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Item No.:
*
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Site:
Other-CORRECTIVE ACTION STATEMENT
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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: NOREWEGIAN SUN- CAS - [04/13/2002] .
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Recommendation:
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Item No.:
01
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Site:
Other-MEDICAL
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Violation:
FOR SEVERAL CRUISES THE 24-HOUR PRIOR TO ARRIVAL REPORT WAS MADE LESS THAN 24 HOURS PRIOR TO ARRIVAL IN THE US FROM A FOREIGN PORT.
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Recommendation:
4.2.1.1.1
The master, the medical staff, or other designated staff of a vessel destined for a U.S. port from a foreign port shall submit at least one standardized gastrointestinal illness report based on the number of reportable cases in the gastrointestinal illness log to the VSP no less than 24 hours, but not more than 30 hours before the vessel's expected arrival at the U.S. port.
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Item No.:
02
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Site:
Other-MEDICAL
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Violation:
ALL PASSENGERS AND CREW MEMBERS DISPENSED ANTIDIARRHEAL MEDICATION WERE NOT INCLUDED IN THE GASTROINTESTINAL ILLNESS LOG. THE COLUMNS FOR AGE, SEX, AND UNDERLYING ILLNESS WERE NOT PRESENT IN THE LOG USED BY THE VESSEL.
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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.:
03
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Site:
Other-POTABLE WATER
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Violation:
A REVIEW OF THE PRODUCTION WATER HALOGENATION LOG NOTED A NUMBER OF DAYS WHERE THE FREE CHLORINE RESIDUAL WAS LESS THAN 2.0 PPM FOR WATER COMING FROM THE REVERSE OSMOSIS UNIT.
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Recommendation:
5.2.1.1.1
Potable water shall be continuously halogenated to at least 2.0 mg/L (ppm) free residual halogen at the time of bunkering or production with an automatic halogenation device.
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Item No.:
08
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Site:
Other-POTABLE WATER
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Violation:
THE POTABLE WATER LINES WERE NOT STRIPED BLUE IN THE POOL AND SPA PUMP ROOMS.
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Recommendation:
5.3.2.1.1
Potable water piping shall be painted light blue or striped with 15 cm (6 inches) light blue bands or a light blue stripe at fittings on each side of partitions, decks, and bulkheads and at intervals not to exceed 5 m (15 feet) in all spaces, except where the decor would be marred by such markings.
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Item No.:
08
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Site:
Other-POTABLE WATER
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Violation:
THE POTABLE WATER FILLING LINE CAPS WERE NOT ATTACHED TO THE CHAINS.
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Recommendation:
5.3.2.1.4
The potable water filling line shall have a screw cap or plug fastened by a non-corroding chain to an adjacent bulkhead or surface in such a manner that the cap or plug shall not touch the deck when hanging free.
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Item No.:
08
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Site:
Other-POTABLE WATER
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Violation:
A COMPREHENSIVE CROSS-CONNECTION CONTROL PROGRAM HAS NOT BEEN DEVELOPED FOR THIS VESSEL.
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Recommendation:
5.7.1.1.3
The vessel shall provide a comprehensive cross- connection control program that provides safe connections to the potable water system through air gaps or appropriate backflow devices at the following locations, if present:
(1) Potable water supply lines to swimming pools, whirlpool spas, hot tubs, bathtubs, showers, and similar facilities; (2) Photographic laboratory developing machines and utility sinks; (3) Beauty and barber shop spray-rinse hoses; (4) Potable water faucets where hoses are connected or can be connected by threaded or quick-connect outlets such as those serving tanks containing chlorine and other chemicals, and deck taps; (5) Garbage grinders and pulpers; (6) Mechanical warewashing machines; (7) Hospital and laundry equipment; (8) Air conditioning expansion tanks; (9) Boiler feed water tanks; (10) Fire systems; (11) Toilets; (12) Potable water, bilge, and sanitary pumps that require priming; (13) Freshwater or saltwater ballast systems; (14) Bilge or other waste water locations; (15) International shore connection; and (16) Any other connection between potable and non-potable water systems.
