LAKEFRONT NURSING & REHABILITATION CENTER

NO EVIDENCE OF RODENT OR INSECT OUTER OPENINGS PROTECTED/RODENT PROOFED, A WRITTEN LOG SHALL BE MAINTAINED AVAILABLE TO THE INSPECTORS - Comments: OBSERVED EXIT DOOR IN THE MECHANICAL/ELECTRICAL ROOM OF THE KITCHEN, NOT RODENT PROOFED. 1/4" GAP AT THE BOTTOM OF THE DOOR. INSTRUCTED TO INSTALL PROPER THRESHOLD TO PREVENT RODENT ENTRY AND MAINTAIN. SERIOUS VIOLATION 7-38-020.

FOOD IN ORIGINAL CONTAINER, PROPERLY LABELED: CUSTOMER ADVISORY POSTED AS NEEDED - Comments: OBSERVED FOOD CONTAINERS IN THE DRY STRORAGE AND KITCHEN NOT LABELED, (SUGAR, FLOUR, ETC.) INSTRUCTED TO LABEL AND MAINTAIN

FOOD AND NON-FOOD CONTACT SURFACES PROPERLY DESIGNED, CONSTRUCTED AND MAINTAINED - Comments: OBSERVED RUST ON STORAGE RACKS IN THE DRY STORAGE AREA, KITCHEN WHERE CLEAN POT & PANS ARE STORED, AND WALK-IN COOLER. INSTRUCTED TO REPAIR RACKS SO THEY ARE SMOOTH AND EASILY CLEANABLE. ALSO DEFROST DEEP FREEZER ON WEST WALL IN PREP AREA AND MAINTAIN ALL.

FOOD AND NON-FOOD CONTACT EQUIPMENT UTENSILS CLEAN, FREE OF ABRASIVE DETERGENTS - Comments: OBSERVED HOT WATER KNOB ON DISH MACHINE SINK MISSING. INSTRUCTED TO REPAIR AND MAINTAIN.

FLOORS: CONSTRUCTED PER CODE, CLEANED, GOOD REPAIR, COVING INSTALLED, DUST-LESS CLEANING METHODS USED - Comments: OBSERVED FLOORS NOT CLEANED IN THE FOLLOWING AREAS; DRY STORAGE, WALK IN COOLER, UNDER HEAVY EQUIPMENT IN THE PREP AREA, AND OBSERVED STANDING WATER IN THE MECHANICAL/ELECTRICAL ROOM. INSTRUCTED TO DETAIL CLEAN AND MAINTAIN ALL.

WALLS, CEILINGS, ATTACHED EQUIPMENT CONSTRUCTED PER CODE: GOOD REPAIR, SURFACES CLEAN AND DUST-LESS CLEANING METHODS - Comments: OBSERVED WALLS NOT CLEANED IN THE FOLLOWING AREAS; PREP AREA, RESIDENTS SEATING AREA. STAINED CEILING TILES IN THE FOLLOWING AREA; RESIDENT SEATING AREA. INSTRUCTED TO CLEAN, REPAIR AND MAINTAIN ALL.

LIGHTING: REQUIRED MINIMUM FOOT-CANDLES OF LIGHT PROVIDED, FIXTURES SHIELDED - Comments: OBSERVED A MISSING LIGHTS IN THE PREP AND DRY STORAGE AREAS. INSTRUCTED TO INSTALL WORKING LIGHTS AND MAINTAIN ALL.

SANITIZING RINSE FOR EQUIPMENT AND UTENSILS: CLEAN, PROPER TEMPERATURE, CONCENTRATION, EXPOSURE TIME - Comments: OBSERVED LT DISH MACHINE UNABLE TO SANITIZE PROPERLY DUE TO MACHINE MALFUNCTIONING DURING INSPECTION. SPARKS BEGIN TO FLY FROM OUT OF THE MACHINE WHILE IN USE (WITNESSED BY SANITARIAN, ADMINISTRATOR AND CERTIFIED MANAGER) MACHINE WAS TURNED OFF AND REPAIRMAN WAS CONTACTED FOR SERVICE. INSTRUCTED STAFF TO DISCONTINUE USE AND USE THE 3-COMP SINK TO WASH, RINSE AND SANITIZE, UNTIL MACHINE IS REPAIRED. MACHINE TAGGED. CRITICAL VIOLATION 7-38-030.

