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Item No.:
*
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Site:
Other-COMMENT - CORRECTIVE ACTION STATEMET
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Violation:
IN DEVELOPING THE CORRECTIVE ACTION STATEMENT FOR THIS INSPECTION, CRITICAL-ITEM DEFICIENCIES (DESIGNATED WITH YES IN CRITICAL COLUMN (WORTH 3 - 5 POINTS), WHETHER DEBITED OR NOT, SHOULD INCLUDE STANDARD OPERATING PROCEDURES AND MONITORING PROCEDURES IMPLEMENTED TO PREVENT THE RECURRENCE OF THE CRITICAL DEFICIENCY.
PREPARE CORRECTIVE ACTION STATEMENT AS A WORD PROCESSING OR SPREADSHEET FILE WHICH WILL BE SENT TO USPHS / VSP AS AN EMAIL MESSAGE ATTACHMENT. PLEASE EMAIL CORRECTIVE ACTION STATEMENT TO: VSP@CDC.GOV
USE EMAIL MESSAGE SUBJECT LINE: SHIP NAME - CONSTELLATION - 1/21/05 .
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Recommendation:
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Item No.:
02
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Site:
Other-MEDICAL
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Violation:
THE GASTROINTESTINAL ILLNESS SURVEILLANCE LOG FOR EACH CRUISE DID NOT LIST ALL PASSENGER AND CREW MEMBERS WHO WERE DISPENSED ANTIDIARREAL MEDICATIONS, WHICH WERE NOT REPORTABLE CASES OF GASTROINTESTINAL ILLNESS.
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Recommendation:
4.1.2.1.3
The log shall list:
(1) All reportable cases of gastrointestinal illness; (2) All passengers and crew members who are dispensed antidiarrheal medication from the master of the vessel, the medical staff, or other designated staff.
4.1.2.1.4
The gastrointestinal illness surveillance log entry for each passenger or crew member shall contain the following information:
(1) The first date of clinic visit or report to staff of illness; (2) The person's name, age and gender; (3) A designation as passenger or crew member; (4) Crew member position or job on the vessel, if applicable; (5) Cabin number; (6) Meal seating information; (7) Date and time of illness onset; (8) Illness symptoms, including the presence of the following selected signs and symptoms: numbers of episodes each of diarrhea and vomiting per day, bloody stools, fever, recorded temperature; (9) Notation on whether or not a stool specimen was requested and received; (10) Use of antidiarrheal medication; and (11) The presence of underlying medical conditions which may affect interpretation of acute gastrointestinal illness for example diabetic diarrhea, inflammatory bowel disease, gastrectomy or others.
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Item No.:
08
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Site:
Other-POTABLE WATER/BACKFLOW
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Violation:
OUTER DECK WASHING TAPS THROUGH THE SHIP HAD NON-CONTINOUS PRESSURE TYPE BACKFLOW PREVENTERS INSTALLED. A HOSE WITH A SPRAY NOZZLE WAS CONNECTED AT TWO OF THE OUTER DECK WASH TAPS ON DECK 5. THIS ARRANGEMENT REQUIRES A CONTINOUS PRESSURE TYPE BACKFLOW PREVENTER.
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Recommendation:
5.7.1.2.1
Backflow preventers shall be installed when air gaps are impractical or when water under pressure is required.
5.7.1.2.5
A continuous pressure-type backflow preventer shall be installed when a valve is located downstream from the backflow preventer.
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Item No.:
09
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Site:
Other-POOL - AFT POOL
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Violation:
MANUAL TESTS FOR FREE CHLORINE RESIDUAL DURING OPERATION OF THE AFT POOL REGISTERED 0.77, 0.78, 0.48 AND 1.2 PPM. THIS SAMPLE WAS COLLECTED AT THE FILLING INLET. THE POOL WAS SHUT DOWN FOR 30 MINUTES UNTIL A RESIDUAL OF 1.2 PPM WAS OBTAINED. A SAMPLE COLLECTED ONE HOUR PRIOR BY THE SHIP'S STAFF REGISTERED 2.5 PPM. ALL OTHER POOLS AND SPAS IN OPERATION WERE TESTED AND ALL WERE OPERATING AT THE PROPER HALOGEN RESIDUALS. ALL PRIOR RECORDS WERE EXCELLENT WITH REGARD TO HALOGEN LEVELS CONDUCTED THROUGHOUT THE DAY.
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Recommendation:
6.2.2.1.1
A free residual halogen of >1.0 and <3.0 mg/L (ppm) shall be maintained in recirculated swimming pools.
