CARLTON SKILLED NURSING FACILITY

INSECTS, RODENTS, & ANIMALS NOT PRESENT - Comments: OBSERVED APPROX. 50 LIVE SMALL FLYING INSECTS ON THE WALLS AND CEILING TILES OF THE FOOD PREP AREA, DISHWASHING AREA AND DRY STORAGE ROOM. ADDITIONAL PEST CONTROL SERVICE IS NEEDED TO ELIMINATE THE PEST ACTIVITY. PRIORITY FOUNDATION VIOLATION 7-38-020(A). CITATION ISSUED.

WAREWASHING FACILITIES: INSTALLED, MAINTAINED & USED; TEST STRIPS - Comments: OBSERVED NO IRREVERSIBLE REGISTERING TEMPERATURE INDICATOR IN THE PREMISES TO MEASURE THE SURFACE TEMPERATURE OF UTENSILS BEING SANITIZED IN THE HIGH TEMPERATURE DISH WASHING MACHINE. MANAGEMENT INSTRUCTED TO PROVIDE. PRIORITY FOUNDATION VIOLATION 7-38-005.

PHYSICAL FACILITIES INSTALLED, MAINTAINED & CLEAN - Comments: OBSERVED CHIPPED PAINT ON THE CEILING TRACKS ABOVE THE DISH WASHING AREA. MANAGEMENT INSTRUCTED TO SCRAPE AND REPAINT ALL CHIPPED PAINT ON THE CEILING.

PHYSICAL FACILITIES INSTALLED, MAINTAINED & CLEAN - Comments: OBSERVED DUST BUILD UP INSIDE LIGHT SHIELDS COVERS ABOVE PREP TABLES AND REAR DISHWASHING AREA. MUST CLEAN AND MAINTAIN. OBSERVED A FEW WATER DAMAGED CEILING TILES IN REAR DISHWASHER AREA. MUST REPAIR/REPLACE AND MAINTAIN.

INSECTS, RODENTS, & ANIMALS NOT PRESENT - Comments: OBSERVED APPROXIMATELY 80 MICE DROPPNGS ON FLOOR ALONG THE WALLBASE UNDERNEATH CHEMICAL STORAGE SHELVING IN REAR DISHWASHING AREA AND FLOOR UNDERNETH REAR DRY FOOD STORAGE ROOM. INSTRUCTED TO CLEAN AND SANITIZE AFFECTED AREAS. ADDITIONAL PEST CONTROL SERVICE IS NEEDED TO ELIMINATE PEST CONTROL PROBLEM. PRIORITY FOUNDATION VIOLATION 7-38-020(A). CITATION ISSUED.

PLUMBING INSTALLED; PROPER BACKFLOW DEVICES - Comments: OBSERVED LEAKING FAUCET BASE AT THE 2-COMPARTMENT SINK LOCATED IN KITCHEN FOOD PREPARATION AREA. MUST REPAIR AND MAINTAIN.

PHYSICAL FACILITIES INSTALLED, MAINTAINED & CLEAN - Comments: OBSERVED DUST BUILD UP INSIDE LIGHT SHIELDS COVERS ABOVE PREP TABLES AND REAR DISHWASHING AREA. MUST CLEAN AND MAINTAIN. OBSERVED A FEW WATER DAMAGED CEILING TILES IN REAR DISHWASHER AREA. MUST REPAIR/REPLACE AND MAINTAIN. OBSERVED WALL TILES CRACKED AND IN POOR REPAIR NEXT TO CHEMICAL STORAGE SHELVING IN REAR DISHWASHING AREA AND CRACKED FLOOR TILES IN FRONT OF WALK-IN COOLER. MUST REPAIR/REPLACE AND MAINTAIN FACILITY IN A GOOD REPAIR.

ADEQUATE VENTILATION & LIGHTING; DESIGNATED AREAS USED - Comments: OBSERVED A FEW BURN OUT BULBS ABOVE PREP TABLES IN KITCHEN FOOD PREPARATION AREA AND REAR DISHWASHER AREA. MUST REPAIR/REPLACE AND MAINTAINED.

