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Item No.:
02
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Site:
Medical-
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Violation:
The vessel reported 11 passengers as gastrointestinal illness cases during the 2/7-14/2010 cruise. The standardized gastrointestinal illness log showed that there were 9 reportable cases and 2 non-reportable cases. Upon further review, it was noted that 1 of the 2 non-reportable cases was a passenger who had 6 episodes of diarrhea in a 24-hour period. There was no clinical determination made that this individual was not a reportable case. The other individual did not meet the case definition but was reported as a case. According to the medical staff, the electronic system made the determinations and they were not able to change it.
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Recommendation:
Ensure that individuals meeting the case definition are listed as reportable cases in the standardized gastrointestinal illness log. Ensure that individuals who do not meet the case definition are not reported as cases.
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Item No.:
02
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Site:
Medical-
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Violation:
The vessel reported 5 passengers as gastrointestinal illness cases during the 2/14-21/2010 cruise. The standardized gastrointestinal illness log listed 3 reportable cases and 2 non-reportable cases. Upon further review, it was noted that 1 of the non-reportable cases was a passenger who had 5 episodes of diarrhea in a 24-hour period. The other individual had 10 episodes of diarrhea in a 24-hour period. There was no clinical determination made that these individuals were non-reportable cases. According to the medical staff, the electronic recording system made the determinations and they were not able to change it.
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Recommendation:
Ensure that individuals meeting the case definition are listed as reportable cases in the standardized gastrointestinal illness log.
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Item No.:
10
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Site:
DO NOT USE (whirlpool/spa)-
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Violation:
There were a few days since the last inspection when there was no record of superhalogenation for the whirlpool spas.
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Recommendation:
Ensure that the free residual halogen is increased to at least 10.0 mg/L (ppm) in whirlpool spas and circulated for at least 1 hour at the end of each day. Ensure that a written or electronic record of whirlpool spa filter inspection, backwashing, core sample sedimentation test, and shock halogenation (concentration and contact time) is maintained and available for review during inspections.
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Item No.:
10
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Site:
Recreational Water Facilities-
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Violation:
A review of the logs showed that backwashing of the sand filters for the swimming pools was generally performed every other day. There were a few instances when there were 5 days in between backwashing of the sand filters. When questioned, the repairman supervisor stated that he knew to backwash when the "floaters don't work". This referred to the plastic float in the flow meter housing. There were no manufacturer's recommendations onboard to verify when backwashing of the filters should occur.
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Recommendation:
Ensure that filter pressure differential is monitored, the filter is backwashed as recommended by the manufacturer, and a written or electronic record of the backwashing is available for review during inspections.
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Item No.:
16
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Site:
Buffet-Portside Windjammer
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Violation:
3/7-3/14 was written on the discard labels of potentially hazardous food items in the reach-in refrigerators. This allowed for more than 7 days of use.
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Recommendation:
Ensure that refrigerated, ready-to-eat, potentially hazardous food: (1) Prepared on a vessel and held refrigerated for more than 24 hours is clearly marked at the time of preparation to indicate the date or day by which the food shall be consumed, which is 7 calendar days or fewer from the day the food is prepared with the day of preparation counting as day 1. (2) A container of refrigerated, ready-to-eat potentially hazardous food prepared and packaged by a food processing plant and held on the vessel after opening more than 24 hours is clearly marked, at the time the original container is opened, to indicate the date by which the food shall be consumed which is, including the day the original container is opened, 7 calendar days or fewer after the original container is opened. The day of opening is counted as day 1.
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Item No.:
16
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Site:
Buffet-Jade Buffet Stations
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Violation:
Per staff, the cold top units were on time as a public health control. However, these units were not listed on the time as a public health control plan.
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Recommendation:
Ensure the time as public health control plan reflects the operation.
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Item No.:
16
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Site:
Galley-Portofino and Chops
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Violation:
The time as a public health control plan stated that bain marie units and glass door refrigerators were on time control. However, there were no bain marie units in these areas and per staff, the glass door refrigerators were on temperature control. In addition, the cold top unit was on time control but not listed on the time as a public health control plan.
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Recommendation:
Ensure the time as public health control plan reflects the operation.
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Item No.:
16
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Site:
Galley-Johnny Rockets
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Violation:
Per staff, the cold top unit was on time control. The cold unit was not listed on the time as a public health control plan.
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Recommendation:
Ensure the time as public health control plan reflects the operation.
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Item No.:
19
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Site:
Housekeeping-Deck 2 Ice Pantry 2784
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Violation:
The handle of the ice scoop was in contact with the ice inside the ice machine.
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Recommendation:
During pauses in food preparation or dispensing, ensure that food preparation and dispensing utensils are stored: (2) In food that is not potentially hazardous with their handles above the top of the food within containers or equipment that can be closed, such as bins of sugar, flour, or cinnamon.