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Item No.:
10
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Site:
Other-WHIRLPOOL SPA - MAINTENANCE
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Violation:
THE STAFF WERE COLLECTING A MONTHLY CORE SAMPLE OF SAND FILTER MEDIA. HOWEVER, THEY DID NOT PERFORM A SEDIMENTATION TEST OF THAT SAMPLE.
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Recommendation:
6.3.1.1.5
The granular filters shall be opened at least monthly and examined for cracks, mounds, or holes in the filter media. A core sample of the filter media shall be inspected for excessive organic material accumulation using a recommended sedimentation method.
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Item No.:
16
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Site:
Other-SOLARIUM BUFFET
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Violation:
SMOKED SALMON IN THE ORIGINAL PACKAGING WAS FOUND ON ICE BATH IN THE PREP AREA. WHEN ASKED IT WAS STATED THAT THE SALMON WAS ON TIME AS PUBLIC HEALTH CONTROL. THE SALMON WAS NOT LABELED WITH THE DISCARD TIME.
THE HOURS OF THIS BUFFET IS GREATER THAN 4 HOURS.
ADDITIONALLY IN THIS AREA PLATED POTENTIALLY HAZARDOUS FOODS WERE NOT SPECIFICALLY LABELED WITH THE DISCARD. IT WAS STATED THAT THEY WERE USING DIFFERENT COLORED PLATES AND BOWLS TO INDICATE WHEN THE ITEMS NEEDED TO BE DISCARDED. THERE WAS NOT A WRITTEN PLAN THAT OUTLINED THIS PROCEDURE.
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Recommendation:
7.3.4.2.1
Before service in ready-to-eat form, raw, raw-marinated, partially cooked, or marinated-partially cooked fish other than molluscan shellfish:
(1) Shall be frozen throughout to a temperature of -20C (-4F) or below for 168 hours (7 days) in a freezer; or -35C (-31F) or below for 15 hours in a blast freezer.
7.3.5.3.2
Refrigerated, ready-to-eat, potentially hazardous food:
(2) A container of refrigerated, ready-to-eat potentially hazardous food prepared and packaged by a food processing plant shall be 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.
7.3.5.3.5
If time only, rather than time in conjunction with temperature, is used as the public health control for a working supply of potentially hazardous food before cooking, or for ready-to-eat potentially hazardous food that is displayed or held for service for immediate consumption:
(1) The food shall be marked or otherwise identified to indicate the time that is 4 hours past the point in time when the food is removed from temperature control; (2) The food shall be cooked and served, served if ready-to-eat, or discarded, within 4 hours from the time when the food is removed from temperature control; and (3) The food in unmarked containers or packages or marked to exceed a 4 hour limit shall be discarded.
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Item No.:
20
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Site:
Other-FOOD SERVICE - GENERAL
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Violation:
THE MAINTOWOC ICE MACHINE HAD SLOTTED FASTENERS (SCREWS) LOCATED OVER THE WATER BATH IN THE UPPER COMPARTMENT. THESE SCREWS ARE IN FOOD SPLASH AREA.
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Recommendation:
7.4.2.1.1
Food contact surfaces of equipment and utensils shall be designed and constructed to be durable and to retain their characteristic qualities under normal use conditions.
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Item No.:
21
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Site:
Other-FOOD SERVICE - GENERAL
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Violation:
INTERNAL THERMOMMETERS WERE NOT PROVIDED IN THE HOT HOLDING FOOD CABINETS TO ACCURATELY MONITOR THE AMBIENT TEMPERATURES OF THESE UNITS.
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Recommendation:
7.4.2.4.9.1
Temperature measuring devices shall conform to the following guidelines:
(1) In a mechanically refrigerated or hot-food storage unit, the sensor of a temperature measuring device shall be located to measure the air temperature in the warmest part of a mechanically refrigerated unit and in the coolest part of a hot-food storage unit.
Provide internal thermometers for food cabinet to accurately monitor the ambient temperature.
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Item No.:
21
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Site:
Other-MAIN GALLEY/DECK 3/HOT GALLEY
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Violation:
ONE OF THE CREAMIC COOK TOPS WAS DAMAGED AND NOT WORKING. THE DAMAGE WAS COVERED WITH TAPE MAKING IT DIFFICULT TO CLEAN.
THE STAFF STATED THAT A WORK ORDER WAS PENDING DELIVERY OF SPARE PARTS.
