NORTHLAKE HOUSE

.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed no paper towels at laundry room hand sink. Ensure paper towels are supplied at all hand sinks. Improvement noted from previous inspection. Points reduced.

.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 100-104F throughout resident rooms. Ensure hot water is between 105-116F.

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 damage baseboard along side wall in 102 need repair. Observed damaged wall and door frame in room 213 need repair. Observed flooring at some part of the facility, resident laundry room, bedrooms including underneath the beds need detail cleaning and keep clean. Point remain the same at this time.

REPEAT .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 missing cover of toilet top in room 102, replacement needed. Observed damaged toilet chair need replacement in room 213. Observed loose toilet seat in woman restroom at the front need repair. Point remain the same at this time.

REPEAT .1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed disrepair paper towel dispenser in restroom hallway need repair. Observed no paper towels and/or soap in the dispensers throughout rooms (209, 213, 206, 102, 106, 124, 112, 117, resident laundry room, Nurse station, spa room, in house Laundry room. The facility shall ensure to provide all hand washing supplies at all hand sinks at all time for hand hygiene of residents and staff.

REPEAT .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 the facility has incomplete written plan of the water back up supply plan. The facility shall provide a written plan and have available upon request.

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 flooring underneath the beds need detail cleaning and keep clean. Observed soiled flooring and strong urinal odor in bathroom 204. Detail cleaning needed. Keep clean.

.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 soiled hand sink around faucets, basins. Better cleaning needed throughout the facility. Observed loose toilet seats in men and woman restroom at the front need repair.

General Comment: .1312 (b) A sign shall be posted in each toilet room for institution employees, directing them to wash their hands after each visit to the toilet room and before returning to work.- Observed no hand washing signs posted in staff restrooms throughout the facility. Hand washing signs provided at the time of inspection. .1312 (b) Bathrooms shall not be used for storage of items not currently in use.- Observed clean supplies (diapers, clothing, etc..) stored in the soiled utility room where the hopper is at the back hallway. Remove clean supplies from soiled room.

.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed disrepair paper towel and/or soap dispensers throughout the facility. No soap and paper towels available for hand washing in room 107, 212, spa room. No paper towel in room 121, 204, resident laundry room. Ensure to provide all hand washing supplies at all hand sinks at all time.

General Comment: .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 temperatures measured between 117F- 121F throughout the facility. Ensure to provide tempered water range between 105F- 116F at anytime.

General Comment: .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 the facility has incomplete and outdated information on the current water back up supply plan. Provide updates, calculation of how many residents/staff per drinking water per day, etc.. Have the update and complete written plan available upon request.

General Comment: .1314 (a) Drinking fountains shall be kept clean and in good repair.- Observed soiled (black buildup) water fountains. Better cleaning needed all around spouts. Keep clean.