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Item No.:
08
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Site:
Other-CHILDREN'S POOL PUMP ROOM
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Violation:
A NON-CONTINUOUS PRESSURE BACKFLOW PREVENTION DEVICE WAS NOTED ON A POTABLE WATER LINE IN THE PUMP ROOM. A HOSE WITH A SPRAY GUN WAS ATTACHED TO THIS HOSE BIB CONNECTION.
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Recommendation:
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-POOLS
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Violation:
A TEST FOR FREE CHLORINE RESIDUAL NOTED LESS THAN 1.0 PPM IN THE FORWARD POOL. ONE HOUR AND TWO HOURS PRIOR THE SHIP'S TEST NOTED 1.19 AND 1.0 PPM, RESPECTIVELY.
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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-POOLS
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Violation:
A LENGTH OF LINE 1.5 TIMES THE WIDTH OF THE POOL WAS NOT ATTACHED TO THE FLOATATION DEVICE.
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Recommendation:
Attach a length of line 1.5 times the width of the pool to each floatation device.
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Item No.:
10
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Site:
Other-CHILDREN'S POOL
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Violation:
THE DRAIN WAS NOT FITTED WITH AN ANTI-VORTEX DRAIN COVER.
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Recommendation:
6.4.1.2.2
Anti-vortex drain covers shall be provided on swimming pools and whirlpool spas.
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Item No.:
16
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Site:
Other-BISTRO GALLEY
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Violation:
ALTHOUGH IT WAS CLEAR THAT THE STAFF UNDERSTOOD THE PROPER PROCEDURES, A WRITTEN PLAN FOR USING TIME AS CONTROL FOR THE SUSHI OPERATION WAS NOT AVAILABLE.
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Recommendation:
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.
7.3.5.3.6
Written procedures that ensure compliance with these guidelines shall be maintained on the vessel and made available to the VSP, upon request.
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Item No.:
16
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Site:
Other-PIZZERIA
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Violation:
A PAN OF SLICED PEPPERONI WAS TESTED AT 50 F IN THE UNDERCOUNTER REFRIGERATOR. THE PEPPERONI WAS DISCARDED.
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Recommendation:
7.3.5.3.1.1
Potentially hazardous food shall be maintained:
(1) At 60C (140F) [roasts 54C (130F)] or above,; or (2) At 5C (41F) or less.
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Item No.:
18
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Site:
Other-PROVISIONS
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Violation:
READY-TO-EAT FOODS WERE STORED IN CLOSE PROXIMITY TO RAW MEATS IN THE MEAT FREEZER.
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Recommendation:
7.3.3.2.1.1
Food shall be protected from cross-contamination by: (1) Physically separating raw animal foods during storage, preparation, holding, and display from raw ready-to-eat food including other raw animal food such as fish for sushi or molluscan shellfish, or other raw ready-to-eat food such as vegetables, and cooked ready-to-eat food; so products do not physically touch, and so as to prevent dripping of one product into another.
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Item No.:
19
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Site:
Other-PROVISIONS
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Violation:
BLOCKS OF ICE WERE NOT ADEQUATELY SEPARATED FROM FOOD IN THE POULTRY FREEZER.
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Recommendation:
ENSURE THAT ALL ICE BLOCKS ARE SEPARATED FROM FOOD SUPPLIES VIA SEPARATION PANELS OR SIMILAR METHODS.
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Item No.:
19
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Site:
Other-GARDEN CAF BUFFET
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Violation:
CONDENSATE WAS COLLECTION ON THE SNEEZE GUARD AND DRIPPING ONTO THE PLATES AND SERVING UTENSILS BELOW. THE FOOD TEMPERATURES WERE WELL ABOVE 140F AND STEAM WAS NOTED ESCAPING FROM IN BETWEEN THE FOOD PANS.
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Recommendation:
Lowering the temperature of the steam table water may help prevent condensate from developing.
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Item No.:
19
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Site:
Other-GARDEN CAF BUFFET
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Violation:
THE PLACEMENT OF THE PORTABLE SNEEZE GUARDS DID NOT ADEQUATELY PROTECT THE FOODS.
