FARGO HEALTH CARE CENTER Gets Conditional Pass on Health Inspection - Chicago Long term care

HANDS CLEAN & PROPERLY WASHED - Comments: DISH ROOM EMPLOYEE CHANGED GLOVES WITHOUT WASHING HANDS BETWEEN TASKS. OBSERVED EMPLOYEE AT DISH MACHINE RINSING/HANDLING DIRTY DISHES, THEN HANDLING CLEAN DISHES, THEN CHANGING GLOVES AFTER, INSTEAD OF WASHING HANDS AND CHANGING GLOVES IN BETWEEN CHANGING TASKS. DISCUSSED WITH THE MANAGER PROPER GLOVE CHANGING AND CONTAMINATION CONCERNS WHEN HANDLING DIRTY AND CLEAN DISHES. FOOD EMPLOYEES MUST PRACTICE GOOD HYGIENE BY PROPERLY WASHING HANDS WHEN CHANGING TASKS. PRIORITY VIOLATION 7-38-010 CITATION ISSUED.

Improper sanitization fails to kill pathogens, allowing contaminated equipment to spread illness throughout facility.

Sanitizing solutions and rinse water must meet specific requirements for effectiveness.

Chemical sanitizers: Chlorine 50-100 ppm, Quaternary ammonium 200-400 ppm, Iodine 12.5-25 ppm; Hot water: 171°F for 30 seconds or 180°F at dish surface; Test strips required; Proper contact time.

ADEQUATE HANDWASHING SINKS PROPERLY SUPPLIED AND ACCESSIBLE - Comments: THE HOT WATER SINK FIXTURE IN KITCHEN DOES NOT SUPPLY HOT WATER. AT THE INSPECTION, EMPLOYEES KNOWINGLY HAVE BEEN WASHING HANDS WITH ONLY A COLD WATER SUPPLY. THE FACILITY MUST REPAIR AND ENSURE ALL HAND SINK FIXTURES IN THE FACILITY ARE PROVIDED WITH WATER OF AT LEAST 100F THROUGH A MIXING VALVE OR COMBINATION FAUCET. THE ON-SITE MAINTENANCE WORKER HAS SUPPLIED HOT WATER OF AT LEAST 100F AND ABOVE AT THE TIME OF INSPECTION. PRIORITY VIOLATION 7-38-030 (C) CITATION ISSUED.

Blocked or unsupplied sinks force employees to skip handwashing, spreading fecal bacteria and viruses to food.

Handwashing sinks must be accessible, properly supplied, and used only for handwashing.

Each sink needs: Warm water (100°F minimum); Soap in dispensers; Paper towels or air dryers; Waste receptacles; Signage; Clear access; Used only for handwashing.

ADEQUATE HANDWASHING SINKS PROPERLY SUPPLIED AND ACCESSIBLE - Comments: A SIGN OR POSTER THAT NOTIFIES FOOD EMPLOYEES TO WASH THEIR HANDS IS NOT PROVIDED AT WOMENS RESTROOM LOCATED IN BASEMENT, HANDWASHING SINKS USED BY FOOD EMPLOYEES. PROVIDE A CLEARLY VISIBLE HANDWASHING SIGN AT EACH HAND SINK.

Blocked or unsupplied sinks force employees to skip handwashing, spreading fecal bacteria and viruses to food.

Handwashing sinks must be accessible, properly supplied, and used only for handwashing.

Each sink needs: Warm water (100°F minimum); Soap in dispensers; Paper towels or air dryers; Waste receptacles; Signage; Clear access; Used only for handwashing.

FOOD & NON-FOOD CONTACT SURFACES CLEANABLE, PROPERLY DESIGNED, CONSTRUCTED & USED - Comments: NONFOOD-CONTACT SURFACES OF DRY STORAGE METAL WIRE RACK SHELVING LOCATED NEAR THE WALK-IN COOLER HAVE RUSTED AND ARE NO LONGER EASILY CLEANABLE. REPLACE RUSTED AND IS NO LONGER EASILY CLEANABLE. REPLACE WITH A CORROSION-RESISTANT, NONABSORBENT, AND SMOOTH MATERIAL MEETING NSF/ANSI CERTIFICATION FOR USE WITH A FOOD SERVICE FACILITY.

Poor design creates areas that harbor bacteria.

All surfaces must be designed to be easily cleanable.

Smooth, non-porous surfaces; Free of cracks and crevices; Easily disassembled; Accessible for cleaning.