NO EVIDENCE OF RODENT OR INSECT OUTER OPENINGS PROTECTED/RODENT PROOFED, A WRITTEN LOG SHALL BE MAINTAINED AVAILABLE TO THE INSPECTORS - Comments: OBSERVED EXIT DOOR IN THE MECHANICAL/ELECTRICAL ROOM OF THE KITCHEN, NOT RODENT PROOFED. 1/4" GAP AT THE BOTTOM OF THE DOOR. INSTRUCTED TO INSTALL PROPER THRESHOLD TO PREVENT RODENT ENTRY AND MAINTAIN. SERIOUS VIOLATION 7-38-020.

FOOD IN ORIGINAL CONTAINER, PROPERLY LABELED: CUSTOMER ADVISORY POSTED AS NEEDED - Comments: OBSERVED FOOD CONTAINERS IN THE DRY STRORAGE AND KITCHEN NOT LABELED, (SUGAR, FLOUR, ETC.) INSTRUCTED TO LABEL AND MAINTAIN.

FOOD AND NON-FOOD CONTACT SURFACES PROPERLY DESIGNED, CONSTRUCTED AND MAINTAINED - Comments: OBSERVED RUST ON STORAGE RACKS IN THE DRY STORAGE AREA, KITCHEN WHERE CLEAN POT & PANS ARE STORED, AND WALK-IN COOLER. INSTRUCTED TO REPAIR RACKS SO THEY ARE SMOOTH AND EASILY CLEANABLE. ALSO DEFROST DEEP FREEZER ON WEST WALL IN PREP AREA AND MAINTAIN ALL.

FOOD AND NON-FOOD CONTACT EQUIPMENT UTENSILS CLEAN, FREE OF ABRASIVE DETERGENTS - Comments: OBSERVED HOT WATER KNOB ON DISH MACHINE SINK MISSING. INSTRUCTED TO REPAIR AND MAINTAIN.

FLOORS: CONSTRUCTED PER CODE, CLEANED, GOOD REPAIR, COVING INSTALLED, DUST-LESS CLEANING METHODS USED - Comments: OBSERVED FLOORS NOT CLEANED IN THE FOLLOWING AREAS; DRY STORAGE, WALK IN COOLER, UNDER HEAVY EQUIPMENT IN THE PREP AREA, AND OBSERVED STANDING WATER IN THE MECHANICAL/ELECTRICAL ROOM. INSTRUCTED TO DETAIL CLEAN AND MAINTAIN ALL.

WALLS, CEILINGS, ATTACHED EQUIPMENT CONSTRUCTED PER CODE: GOOD REPAIR, SURFACES CLEAN AND DUST-LESS CLEANING METHODS - Comments: OBSERVED WALLS NOT CLEANED IN THE FOLLOWING AREAS; PREP AREA, RESIDENTS SEATING AREA. STAINED CEILING TILES IN THE FOLLOWING AREA; RESIDENT SEATING AREA. INSTRUCTED TO CLEAN, REPAIR AND MAINTAIN ALL.

LIGHTING: REQUIRED MINIMUM FOOT-CANDLES OF LIGHT PROVIDED, FIXTURES SHIELDED - Comments: OBSERVED A MISSING LIGHTS IN THE PREP AND DRY STORAGE AREAS. INSTRUCTED TO INSTALL WORKING LIGHTS AND MAINTAIN ALL.