INSECTS, RODENTS, & ANIMALS NOT PRESENT - Comments: OBSERVED APPROXIMATELY 100 MICE DROPPINGS ALONG THE BASEBOARDS AND ON LOWER DRY FOOD STORAGE SHELVING THROUGHOUT THE DRY FOOD STORAGE ROOM. INSTRUCTED TO REMOVE ALL DROPPINGS, SANITIZE ALL AFFECTED AREAS. RECOMMEND HAVING THE PEST CONTROL CO. SERVICE FOR MICE. PRIORITY FOUNDATION VIOLATION 7-38-020(A) CITATION ISSUED.

FOOD & NON-FOOD CONTACT SURFACES CLEANABLE, PROPERLY DESIGNED, CONSTRUCTED & USED - Comments: MUST NOT USE MILK CRATES AS A MEANS OF ELEVATION IN THE DRY FOOD STORAGE ROOM.

NON-FOOD/FOOD CONTACT SURFACES CLEAN - Comments: NOTED SOME RUSTY METAL RACK SHELVING IN THE WALK-IN COOLER. INSTRUCTED TO REMOVE ALL RUST, REPLACE OR RE-PAINT/SEAL.----MUST NOT USE PAPER AS LINER FOR SHELVING. SHELVING AND/OR LINERS MUST BE SMOOTH AND CLEANABLE.----NOTED THE METAL SHELVING ABOVE THE STOVE TOP WITH EXCESSIVE GREASE AND BURNT FOOD DEBRIS. INSTRUCTED TO CLEAN AND MAINTAIN.

PLUMBING INSTALLED; PROPER BACKFLOW DEVICES - Comments: MUST REMOVE EYEWASH STATION FROM THE DISH/PREP AREA HAND WASHING SINK. REVIEWED HANDWASHING STATIONS ARE FOR HAND WASHING PURPOSES ONLY.

PHYSICAL FACILITIES INSTALLED, MAINTAINED & CLEAN - Comments: NOTED MELTED PLASTIC WALL MOUNTED ELECTRICAL SOCKET AT THE KITCHEN PREP TABLE. MUST REPLACE.

PHYSICAL FACILITIES INSTALLED, MAINTAINED & CLEAN - Comments: NOTED OPEN CRACKS AND ALONG THE BASEBOARD UNDER THE RADIATOR IN THE DRY FOOD STORAGE ROOM. ALSO MISSING AND DAMAGED BASEBOARD COVING THROUGHOUT THE SAME ROOM AND ALONG THE BASEBOARDS OF THE WALK-IN COOLER AND FREEZER. INSTRUCTED TO SEAL ALL OPENINGS, REPLACE COVING.

PHYSICAL FACILITIES INSTALLED, MAINTAINED & CLEAN - Comments: NOTED WATER DAMAGED CEILING TILES IN THE DRY FOOD STORAGE ROOM. MUST REPLACE.----NOTED FLOOR THROUGHOUT THE WALK-IN FREEZER WITH UNKNOWN WHITE DEBRIS AND EXCESSIVE ICE. INSTRUCTED TO CLEAN/REMOVE.----NOTED THE WINDOW SILL ABOVE THE DISH MACHINE WITH EXCESSIVE DIRT, DEBRIS AND SPIDER WEBS. MUST CLEAN AND MAINTAIN.

PLUMBING INSTALLED; PROPER BACKFLOW DEVICES - Comments: NOTED LEAKING FAUCETS AT THE 3-COMPARTMENT SINK AND PREP SINK AT THE KITCHEN PREP AREA. ALSO NOTED SLOW DRAIN AT THE HANDWASHING BY THE DISHWASHING AREA. INSTRUCTED TO REPAIR AND MAINTAIN.

PHYSICAL FACILITIES INSTALLED, MAINTAINED & CLEAN - Comments: NOTED THE FOLLOWING:- ..DUSTY CEILING ABOVE DISHWASHER AND 3-COMPARTMENT SINK ..MULTIPLE HOLES AND OPENINGS ABOVE THE DISHWASHING MACHINE. ..STAINED CEILING TILES AND PEELING PAINT ALL AT THE SAME. INSTRUCTED TO REPAIR AND MAINTAIN. SEAL ALL HOLES AND OPENINGS TO PREVENT ENTRY POINTS FOR PEST.

