitor any old water stains for active leaks; and repair if needed and repaint.

.1310 (b) Light fixtures, fans, conduits, and heating, ventilation, and air conditioning vents shall be kept clean and in good repair. Thoroughly clean ceiling fan blades throughout in different apartments. Thoroughly clean wall ventilation registers and return air covers throughout in apartments. Tightly secure return air-ventilation covers to the wall. Wipe/clean light switches throughout in some apartments.

.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 some faucet fixture in apartments that have not been remodeled starting to pit. Monitor faucet fixtures on hand washing sink and replace if needed. General wiping/cleaning of toilets. Tighten loosen toilet seats. Replace missing toilet paper holder. Observed where shower curtain had came down in one apartment bathroom. Rehang shower curtain. Observed some drawer missing and damaged in/on bathroom counter cabinet. Repair and replace missing/damaged drawers.

.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Provide soap and paper towels at hand washing sinks in bathrooms. Observed paper towel missing from several bathrooms throughout in apartments.

.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 temperature max out at 119F-120F. Lori (supervisor) was having staff to turn down water heater temperature when observed in apartments,

.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. Provide a back up water supply plan addressing all the topic above.

.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Replace damaged/broken blinds in apartments. Refurbish or replace worn coffee tables and end tables in apartments.

.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Repair damaged kitchen drawers and cabinet doors. Refurbish or replace kitchen cabinet doors and cabinets. Replace missing handle on refrigeration unit door. Tighten loose handles on refrigeration unit door. Observed rust on control area of stove/oven and sides of refrigeration units throughout in several apartments. Address rust on oven/stove and side of refrigeration unit by refurbishing or replacing.

.1324 (c) Institution 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. Left Lori (supervisor) information about exclusion/restriction from work due to communicable disease or illness.

.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. Left Lori (supervisor) information about vomitus/diarrhea clean up plan.