FOOD AND NON-FOOD CONTACT SURFACES PROPERLY DESIGNED, CONSTRUCTED AND MAINTAINED - Comments: OBSERVED BROKEN DOOR GASKET ON 2-DOOR AND 1-DOOR REACH IN COOLERS IN THE KITCHEN, RUST ON STORAGE RACKS IN THE DRY STORAGE AREA. INSTRUCTED TO REPAIR GASKET, AND REPAIR RACKS SO THEY ARE SMOOTH AND EASILY CLEANABLE AND MAINTAIN.

FOOD AND NON-FOOD CONTACT EQUIPMENT UTENSILS CLEAN, FREE OF ABRASIVE DETERGENTS - Comments: OBSERVED FOOD AND DEBRIS ON THE INTERIOR OF THE ALL UPPER AND LOWER CABINETS IN THE KITCHEN, INSTRUCTED TO CLEAN, SANITIZE AND MAINTAIN

FLOORS: CONSTRUCTED PER CODE, CLEANED, GOOD REPAIR, COVING INSTALLED, DUST-LESS CLEANING METHODS USED - Comments: OBSERVED DIRTY FLOORS IN THE FOLLOWING AREAS; UNDER THE EXPOSED HAND SINK BY THE 1-COMP SINK, UNDER THE 2-COMP SINK, UNDER THE DISHMACHINE, DRY STORAGE ROOM, AND THE JANITORS CLOSET ACROSS FROM STAFF TOILET ROOMS. INSTRUCTED TO CLEAN, SANITIZE AND MAINTAIN.

WALLS, CEILINGS, ATTACHED EQUIPMENT CONSTRUCTED PER CODE: GOOD REPAIR, SURFACES CLEAN AND DUST-LESS CLEANING METHODS - Comments: OBSERVED DIRTY WALL BEHIND 3-COMP SINK, HOLE IN THE WALL IN THE JANITOR'S CLOSET BY THE MOP SINK. WATER STAINS ON THE CEILING OF THE WOMENS TOILET ROOM, AND MISSING WALL TILE IN SAME TOILET ROOM. INSTRUCTED TO REPAIR AND MAINTAIN.

VENTILATION: ROOMS AND EQUIPMENT VENTED AS REQUIRED: PLUMBING: INSTALLED AND MAINTAINED - Comments: MISSING STOPPERS FOR 2-COMP SINK, INSTRUCTED TO PROVIDE AND MAINTAIN.

PREMISES MAINTAINED FREE OF LITTER, UNNECESSARY ARTICLES, CLEANING EQUIPMENT PROPERLY STORED - Comments: OBSERVED CLUTTER IN THE JANITORS CLOSET ACROSS FROM THE STAFF TOLIET ROOMS, INSTRUCTED TO REMOVE ITEMS SIX INCHES OFF FLOOR TO PREVENT RODENT HARBORAGE AND MAINTAIN.

FOOD HANDLER REQUIREMENTS MET - Comments: FOOD HANDLER REQUIREMENTS NOT MET. INFORMATION PROVIDED.

ADEQUATE NUMBER, CONVENIENT, ACCESSIBLE, DESIGNED, AND MAINTAINED - Comments: #11- NO RUNNING HOT WATER NOR WATER HANDLES(HOT/COLD WATER) PROVIDED AT EXPOSED HAND SINK IN THE DISH ROOM BY THE DISH MACHINE.SINK IS USED FOR" EYES WASHING STATION",COLD WATER TEMPERATURE AT 68.9F,HOWEVER SOAP AND PAPER TOWELS ARE PROVIDED AT SAID SINK. INSTRUCTED TO WASH HAND AT OTHER SINK IN PREP AREA. INSTRUCTED TO PROVIDE HOT RUNNING WATER AND HANDLES AT SAID EXPOSED HAND SINK FOR PROPER HAND WASHING TO MINIMIZE CONTAMINATION. RELOCATE EYES WASHING STATION IN DIFFERENT PART OF THE KITCHEN CRITICAL VIOLATION:7-38-030