ADEQUATE HANDWASHING SINKS PROPERLY SUPPLIED AND ACCESSIBLE - Comments: 6-301.14 OBSERVED NO HANDWASHING SIGNAGE IN THE MEN'S EMPLOYEE TOILET ROOM. INSTRUCTED TO PROVIDE AND MAINTAIN SAID HANDWASHING SIGNAGE.

INSECTS, RODENTS, & ANIMALS NOT PRESENT - Comments: 6-501.112 OBSERVED 1-2 DEAD INSECTS ON TRAPS AND ALONG THE FLOOR BASES IN THE FOOD PREP AREA UNDER THE THREE-COMPARTMENT SINK AND IN THE DRY FOOD STORAGE AREA. INSTRUCTED TO REMOVE DEAD INSECTS AND MAINTAIN.

INSECTS, RODENTS, & ANIMALS NOT PRESENT - Comments: 6-202.15 OBSERVED THE EXIT DOOR GOING TO THE DUMPSTER AREA WITH A SMALL OPENING AT THE BOTTOM OF THE DOOR. INSTRUCTED TO RODENT PROOF SAID DOOR AND MAINTAIN.

ADEQUATE VENTILATION & LIGHTING; DESIGNATED AREAS USED - Comments: 6-303.11 OBSERVED ONE BLOWN-OUT LIGHT BULB UNDER THE VENTILATION HOOD AND ABOVE THE COFFEE MACHINE/ HOT HOLDING UNIT, BOTH IN THE FOOD PREP AREA. INSTRUCTED TO REPAIR OR REPLACE SAID LIGHT BULBS AND MAINTAIN THEM.

ADEQUATE HANDWASHING SINKS PROPERLY SUPPLIED AND ACCESSIBLE - Comments: OBSERVED NO HANDWASHING SIGNAGE IN THE MEN'S EMPLOYEE TOILET ROOM. INSTRUCTED TO PROVIDE AND MAINTAIN SAID HANDWASHING SIGNAGE.

FOOD-CONTACT SURFACES: CLEANED & SANITIZED - Comments: OBSERVED EXCESSIVE BLACK SUBSTANCE BUILD UP ON INSIDE INTERIOR PANEL OF ICE MACHINE AND DRIPPING ONTO ICE FOR HUMAN CONSUMPTION. MUST REMOVE BUILD-UP, CLEAN, AND SANITIZE. PRIORITY FOUNDATION 7-38-005, CITATION ISSUED

INSECTS, RODENTS, & ANIMALS NOT PRESENT - Comments: OBSERVED 1-2 DEAD INSECTS ON TRAPS AND ALONG THE FLOOR BASES IN THE FOOD PREP AREA UNDER THE THREE-COMPARTMENT SINK AND IN THE DRY FOOD STORAGE AREA. INSTRUCTED TO REMOVE DEAD INSECTS AND MAINTAIN.

INSECTS, RODENTS, & ANIMALS NOT PRESENT - Comments: OBSERVED THE EXIT DOOR GOING TO THE DUMPSTER AREA WITH A SMALL OPENING AT THE BOTTOM OF THE DOOR. INSTRUCTED TO RODENT PROOF SAID DOOR AND MAINTAIN.

ADEQUATE VENTILATION & LIGHTING; DESIGNATED AREAS USED - Comments: OBSERVED ONE BLOWN-OUT LIGHT BULB UNDER THE VENTILATION HOOD AND ABOVE THE COFFEE MACHINE/ HOT HOLDING UNIT, BOTH IN THE FOOD PREP AREA. INSTRUCTED TO REPAIR OR REPLACE SAID LIGHT BULBS AND MAINTAIN.

WAREWASHING FACILITIES: INSTALLED, MAINTAINED & USED; TEST STRIPS - Comments: In hot water mechanical WAREWASHING operations, an irreversible registering temperature indicator shall be provided and readily accessible for measuring the UTENSIL surface temperature. Priority Foundation violation 7-38-005 no citation issued

PROCEDURES FOR RESPONDING TO VOMITING AND DIARRHEAL EVENTS - Comments: OBSERVED NO WRITTEN VOMITING AND DIARRHEA CLEAN UP POLICY ON PREMISES DURING TIME OF INSPECTION. INSTRUCTED TO PROVIDE A WRITTEN POLICY WITH ALL REQUIRED EQUIPMENT. PRIORITY FOUNDATION VIOLATION. NO CITATION ISSUED.