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Recommendation:
Place the sneeze guards such that the foods are adequately protected.
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Item No.:
19
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Site:
Other-GARDEN CAF HOT CEREAL STATION
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Violation:
THE BROWN SUGAR AND CINNAMON WERE NOT PLACED UNDER THE SNEEZE GUARD.
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Recommendation:
7.3.3.6.1
Food on display shall be protected from contamination by the use of packaging; counter, service line, or salad bar food guards; display cases; or other effective means.
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Item No.:
20
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Site:
Other-BISTRO GALLEY
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Violation:
COPPER-TYPE FOOD COVERS WERE BEING USED IN THE TAPANYAKI GRILL TO COVER FOOD WHILE COOKING ON THE GRILL.
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Recommendation:
7.4.1.2.2
Copper is not approved for food contact surfaces. Food contact surfaces must not be constructed of such materials that may impart colors, odors, or tastes to food and shall be clean.
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Item No.:
20
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Site:
Other-GARDEN CAF BUFFET
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Violation:
THE OUTER EDGE OF THE BREAD BOWL WAS DAMAGED. THIS BOWL WAS MADE OF WOOD THAT DID NOT APPEAR TO BE CLOSE-GRAINED. THE ROLLS WERE IN DIRECT CONTACT WITH THE BOWL.
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Recommendation:
7.4.2.2.1
Multiuse food-contact surfaces shall be:
(1) Smooth; (2) Free of breaks, open seams >1 mm (1/32 inch), cracks, chips, inclusions, pits, and similar imperfections; (3) Free of sharp internal angles, corners, and crevices; (4) Finished to have smooth welds and joints; and (5) Accessible for cleaning and inspection by one of the following methods without being disassembled, by disassembling without the use of tools, or by easy disassembling with the use of handheld tools commonly available to maintenance and cleaning personnel such as screwdrivers, pliers, open-end wrenches, and Allen wrenches.
7.4.1.1.7
Wood use shall be limited as follows:
(1) Wood and wood wicker may not be used as a food-contact surface.
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Item No.:
21
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Site:
Other-BEVERAGE STATIONS-GARDEN CAF
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Violation:
THE PLASTIC PROTECTIVE SHEETING HAS NOT BEEN REMOVED FROM THE STAINLESS STEEL PANELS UNDER THE BEVERAGE STATIONS. SECTIONS OF THE SHEETING WERE PEELING AND CURLED MAKING THESE AREAS DIFFICULT TO CLEAN.
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Recommendation:
Remove the plastic sheeting from the stainless steel panels.
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Item No.:
21
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Site:
Other-AFT BEVERAGE STATION-GARDEN CAF
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Violation:
A HOLE WAS NOTED BETWEEN THE STAINLESS STEEL CABINET AND THE LAMINATE UNDER THE COUNTER ON THE LEFT SIDE OF THE COFFEE MACHINE.
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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.
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Item No.:
22
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Site:
Other-POTWASH
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Violation:
THE THERMOMETER FOR THE FINAL RINSE COMPARTMENT OF THE THREE-COMPARTMENT SINK NOTED OVER 200 F WHILE THE WATER WAS TESTED AT 177 F. THE POTWASH MACHINE WAS POSTED OUT OF ORDER.
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Recommendation:
7.5.2.1.1
Water temperature measuring devices:
(1) That are scaled in Celsius or dually scaled in Celsius and Fahrenheit shall be designed to be accurate to 1.5C in the intended range of use. (2) That are scaled only in Fahrenheit shall designed to be accurate to 3F in the intended range of use.
Repair the potwash machine.
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Item No.:
22
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Site:
Other-DISHWASHING MACHINES GENERAL
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Violation:
SOME OF THE PRESSURE GAUGES ON DISHWASHERS APPEARED TO BE MALFUNCTIONING.