WALLS, CEILINGS, ATTACHED EQUIPMENT CONSTRUCTED PER CODE: GOOD REPAIR, SURFACES CLEAN AND DUST-LESS CLEANING METHODS - Comments: LARGE HOLE ON WALL INSIDE THE CABINET OF TWO COMPARTMENT SINK AT SOUTH WALL,INSTRUCTED TO REPAIR WITH A SMOOTH CLEANABLE AND NON-ABSORBENT MATERIAL

ADEQUATE NUMBER, CONVENIENT, ACCESSIBLE, DESIGNED, AND MAINTAINED - Comments: NO RUNNING HOT WATER NOR WATER HANDLES(HOT/COLD WATER) PROVIDED AT EXPOSED HAND SINK IN THE DISH ROOM BY THE DISH MACHINE.SINK IS USED FOR" EYES WASHING STATION",COLD WATER TEMPERATURE AT 68.9F,HOWEVER SOAP AND PAPER TOWELS ARE PROVIDED AT SAID SINK. INSTRUCTED TO WASH HAND AT OTHER SINK IN PREP AREA. INSTRUCTED TO PROVIDE HOT RUNNING WATER AND HANDLES AT SAID EXPOSED HAND SINK FOR PROPER HAND WASHING TO MINIMIZE CONTAMINATION. RELOCATE EYES WASHING STATION IN DIFFERENT PART OF THE KITCHEN CRITICAL VIOLATION:7-38-030

FOOD PROTECTED DURING STORAGE, PREPARATION, DISPLAY, SERVICE AND TRANSPORTATION - Comments: FOOD(ICE) NOT PROTECTED DURING STORAGE. FOUND INTERIOR OF ICE MACHINE WATER RESERVOIR WITH PINK/BROWN SLIME SUBSTANCE DRIPPING INTO WATER WHERE ICE IS MADE.BROWN SUBSTANCE AT FRONT PLASTIC DIVIDER,INSTRUCTED TO CLEAN,SANITIZE AND MAINTAIN UNIT. FOUND AN ICE MACHINE STORED INSIDE THE MECHANICAL ROOM,BY DIRTY STAINED LARGE PIPES, WHICH SOME OF THE WRAP PIPES ARE BROKEN,BY CHEMICAL CONTAINERS.WALL DEBRIS ON TOP THE ICE MACHINE.INSTRUCTED TO RELOCATE UNIT IN DIFFERENT LOCATION,POSSIBLE OF PREP AREA.UNIT IN QUESTION IN USE AND ICE IS FOR HUMAN CONSUMPTION / RESIDENTS. SERIOUS VIOLATION:7-38-005(A)

POTENTIALLY HAZARDOUS FOOD PROPERLY THAWED - Comments: IMPROPER METHOD OF THAWING POTENTIALLY HAZARDOUS FOOD..FOUND A METAL PAN WITH WATER AND TWO EACH PREP-PACKAGED LUNCH MEAT(HAM AND BOLOGNA) DEFROSTING INSIDE THE TWO COMPARTMENT SINK.WATER TEMPERATURE AT 100.1F AND ONE PACKAGE OF SLICED HAM AT TEMP OF 51.5F TO 55.8F.FOOD DISCARDED AND DENATURED. COOK STATED:WATER TO DEFROSTING FOOD WAS TAKEN FROM COFFEE MACHINE. INFORMATION GIVEN ON HOW TO PROPERLY THAW POTENTIALLY HAZARDOUS FOOD. POUNDS 1,VALUE 2 SERIOUS VIOLATION:7-38-005(A)

FOOD AND NON-FOOD CONTACT SURFACES PROPERLY DESIGNED, CONSTRUCTED AND MAINTAINED - Comments: A GARDEN HOSE ATTACHED ON CEILING IS DISCHARGING WATER INSIDE THE EXPOSED HAND SINK BY THE STOVE.OBSERVED EMPLOYEE HAVING DIFFICULTY WASHING HANDS. INSTRUCTED TO REMOVE AND REPLACE,DISCHARGE WATER MUST DRAIN ON FLOOR DRAIN METAL SHEET UNDER THE WASTE PIPE INSIDE THE DRY FOOD STORAGE IS BROKEN/HOLE,ALSO AT NORTH-WEST AREA WASTE WATER PIPE NOT PROTECTED,INSTRUCTED TO WRAP SAID PIPE WITH A SMOOTH CLEANABLE AND NON-ABSORBENT MATERIAL.