PROPER COOLING TIME AND TEMPERATURE - Comments: OBSERVED COOKED, TIGHTLY COVERED, READY TO EAT TCS FOOD IN THE WALK IN COOLER AT AN IMPROPER TEMPERATURE.(HARD BOILED EGGS AT 61.3F) ALL DISCARDED AND DENATURED. APPROXIMATELY 1 LB OF FOOD WITH AN ESTIMATED VALUE OF $5.00. PRIORITY VIOLATION. CITATION ISSUED, 7-38-005.

PROPER HOT HOLDING TEMPERATURES - Comments: OBSERVED READY TO EAT TCS FOOD BEING HELD AT IMPROPER HOT HOLDING TEMPERATURES ON SHELVING ABOVE THE STOVE. SAUSAGE AT 106.5 F, GROUND TURKEY AT 113.9 F, SAUSAGE PATTIES AT 100.6 F, EGGS AT 107.6 F, AND PANCAKES 110.5 F. INSTRUCTED MANAGER THAT TCS FOODS FOR HOT HOLDING MUST BE HELD AT THE TEMPERATURE OF 135 DEGREES OR ABOVE. MANAGER DISCARDED AND DENATURED ALL SAID FOOD ITEMS. APPROXIMATELY 5 LBS OF SAID FOOD PRODUCT AT AN ESTIMATED VALUE OF $10 DOLLARS. PRIORITY VIOLATION. SEE VIOLATION #20. FOR CITATION .

CONTAMINATION PREVENTED DURING FOOD PREPARATION, STORAGE & DISPLAY - Comments: OBSERVED A EYE WASH DEVICE ATTACHED TO THE 2 COMPARTMENT FOOD PREP SINK. INSTRUCTED TO REMOVE AND MAINTAIN. INSTRUCTED TO PROVIDE A SEPARATE SINK FOR EYE WASHING STATION.

PLUMBING INSTALLED; PROPER BACKFLOW DEVICES - Comments: OBSERVED THE FAUCET NOZZLE IN THE ONE COMPARTMENT AND TWO COMPARTMENT SINK LEAKING WATER. INSTRUCTED TO REPAIR AND MAINTAIN.

PLUMBING INSTALLED; PROPER BACKFLOW DEVICES - Comments: MISSING HOT WATER HANDLE ON THE FIRST FLOOR UTILITY MOP SINK. MUST REPLACE.

PHYSICAL FACILITIES INSTALLED, MAINTAINED & CLEAN - Comments: OBSERVED MISSING CEILING TILES AND WATER DAMAGED CEILING TILES IN THE FOLLOWING AREAS: EMPLOYEE COED WASHROOM, DRY FOOD STORAGE ROOM, AND ABOVE THE PREP TABLE NEXT TO THE THREE COMPARTMENT SINK.---- ALSO NOTED EXCESSIVE FOOD SPLATTER ABOVE THE SAME PREP TABLE.----NOTED FLOORS WITH DEBRIS AND DIRT ALONG BASEBOARD OF THE DRY FOOD STORAGE ROOM.---- NOTED DIRTY WALL SURROUNDING THE TOILET IN THE COED WASHROOM. INSTRUCTED TO REPLACE, CLEAN AND MAINTAIN ALL.

ADEQUATE VENTILATION & LIGHTING; DESIGNATED AREAS USED - Comments: OBSERVED A MISSING LIGHT SHIELD IN THE SECOND FLOOR FOOD PANTRY. INSTRUCTED TO REPLACE.

VENTILATION: ROOMS AND EQUIPMENT VENTED AS REQUIRED: PLUMBING: INSTALLED AND MAINTAINED - Comments: NO VENTILATION PROVIDED INSIDE THREE WASHROOMS LOCATED AT HALLWAY OF THE FIRST FLOOR WHICH IS USED FOR KITCHEN STAFF AND CUSTOMERS.INSTRUCTED TO PROVIDE SAID VENTILATION