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Recommendation:
7.5.6.1.3
The flow pressure of the fresh hot water sanitizing rinse in a warewashing machine may not be less than 100 kilopascals (15 pounds per square inch) or more than 170 kilopascals (25 pounds per square inch) as measured in the water line immediately downstream or upstream from the fresh hot water sanitizing rinse control valve. Ensure that all pressure gauges are functioning properly.
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Item No.:
24
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Site:
Other-MAIN GALLEY
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Violation:
THE FINAL RINSE TEMPERATURE OF ONE OF THE CONVEYOR DISHWASHERS WAS AT 150F.
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Recommendation:
7.5.6.1.2
In a mechanical operation, the temperature of the fresh hot water sanitizing rinse as it enters the manifold may not be more than 90C (194F), or less than:
(1) For a stationary rack, single temperature machine, 74C (165F); or (2) For all other machines, 82C (180F). (3) A utensil surface temperature of 71C (160F) as measured by an irreversible registering temperature indicator shall be achieved. (4) The maximum temperature of 90C (194F), does not apply to the high pressure and temperature systems with wand-type, hand-held, spraying devices used for the in-place cleaning and sanitizing of equipment such as meat saws.
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Item No.:
26
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Site:
Other-MAIN GALLEY
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Violation:
SOME OF THE ICE CREAM SCOOPS IN THE MAIN GALLEY KNIFE LOCKER WERE SOILED WITH A SMALL AMOUNT OF FOOD RESIDUE. TWO KNIVES WERE SOILED WITH FOOD RESIDUE ALONG THE HANDLE BLADE JUNCTURE.
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Recommendation:
7.5.5.1.1
Food-contact surfaces of equipment and utensils shall be clean to sight and touch.
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Item No.:
27
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Site:
Other-MAIN GALLEY
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Violation:
ONE SHELF OF THE MAIN GALLEY KNIFE LOCKER WAS SOILED WITH FOOD RESIDUE.
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Recommendation:
7.5.5.1.3
Nonfood-contact surfaces of equipment shall be kept free of an accumulation of dust, dirt, food residue, and other debris.
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Item No.:
41
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Site:
Other-KID'S KORNER
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Violation:
DISPOSABLE GLOVES AND SANITARY WIPES WERE NOT PROVIDED IN THE TOILET ROOM. A SIGN ADVISING PROVIDERS TO WASH THEIR HANDS AND THE CHILDREN'S HANDS AFTER ASSISTING THEM WITH THE TOILET WAS NOT PROVIDED.
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Recommendation:
10.2.1.1.2
Each toilet facility shall be provided with a supply of toilet tissue, disposable gloves, and sanitary wipes.
10.2.1.1.5
Signs shall be posted in children's toilet room advising the providers to wash their hands and the children's hands after assisting children use the toilet.
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Item No.:
41
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Site:
Other-KID'S KORNER
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Violation:
THE DIAPER CHANGING STATION WAS NOT PROVIDED WITH SANITARY WIPES. A SIGN ADVISING PROVIDERS TO WASH THEIR HANDS AFTER EACH DIAPER THEY CHANGE WAS NOT POSTED AT THE DIAPER CHANGING STATION.
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Recommendation:
10.1.1.1.1
If children who wear diapers are accepted in the child-activity center, diaper-changing stations and disposal facilities shall be provided.
10.1.1.1.2
Each station shall include:
(1) A changing table that is impervious, nonabsorbent, nontoxic, smooth, durable, and cleanable, and designed for diaper changing; (2) A supply of disposable diapers, gloves, wipes, table cleanser, and disinfectant; (3) An airtight, soiled-diaper receptacle; and (4) An adjacent handwashing station.
10.1.1.1.3
Signs shall be posted in the diaper-changing area advising child-activity center staff to wash their hands after each diaper they change.
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Item No.:
41
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Site:
Other-VENTILATION
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Violation:
EXTENSIVE CORROSSION WAS NOTED IN THE CONDENSATE COLLECTION PAN IN AC UNIT 109. THESE UNITS ARE UNDER A WARRANTY CLAIM.
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Recommendation:
9.2.1.2.1
Air handling units shall be kept clean.
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