Sep 21, 2026
98 / 100
· 2 violations
#7 · Facilities provided, accessible, clean, good repair −2
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 loose toilet seat in main restroom hallway. Observed soiled hopper toilet in soiled utility room. Repair/keep clean.
#10 · Handwashing facilities properly located and equipped
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed no paper towels in soiled utility room. Ensure all hand sinks are stocked with paper towels at all times.
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Oct 23, 2025
96.5 / 100
· 3 violations
#7 · Facilities provided, accessible, clean, good repair −1
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 loose toilet seat in main restroom hallway. Repair needed and keep in good repair. Observed soiled hopper toilet in soiled room, cleaning needed and keep clean even not using. Half point deducted due to improvement.
#10 · Handwashing facilities properly located and equipped −1.5
REPEAT
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed no paper towels available at hand sink in intake room. No soap and paper towels in the soiled utility room. No paper available for restrooms in A hall. All hand washing sinks shall be supplied with soap and paper towels at all time. Points remain the same at this time.
#17 · Back-up water supply plan available and complete −1
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 with incomplete written plan for water backup supply. EHS email the checklist to director and discuss in detail of the requirement per sanitation rules. The facility shall obtain the complete written water backup supply plan. And have available upon request.
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Sep 9, 2024
95.5 / 100
· 4 violations
#7 · Facilities provided, accessible, clean, good repair −2
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 some pink/brown buildup on edges of shower stalls, damage shower basin in A hall, pink mildew/soiled hand sink throughout the facility. Better cleaning needed and keep clean. Observed loose toilet seat in main hallway, need repair.
#10 · Handwashing facilities properly located and equipped −1.5
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed no soap available at hand sink (intake room, laundry room, soiled utility room, kitchen). All hand washing sinks shall be supplied with soap and paper towels at all time.
#11 · EPA registered disinfectants used according to manufacturers' instructions; approved testing methods and devices used
General Comment:
.1312 (e) EPA registered disinfectants shall be used in accordance with the manufacturer's instructions. When EPA registered disinfectants are mixed and prepared by institution employees, a measuring device, chemical testing device, or the methods and devices prescribed by the chemical manufacturer shall be used to prepare the concentration of chemicals in accordance with the disinfectant's label and the manufacturer's instructions.- Observed cleaning products the facility use, when asked the housekeeper does not know what is the contact time for cleaning. EHS, housekeeper, director discussed detail and proper use of cleaning products to clean efficiently at the time of inspection.
#17 · Back-up water supply plan available and complete −1
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 without written plan for water backup supply. EHS email the checklist to director and discuss in detail of the requirement at the time of inspection. The facility shall obtain the written water backup supply plan.
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Nov 22, 2023
96.5 / 100
· 3 violations
#7 · Facilities provided, accessible, clean, good repair −2
.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 black build up surrounding edges of shower stalls throughout facility. REPEAT VIOLATION.
#17 · Back-up water supply plan available and complete −0.5
.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. Improvement made from previous report, points not escalated.
#26 · Premises properly maintained −1
.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 debris/litter surrounding closed dumpster. REPEAT VIOLATION.
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