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Recommendation:
7.4.2.2.6
Nonfood-contact surfaces shall be free of unnecessary ledges, projections, and crevices, and designed and constructed to allow easy cleaning and to facilitate maintenance.
7.4.1.1.9
Nonfood-contact surfaces of equipment that are exposed to splash, spillage, or other food soiling or that require frequent cleaning shall be constructed of a corrosion-resistant, nonabsorbent, and smooth material.
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Item No.:
28
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Site:
Other-BELL BOX / DECK 8
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Violation:
SOILED DISHWARE WAS STACKED ON THE LANDING TABLE ABOVE THE UNDERCOUNTER DISHWASHING MACHINE. THIS LANDING TABLE WAS ADJACENT TO OPEN STORAGE RACKS OF CLEAN COFFEE CUPS AND OTHER FOOD SERVICE EQUIPMENT. THE SEPARATION BETWEEN THE LANDING AND THE STORAGE RACK WAS LESS THAN 4 INCHES (100MM) SUBJECTING THE CLEAN EQUIPMENT TO CONTAMINATION FROM SOILED.
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Recommendation:
7.5.7.3.1
Cleaned equipment and utensils, laundered linens, and single-service and single-use articles shall be stored:
(1) In a clean, dry location; (2) Where they are not exposed to splash, dust, or other contamination; and (3) At least 15 centimeters (6 inches) above the deck.
Ensure that soiled food items are kept far apart (more than 4 inches) from clean items to prevent contamination of clean equipment, clean utensils, and single-service and single-use articles.
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Item No.:
28
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Site:
Other-POOL BAR
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Violation:
THE DISHWASH MACHINE AND REACH -IN-REFRIGERATOR #188 WERE OVERWRAPPED WITH PLASTIC AND POSTED NOT IN USE.
WHEN ASKED, STAFF COULD NOT EXPLAIN
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Recommendation:
Replace non-working food equipment such as dishwash machine and reach-in refrigerator.
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Item No.:
29
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Site:
Other-SOLARIUM GALLEY
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Violation:
ACCESS TO THE HANDWASH SINK WAS PARTIALLY BLOCKED BY THE ADJACENT DOOR. THE DOOR WAS LOCKED OPEN DURING SERVICE, WHICH PARTIALLY BLOCKED ACCESS TO THE HANDWASH SINK.
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Recommendation:
7.7.1.3.1
Handwashing facilities shall be used for no other purpose and shall be accessible at all times.
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Item No.:
32
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Site:
Other-BELL BOX / DECK 8
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Violation:
A PARTIAL HALF-PINT CONTAINER OF MILK WAS FOUND IN THE HANDWASH STATION WASTE RECEPTACLE BY THE DISHWASH
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Recommendation:
Ensure that the handwash station waste receptacle is not use for materials containing food residue.
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Item No.:
33
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Site:
Other-FOOD SERVICE - GENERAL
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Violation:
RECESSED AND MISSING GROUT WAS NOTED BETWEEN THE DECK TILES THROUGHTOUT THE FOOD AREAS.
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Recommendation:
7.7.4.1.1
Decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas shall be constructed and maintained for easy cleaning.
7.7.4.2.3
Decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas, shall be maintained in good repair.
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Item No.:
33
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Site:
Other-SOLARIUM PANTRY ENTRY
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Violation:
THE VINYL DECK AT THE SOLARIUM ENTRY (NEAR FOOD ELEVATOR) WAS DAMAGED AND SEPARATING AT THE JOINT PIECES.
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Recommendation:
7.7.4.2.3
Decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas, shall be maintained in good repair.
If this floor section is ever replaced, a hard deck covering should be used due to the food and trolley transport thru to the galley.
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Item No.:
40
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Site:
Other-INTEGRATED PEST MANAGEMENT
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Violation:
THE INTEGRATED PEST MANAGEMENT PLAN DOES NOT DESCRIBE ACTIVE MONITORING INSPECTIONS FOR LIVE PESTS. SHIPBOARD STAFF ARE CONDUCTING ACTIVE MONITORING INSPECTIONS AS PART OF THE INSECT TRAP INSPECTION
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Recommendation:
8.1.1.1.3
The Integrated Pest Management Plan shall include provisions for active monitoring including pest sighting logs for the operational areas of the vessel and training for crew members in charge of log completion.
Ensure that the written Integrated Pest Management Plan includes the active monitoring inspections for live pests. This could be done by matching the written plan to what the ship staff are already doing.
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