15A NCAC 18A .1308. APPROVED INSTITUTIONS AND SCORING SYSTEM

(a)  The sanitation grading of all institutions shall be based on a system of scoring wherein all institutions receiving a score of at least 90 percent shall be awarded Grade A; all institutions receiving a score of at least 80 percent and less than 90 percent shall be awarded Grade B; all institutions receiving a score of at least 70 percent and less than 80 percent shall be awarded Grade C; and all institutions receiving a score of less than 70 percent do not meet the minimum sanitation standards.  If an institution or an institutional food service fails to maintain a sanitation score of at least 70 percent or if the Environmental Health Specialist determines that conditions found at the institution at the time of any inspection are dangerous to the health of residents or the public, the Environmental Health Specialist shall notify the licensing agency within 24 hours.  A copy of the inspection report documenting the dangerous conditions shall be sent to the licensing agency within two working days following the inspection.

(b)  Sanitation scores for institutions shall be determined by an Environmental Health Specialist authorized by the Department by completing an inspection report Form DENR 1213.  The score is a percentage compliance determined by deducting points from 100 percent for each item found not to be in compliance with the Rules of this Section.  The authorized Environmental Health Specialist shall deduct full or half credit for non-compliant items based on the severity, pervasiveness and persistence of the rule violation.  The percentage point value of each item is determined as follows:

(1)           Violation of Rule .1309 of this Section regarding cleanability of floors and provision of floor drains shall be assessed a value of two points

(2)           Violation of Rule .1309 of this Section regarding cleaning and maintenance of floors and carpet shall be assessed a value of two points.

(3)           Violation of Rule .1310 of this Section regarding cleanability and repair of walls and ceilings shall be assessed a value of two points.

(4)           Violation of Rule .1311(a) of this Section regarding lighting levels shall be assessed a value of two points.

(5)           Violation of Rule .1311(b) or (c) of this Section regarding ambient air temperatures and cleaning of ventilation equipment shall be assessed a value of two points.

(6)           Violation of Rule .1311(d) of this Section regarding moisture control shall be assessed a value of three points.

(7)           Violation of Rule .1311(e) of this Section regarding control of indoor smoke exposure shall be assessed a value of two points.

(8)           Violation of Rules .1312(a), (b), or (f) of this Section regarding location, cleaning and repair of toilet, handwashing and bathing facilities shall be assessed a value of two points.

(9)           Violation of Rule .1312(b) of this Section regarding toilet rooms shall be assessed a value of one point.

(10)         Violation of Rule .1312(c) of this Section regarding bedpans, urinals, bedside commodes and emesis basins shall be assessed a value of one point.

(11)         Violation of Rule .1312(c) or (d) of this Section regarding provision, accessibility and use of hand sinks shall be assessed a value of two points.

(12)         Violation of Rule .1312(d) of this Section regarding equipment for handwashing facilities shall be assessed a value of three points.

(13)         Violation of Rule .1312(e) of this Section regarding hot water temperature at lavatory and bathing facilities shall be assessed a value of two points.

(14)         Violation of Rule .1312(f) of this Section regarding accessability and mixing of cleaning and disinfectant agents shall be assessed a value of two points.

(15)         Violation of Rule .1313(a) or (d) of this Section regarding water supply and cross-connections shall be assessed a value of four points.

(16)         Violation of Rule .1313 (e) or (f) of this Section regarding quantity of hot water and backup water supply plans shall be assessed a value of two points.

(17)         Violation of Rule .1314(a) of this Section regarding cleaning, repair and flow regulation of drinking fountains shall be assessed a value of two points.

(18)         Violation of Rule .1314(a) of this Section regarding drinking utensils shall be assessed a value of two points.

(19)         Violation of Rule .1314(b) of this Section regarding protection of ice and cleaning and repair of ice making and handling equipment and utensils shall be assessed a value of two points.

(20)         Violation of Rule .1315 of this Section regarding wastewater disposal shall be assessed a value of four points.

(21)         Violation of Rule .1316(a), (b) or (c) of this Section regarding solid waste storage and container cleaning facilities shall be assessed a value of four points.

(22)         Violation of Rule .1316(d) of this Section regarding solid waste disposal and control of insect breeding or nuisance shall be assessed a value of two points.

(23)         Violation of Rule .1316(e) of this Section regarding handling and disposal of medical wastes shall be assessed a value of two points.

(24)         Violation of Rule .1317(a) of this Section regarding exclusion of vermin shall be assessed a value of three points.

(25)         Violation of Rule .1317(b) of this Section regarding storage and handling of pesticides shall be assessed a value of two points.

(26)         Violation of Rule .1317(c) of this Section regarding cleaning and maintenance of premises shall be assessed a value of two points.

(27)         Violation of Rule .1317(e) or (f) of this Section regarding pet maintenance shall be assessed a value of two points.

(28)         Violation of Rule .1318(a) of this Section regarding storage areas shall be assessed a value of one point.

(29)         Violation of Rule .1318(b) of this Section regarding mop sinks shall be assessed a value of one point.

(30)         Violation of Rule .1318(c) of this Section regarding medication carts shall be assessed a value of two points.

(31)         Violation of Rule .1318(d) of this Section regarding feeding syringes, oral suction catheters and tube-feeding bags shall be assessed a value of two points.

(32)         Violation of Rule .1319(a) of this Section regarding cleaning and repair of furniture and use of mattress covers shall be assessed a value of two points.

(33)         Violation of Rule .1319(b) of this Section regarding linen changes and handling of soiled laundry shall be assessed a value of two points.

(34)         Violation of Rule .1319 of this Section regarding laundry areas and equipment, cleaning and sanitizing of laundry, and storage and handling of clean laundry shall be assessed a value of two points.

(35)         Violation of Rule .1319(c) of this Section regarding repair, storage, cleaning and disinfection of patient contact items shall be assessed a value of one point.

(36)         Violation of Rule .1320 of this Section regarding approval, cleaning and sanitizing food contact items shall be assessed a value of two points.

(37)         Violation of Rule .1320 of this Section regarding approved uses of activity kitchens shall be assessed a value of one point.

(38)         Violation of Rule .1320(b) of this Section regarding handwashing lavatories in foodhandling areas shall be assessed a value of two points.

(39)         Violation or Rule .1321(a) of this Section regarding food sources and supplies shall be assessed a value of four points.

(40)         Violation of Rule .1321(b) of this Section regarding disposition of food brought by employees or visitors shall be assessed a value of one point.

(41)         Violation of Rule .1322 of this Section regarding milk and milk products shall be assessed a value of two points.

(42)         Violation of Rule .1323(a) of this Section regarding food protection, temperature control and time in lieu of temperature shall be assessed a value of four points.

(43)         Violation of Rule .1323(b) of this Section regarding hot and cold food storage and display units and thermometers shall be assessed a value of one point.

(44)         Violation of Rule .1323(c) of this Section regarding food storage shall be assessed a value of one point.

(45)         Violation of Rule .1323(d) of this Section regarding control of live animals in food service areas shall be assessed a value of two points.

(46)         Violation of Rule .1324(a) of this Section regarding employee clothing and tobacco use while handling food shall be assessed a value of one point.

(47)         Violation of Rule .1324(a) or (b) of this Section regarding employee hand washing and hand antisepsis shall be assessed a value of three points.

(48)         Violation of Rule .1324(c) of this Section regarding exclusion of persons with infections from food service work shall be assessed a value of two points.

 

History Note:        Authority G.S. 130A-235;

Eff. February 1, 1976;

Readopted Eff. December 5, 1977;

Amended Eff. February 1, 2004; August 1, 2002.