PLUMBING INSTALLED; PROPER BACKFLOW DEVICES - Comments: OBSERVED WATER LEAKING FROM PIPE-LINES IN THE FOLLOWING AREAS; ABOVE THE DISH MACHINE IN THE KITCHEN--- AND--- UNDER THE HAND SINK IN THE MEN'S RESTROOM LOCATED IN THE BASEMENT. THE FACILITY MUST REPAIR AND MAINTAIN.

Backflow can contaminate entire water supply with sewage or chemicals.

Plumbing must be properly installed with backflow prevention.

Air gaps at fixtures; Backflow preventers on connections; No cross-connections; Annual testing of devices; Proper drainage.

PLUMBING INSTALLED; PROPER BACKFLOW DEVICES - Comments: BACKFLOW PREVENTION DEVICES WERE NOT FOUND IN THE FOLLOWING AREAS; ICE MACHINE IN BASEMENT--- AND--- MOP SINKS IN THE BASEMENT THROUGH 3RD FLOOR. FACILITY MUST PROVIDE AND ENSURE THAT ALL WATER-LINE UNITS AND MOP SINKS HAVE A BACKFLOW PREVENTION DEVICE.

Backflow can contaminate entire water supply with sewage or chemicals.

Plumbing must be properly installed with backflow prevention.

Air gaps at fixtures; Backflow preventers on connections; No cross-connections; Annual testing of devices; Proper drainage.

PLUMBING INSTALLED; PROPER BACKFLOW DEVICES - Comments: OBSERVED EYEWASH STATION CONNECTED TO ALL HAND SINKS IN BASEMENT THROUGH 3RD FLOOR. THE FACILITY MUST REMOVE EYE WASH STATIONS FROM HAND WASHING SINKS TO PREVENT POSSIBLE CROSS-CONTAMINATION.

Backflow can contaminate entire water supply with sewage or chemicals.

Plumbing must be properly installed with backflow prevention.

Air gaps at fixtures; Backflow preventers on connections; No cross-connections; Annual testing of devices; Proper drainage.

TOILET FACILITIES: PROPERLY CONSTRUCTED, SUPPLIED, & CLEANED - Comments: ALL GENDER EMPLOYEE RESTROOMS IN THE BASEMENT THROUGH THE 3RD FLOOR LACK A COVERED RECEPTACLE FOR THE DISPOSAL OF FEMININE HYGIENE PRODUCTS. PROVIDE AT LEAST ONE COVERED TRASH RECEPTACLE IN EACH RESTROOM.

Inadequate facilities lead to poor hygiene and contamination.

Toilet rooms must be properly equipped and maintained.

Self-closing doors; Toilet paper; Covered waste receptacles; Handwashing supplies; Cleaned regularly; Proper ventilation.

PHYSICAL FACILITIES INSTALLED, MAINTAINED & CLEAN - Comments: LARGE MESH AIR EXTRACTOR NEAR WINDOW AC UNIT IS SOILED WITH DEBRIS. FACILITY MUST CLEAN WINDOW UNITS AND MAINTAIN.

Deteriorated facilities harbor pests and prevent proper cleaning.

Building must be maintained in good condition.

No holes in walls/ceilings; Doors and windows intact; Fixtures functional; No water damage; Surfaces intact.

PHYSICAL FACILITIES INSTALLED, MAINTAINED & CLEAN - Comments: OBSERVED DUCT TAPE USED AS A MEANS OF REPAIR FOR WINDOW NEAR LARGE AC UNIT THAT IS ALSO ATTACHED TO THE WINDOW. FACILITY MUST REMOVE TAPE REPAIR OR REPLACE AND ENSURE ALL SURFACES ARE DURABLE, SMOOTH, EASILY CLEANABLE, AND NONABSORBENT.

Deteriorated facilities harbor pests and prevent proper cleaning.

Building must be maintained in good condition.

No holes in walls/ceilings; Doors and windows intact; Fixtures functional; No water damage; Surfaces intact.

PHYSICAL FACILITIES INSTALLED, MAINTAINED & CLEAN - Comments: OBSERVED DUCT TAPE USED AS A MEANS OF REPAIR FOR WINDOW NEAR LARGE AC UNIT THAT IS ALSO ATTACHED TO THE WINDOW. FACILITY MUST REMOVE TAPE REPAIR OR REPLACE AND ENSURE ALL SURFACES ARE DURABLE, SMOOTH, EASILY CLEANABLE, AND NONABSORBENT.

Deteriorated facilities harbor pests and prevent proper cleaning.

Building must be maintained in good condition.

No holes in walls/ceilings; Doors and windows intact; Fixtures functional; No water damage; Surfaces intact.