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Item No.:
20
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Site:
Galley-Chops
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Violation:
The vessel has a variance to use cedar planks for cooking salmon and halibut. However, there was no approval letter or variance procedures available on the vessel. This was corrected.
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Recommendation:
Ensure the variance approval letter and the variance are maintained on the vessel.
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Item No.:
21
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Site:
Galley-Chops
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Violation:
There was an opening inside the chute of the drip pan housing for the grill.
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Recommendation:
Ensure that nonfood-contact surfaces are free of unnecessary ledges, projections, and crevices, and designed and constructed to allow easy cleaning and to facilitate maintenance.
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Item No.:
21
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Site:
Other-Chops Coffee Station
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Violation:
The glass shelves were chipped.
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Recommendation:
Ensure that nonfood-contact surfaces of equipment that are exposed to splash, spillage, or other food soiling or that require frequent cleaning are constructed of a corrosion-resistant, nonabsorbent, and smooth material.
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Item No.:
21
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Site:
Buffet-Technical Compartments for Cold Holding Units
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Violation:
There was an excessive amount of rust inside the technical compartments.
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Recommendation:
Ensure that nonfood-contact surfaces of equipment that are exposed to splash, spillage, or other food soiling or that require frequent cleaning are constructed of a corrosion-resistant, nonabsorbent, and smooth material.
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Item No.:
21
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Site:
Galley-Pastry Preparation
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Violation:
Undercounter refrigerator 2301 had a gasket that was loose.
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Recommendation:
Ensure that nonfood-contact equipment components such as doors, seals, hinges, fasteners, and kick plates are kept intact, tight, and adjusted in accordance with manufacturer's specifications.
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Item No.:
22
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Site:
Galley-Windjammer
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Violation:
The sanitizing solution in the sanitize bucket near the combination oven was dirty.
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Recommendation:
Ensure that the wash, rinse, and sanitize solutions are maintained clean.
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Item No.:
22
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Site:
Buffet-Portside Forward Beverage Station
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Violation:
The sanitizing solution in the sanitize bucket was dirty.
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Recommendation:
Ensure that the wash, rinse, and sanitize solutions are maintained clean.
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Item No.:
27
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Site:
Galley-Vegetable Preparation
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Violation:
The technical compartment for the undercounter refrigerator had an accumulation of dust and food debris.
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Recommendation:
Ensure that nonfood-contact surfaces of equipment are kept free of an accumulation of dust, dirt, food residue, and other debris.
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Item No.:
28
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Site:
Buffet-Center Island Buffet
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Violation:
The bowls were stacked wet and out for service.
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Recommendation:
Ensure that bowls placed out for service are not stacked while they are still wet.
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Item No.:
30
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Site:
Buffet-Portside Forward Beverage Station
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Violation:
There were no paper towels at the handwash sink.
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Recommendation:
Ensure that each handwashing facility has a supply of hand-cleansing soap or detergent and a supply of single-service paper towels available.
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Item No.:
30
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Site:
Buffet-Starboard and Portside Aft Beverage Stations
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Violation:
There was no "wash hands often" sign posted over the handwashing sinks.
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Recommendation:
Ensure that a sign stating "WASH HANDS OFTEN" in a language that the food employees understand is posted over handwashing sinks.
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Item No.:
33
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Site:
Bar-Pool Bar
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Violation:
The deck below the clean glass storage had an open pipe penetration where the beer supply line used to be installed.
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Recommendation:
Ensure that decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are constructed and maintained for easy cleaning.
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Item No.:
34
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Site:
Bar-Cafe Promenade
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Violation:
The dipper well supply line was leaking in the technical compartment.
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Recommendation:
Ensure that a plumbing system in a food area is maintained in good repair.
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Item No.:
41
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Site:
Housekeeping-Outbreak Prevention and Response Plan
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Violation:
When asked about the outbreak prevention and response plan, there were two different instructions given. One instruction stated that "frequently touched areas" were to be sanitized three times a day during an outbreak. It also stated that door handles, door knobs, corridors, and staircase railings were to be sanitized four times a day during an outbreak. The other instruction stated that "the responsibility of the chief housekeeper was to ensure that continuous sanitation takes place from 6 am to midnight". It was not clear which plan was to be followed.
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Recommendation:
Ensure that when the cumulative proportion of cases of gastrointestinal illness among passengers or crew members is 2%, the infection control response includes cleaning and disinfecting all public areas, including handrails and restrooms, on a continuous basis until the proportion decreases to < 2%. Ensure the staff is aware which plan is to be followed.
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Item No.:
41
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Site:
Children Area-Toilet Room
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Violation:
There were no child-sized toilet seats.
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Recommendation:
Ensure that child-sized toilet and handwashing facilities are provided, if toilet rooms are located in a child-activity center.
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