LAKEFRONT NURSING & REHAB CENTER Fails Health Inspection - Chicago Long term care

PROCEDURES FOR RESPONDING TO VOMITING AND DIARRHEAL EVENTS - Comments: FOUND NO PROCEDURE/PLAN AND KIT FOR RESPONDING TO VOMITING AND DIARRHEAL EVENTS. INSTRUCTED FACILITY TO DEVELOP AND MAINTAIN A PROCEDURE/PLAN AND TO MAINTAIN ANY APPROPRIATE SUPPLIES ON SITE. PRIORITY FOUNDATION VIOLATION 7-38-005. CITATION ISSUED

Vomit and diarrhea contain millions of viral particles. One incident can contaminate entire facility and cause outbreak affecting dozens.

Written procedures required for cleaning bodily fluid events to prevent disease transmission.

Written procedure must address: Isolating contaminated area; Removing and discarding affected food; Using proper PPE; Cleaning and sanitizing with appropriate concentration; Proper disposal of contaminated materials.

HANDS CLEAN & PROPERLY WASHED - Comments: OBSERVED EMPLOYEE IN THE DISHROOM WITH GLOVED HANDS HANDLING DIRTY DISHES/GLASSES AND PUT THEM THRU THE LOW TEMP DISH MACHINE. GLOVES WAS NOT REMOVED AND NO HANDWASHINGPRIOR TO HANDLE CLEAN DISHES.FOOD HANDLERS MUST WASH HANDS AND CHANGE GLOVES AFTER ANY POSSIBLE CONTAMINATION. MANAGER DISCUSSED ISSUE WITH EMPLOYEE. 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: HANDWASHING SINK IN THE DISHROOM NOT ACCESSIBLE FOR HANDWASHING.ON TOP THE SINK A PLASTIC WHITE BUCKET AND IN FRONT OF SAID SINK MOP AND BROOM,ALSO A CART WITH DIRTY DISHED.UNABLE TO USE FOR HANDWASHING. HANDWASHING SINK MUST BE ACCESSIBLE AT ALL TIME FOR PROPER HAND WASHING. AFTER MY REQUEST MANAGER REMOVED MENTIONED ITEMS. PRIORITY FOUNDATION VIOLATION:7-38-030(C),CITATION

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: NO PAPER TOWELS PROVIDED AT HANDWASHING SINK IN DISHROOM, EMPLOYEE UNABLE TO DRY HANDS.INSTRUCTED TO PROVIDE. PRIORITY FOUNDATION VIOLATION:7-38-030(C) "CONSOLIDATED WITH ABOVE CITATION"

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: UNABLE TO WASH HANDS AT HANDWASHING SINK IN DISHROOM DUE TO SOAP DISPENSER UNABLE TO DISPENSE SAID SOAP.REPAIR ISSUE.USE THE OTHER HANDWASHING SINK IN THE KITCHEN. PRIORITY FOUNDATION VIOLATION:7-38-030(C) "CONSOLIDATED WITH ABOVE CITATION"

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: MUST NOT USE MILK CRATES AS A MEANS OF ELEVATION FOR STORED ITEMS.

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.

FOOD & NON-FOOD CONTACT SURFACES CLEANABLE, PROPERLY DESIGNED, CONSTRUCTED & USED - Comments: MUST NOT USE DUCT TAPE AS A MEANS OF REPAIR ON CEILING IN STORAGE ROOM AND ON LIGHT COVERS IN THE KITCHEN. SURFACE MUST BE SMOOTH AND CLEANABLE.

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.

NON-FOOD/FOOD CONTACT SURFACES CLEAN - Comments: MUST NOT USE ALUMINUM FOIL AS LINER FOR UNDER THE SIX BURNER STOVE GREASE AT MUST BE SMOOTH AND CLEANABLE SURFACE. INTERIOR OF COOKING EQUIPMENT AND STOVE BURNER. GRIMES AT BLADE OF CAN OPENER CLEAN SANITIZE AND MAINTAIN.

Accumulated soil attracts pests and harbors bacteria.

All surfaces must be kept clean.

Clean equipment interiors and exteriors; Walls, ceilings, floors clean; Remove grease and debris; Clean as often as necessary.

PLUMBING INSTALLED; PROPER BACKFLOW DEVICES - Comments: THREE COMPARTMENT SINK IN PREP AND DISHROOM AREA NOT MAINTAINED. THIRD COMPARTMENT SINK UNABLE TO HOLD WATER DUE TO MECHANICAL DRAIN IS CONTINUOSLY LOOSING/LEAKING WATER .REPAIR ISSUED.

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: RECEPTACLE COVER IS NEEDED IN ALL WOMEN'S AND UNISEX WASHROOM.

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: OBSERVED DEBRIS AND SPILLAGE ON THE FLOORS UNDER BEHIND AND CORNERS IN THE REAR DRY FOOD STORAGE. ALSO WALK-IN COOLER. INSTRUCTED TO CLEAN AND MAINTAIN SAID FLOORS.

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.

ADEQUATE VENTILATION & LIGHTING; DESIGNATED AREAS USED - Comments: CRACKED AND TAPED PROTECTIVE LIGHT SHIELD IN PREP AREA(COOKING AREA).INSTRUCTED TO REPLACE. SURFACE MUST BE SMOOTH CLEANABLE AND NON-ABSORBENT SURFACE.

Poor ventilation causes condensation and grease buildup; inadequate lighting hides contamination.

Proper ventilation and lighting required throughout.

Ventilation prevents condensation; Adequate lighting for operations; Fixtures shielded; Hoods over cooking equipment.

ADEQUATE VENTILATION & LIGHTING; DESIGNATED AREAS USED - Comments: CRACKED AND TAPED PROTECTIVE LIGHT SHIELD IN PREP AREA(COOKING AREA).INSTRUCTED TO REPLACE. SURFACE MUST BE SMOOTH CLEANABLE AND NON-ABSORBENT SURFACE.

Poor ventilation causes condensation and grease buildup; inadequate lighting hides contamination.

Proper ventilation and lighting required throughout.

Ventilation prevents condensation; Adequate lighting for operations; Fixtures shielded; Hoods over cooking equipment.