FOOD AND NON-FOOD CONTACT EQUIPMENT UTENSILS CLEAN, FREE OF ABRASIVE DETERGENTS - Comments: DUST BUILD UP ON WATER PIPE BEHIND THE ICE MACHINE.INSTRUCTED TO CLEAN AND MAINTAIN

WALLS, CEILINGS, ATTACHED EQUIPMENT CONSTRUCTED PER CODE: GOOD REPAIR, SURFACES CLEAN AND DUST-LESS CLEANING METHODS - Comments: BROKEN AND BUBBLED CEILING WALLS ABOVE THE WALK-IN COOLER AND FREEZER.ALSO BLACK DUST ON CEILING AT SAME AREA,INSTRUCTED TO REPAIR BROKEN WALLS WITH A SMOOTH,CLEANABLE AND NON-ABSORBENT SURFACE. LARGE HOLE ON WALL INSIDE THE CABINET OF TWO COMPARTMENT SINK AT SOUTH WALL,INSTRUCTED TO REPAIR WITH A SMOOTH CLEANABLE AND NON-ABSORBENT MATERIAL.

NO SMOKING REGULATIONS - Comments: SMOKING IN PUBLIC PLACE. WE(MANAGER AND I) OBSERVED RESIDENTS SMOKING IN A ROOM IN BASEMENT AREA,POSTED ON DOOR SMOKING SCHEDULE/CLASS ROOM.OBSERVED INSIDE THE ROOM,CIGARETTE BUTTS AND CIGARETTE ASHES ON FLOOR, POOR VENTILATION, STRONG SMELL OF CIGARETTE THROUGHOUT THE PREMISES, INCLUDED KITCHEN,WASHROOMS AND FIRST FLOOR. KITCHEN IS LOCATED AT SAME FLOOR NOT TO FAR FROM KITCHEN.WE(MANAGER AND I)OBSERVED ONE CIGARETTE BUTT BEHIND THE DOOR THAT GOES TO REAR STAIRCASE ANS ONE CIGARETTE BUTT ON REAR STAIR CASE.INSTRUCTED TO CLEAN AND MAINTAIN FLOORS. FIRST OFFENSE FOR 2015.SMOKING IN PUBLIC PLACE IS PROHIBITED. VIOLATION OF CLEAN INDOOR AIR ORDINANCE:7-32-015 .

NO SMOKING REGULATIONS - Comments: NO "NO SMOKING" SIGN POSTED AT ANY ENTRY OF PREMISES.MANAGEMENT WAS INSTRUCTED TO POST SIGNS OF NO "NO SMOKING" ON THE DOOR THAT IS BEING USED AS A SMOKING ROOM FOR RESIDENTS."NO SMOKING" SIGN MUST BE POSTED AT EVERY ENTRY. FIRST OFFENSE FOR 2015. CLEAN INDOOR AIR ORDINANCE VIOLATION:7-32-020(A)

NO SMOKING REGULATIONS - Comments: REMOVAL OF ASHTRAYS.OBSERVED 3 LARGE FLOOR ASHTRAYS WITH CIGARETTE BUTTS IN THEM. INSTRUCTED TO MANAGER TO REMOVE ALL THE ASHTRAYS FROM INSIDE THE BUILDING AND PROVIDE IT OUTSIDE IN SMOKING AREA 15 FEET AWAY FROM ENTRANCES/EXIT.ALL ASHTRAYS SHALL BE REMOVED FROM ANY AREA WHERE SMOKING IS PROHIBITED FIRST OFFENSE FOR 2015. CLEAN INDOOR AIR ORDINANCE VIOLATION:7-32-020(C).