ROPES, INC

15A NCAC 18A .1607 All floors shall be kept clean and in good repair.- Observed carpet flooring upstairs need detail vacuum including underneath the beds and along edges of the wall. Keep clean.

REPEAT 15A NCAC 18A .1608 (a) The interior walls and ceilings, including doors, window, and window trim, shall be kept clean and in good repair.- Observed wall upstairs/downstairs throughout in need of touch up paint, it was an evidence of damaged was repaired, paint touch up needed.

15A NCAC 18A .1610 (a) Residential care facilities shall provide toilet, handwashing, and bathing facilities that are available for use by residents and employees that are kept clean and in good repair.- Observed soiled toilet and shower curtain in bathroom upstairs. Observed slow draining at hand sink upstairs need repair. Detail cleaning needed, keep clean, and good repair.

15A NCAC 18A .1618 (e) Food storage areas shall be kept clean and free of pests.- Observed can goods and packages of water bottles stored directly on the floor in pantry. Ensure to store all food supplies and clean supply items off the floor at least 6 inches.

15A NCAC 18A .1621 (d) The residential care facility 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 facility 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. - Observed the facility with vomit and diarrhea disaster plan, and without complete cleaning kit ready to go in such an event. Provide complete kit and cleaning procedures plan and have available for such an event. EHS provided the V&D poster to the facility at the time of inspection.

15A NCAC 18A .1608 (a) The interior walls and ceilings, including doors, window, and window trim, shall be kept clean and in good repair.- Observed wall upstairs in front of bedroom in need of touch up paint, it was an evidence of repair damage was complete, repaint needed.

15A NCAC 18A .1610 (a) All residential care facilities shall provide toilet, handwashing, and bathing facilities that are available for use by residents and employees. These facilities shall be kept clean and in good repair. -Observed in cleaning closet, an opened of big package of toilet tissues stored on the floor next/touching a big yellow mop bucket, and cleaning chemicals stored on shelves above the toilet tissues. Keep clean supply above the floor and away from possible contamination items at all time. Keep clean item separate from dirty/chemical item at all time.

15A NCAC 18A .1610 (b) All hand sinks and baths shall be supplied with hot and cold running water through mixing devices. The residential care facility shall provide each resident with soap and individual hand-drying towels. These hand-drying towels will be stored separately after being used.- Observed no soap and paper towels for all hand washing sinks (2 bathroom upstairs, kitchen sink, and staff restroom sink downstairs). Ensure to provide soap and paper towels at all hand sinks at all time.

15A NCAC 18A .1615 (a) Pests shall not be present in a residential care facility.- Observed live cockroach crawling up the wall upstairs in front of bedrooms. Ensure to treat the issue and keep facility free of pests.

15A NCAC 18A .1618 (a) All food service equipment and utensils shall be kept clean and in good repair.- Observed microwave with dry food residues splashing. Cleaning needing and keep clean.

15A NCAC 18A .1621 (d) The residential care facility 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 facility 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 the facility without vomit and diarrhea written plan. EHS provided the poster and the facility will gather the supplies and have available for such an event.

Non-food-contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. 15A NCAC 18A .1618 (c ). Observed oven need to be cleaned and keep clean.

Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed toilet need to be clean in private suite, and loose toilet seat (the contractor is on site to replace/repair the toilet/seat at the time of inspection)