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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Surveillance Log
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Violation:
The AGE surveillance log did not include the time a patient reported to the medical center, meal seating information for passengers, or the patient's body temperature. The log also had extra columns and was not in the order as required by the 2011 VSP Operations Manual.
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Recommendation:
Ensure the AGE surveillance log entry for each passenger or crew member contain the following information in separate columns: (2) time of the first medical visit or report to staff of illness; (10) meal seating information; (13) illness symptoms, including the presence or absence of the following selected signs and symptoms, with a separate column for each of the following: (d) recorded temperature. Ensure the AGE surveillance log contains the above information in the exact order and is entered in the template in Annex 13.2.2. Ensure that the log data is exported in the exact order as in the example template in Annex 13.2.2 with analyzable formats such as Excel or Access. Ensure that any additional data fields are entered only outside of the form margins when exported to VSP.
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Item No.:
08
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Site:
Pantry-Calypso and Tradewinds
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Violation:
There was no backflow prevention device for the non-carbonated potable water line to the multi-flow dispenser hoses in these two bars.
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Recommendation:
Install a continuous pressure backflow prevention device on the non-carbonated potable water line to the multi-flow dispenser hoses.
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Item No.:
08
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Site:
Potable Water-Bunkering
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Violation:
The pH of the shore-side water supply was not tested prior to bunkering.
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Recommendation:
Conduct a free halogen residual and pH test on the shore-side water supply before starting the potable water bunkering process to establish the correct halogen dosage. Record the results of the pretest and ensure they are available for review during inspections.
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Item No.:
08
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Site:
Potable Water-Cross-Connection Control Program
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Violation:
The list of cross-connections and backflow prevention devices did not include the shower hoses in the ADA cabins.
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Recommendation:
Update the list of backflow prevention devices.
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Item No.:
09
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Site:
Recreational Water Facilities-Calypso Pool
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Violation:
The free residual chlorine was measured at 0.1 ppm by the staff's test kit and no color changed was detected by the inspector. The computer system was checked and was recording 0.0 ppm. The pool was open at the time of the inspection. The staff closed the pool.
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Recommendation:
Maintain a free residual halogen in recirculated RWFs in the following ranges: (1) swimming pools, between 1.0 and 5.0 mg/L (ppm).
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Item No.:
10
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Site:
Recreational Water Facilities-Whirlpool Spa Shock Halogenation
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Violation:
The free halogen residual was not recorded at the start and completion of shock halogenation.
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Recommendation:
Ensure a written or electronic record of the date and time of water dumping and shock halogenation (concentration in ppm at the start and completion and time) is available for review during inspections.
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Item No.:
10
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Site:
Recreational Water Facilities-Chart Recorder Sample Lines
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Violation:
The sample lines for the analyzer chart recorders for the recreational water facilities were located after the compensation tanks. New sample lines had been installed for the pools, but they were not connected to the chart recorders.
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Recommendation:
Ensure the sample line for the analyzer probe (monitoring) is either directly from the RWF or on the return line from each RWF and before the compensation tank.
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Item No.:
10
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Site:
Recreational Water Facilities-Swimming Pool Antientrapment
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Violation:
The swimming pools had dual gravity drains greater than three feet apart constructed of a standard design and no alarms were installed.
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Recommendation:
For RWFs with gravity drainage and multiple drains (2 or more drains greater than 3 feet apart), provide either a standard design (not compliant with ASME A112.19.8) drain cover and an alarm, or an ASME A112.19.8 compliant antientrapment/antientanglement drain cover. Ensure the alarm is audible and sounds in both a continuously manned space and at the RWF. Ensure this alarm is for all draining: accidental, routine, and emergency.
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Item No.:
10
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Site:
Recreational Water Facilities-Swimming Pool Life Saving Equipment
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Violation:
The shepherd's hooks had telescoping poles attached and at the mounted length were not long enough to reach the bottom middle of the pools plus two feet.
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Recommendation:
Provide a rescue or shepherd's hook and an approved flotation device at a prominent location (visible from the full perimeter of the pool) at each RWF that has a depth of 1 meter (3 feet) or greater. Mount these devices in a manner that allows for easy access during an emergency. Ensure the pole of the rescue or shepherd's hook is long enough to reach the center of the deepest portion of the pool from the side plus 2 feet. Ensure it is a light, strong, nontelescoping material with rounded, nonsharp ends.
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Item No.:
10
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Site:
Recreational Water Facilities-Safety Signs
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Violation:
The safety signs at the recreational water facilities did not contain all of the information required in the 2011 VSP Operations Manual.
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Recommendation:
Provide safety signs for all RWFs, except for baby-only water facilities. Ensure the signs, at a minimum, include the following words: (1) do not use these facilities if you are experiencing diarrhea, vomiting, or fever; (2) no children in diapers or who are not toilet trained; (3) shower before entering the facility; and (4) bather load #. For children?s RWF signs, include the exact wording ?TAKE CHILDREN ON FREQUENT BATHROOM BREAKS? or ?TAKE CHILDREN ON FREQUENT TOILET BREAKS.? In addition to the safety sign requirements in section 6.7.1.1.1, install a sign at each whirlpool spa and spa pool entrance listing precautions and risks associated with the use of these facilities. Include, at a minimum, cautions against use by the following: (1) individuals who are immunocompromised; (2) individuals on medication or who have underlying medical conditions such as cardiovascular disease, diabetes, or high or low blood pressure; and (3) pregnant women, elderly persons, and children. Additionally, caution against exceeding 15 minutes of exposure.
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Item No.:
16
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Site:
Food Service General-Time Control Plans
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Violation:
There were two time control plans posted in the main galley for all of the outlets. During the inspection, the plans were being updated to indicate the specific outlet and the time control unit(s) in that area.
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Recommendation:
Maintain a written time control plan(s) that ensures compliance with these guidelines on the vessel and make it available for review during inspections. Post a time control plan at each outlet where time control is used.
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Item No.:
16
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Site:
Dining Room-Menus
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Violation:
There was no consumer advisory for any of the dining room menus.
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Recommendation:
If an animal food such as beef, eggs, fish, lamb, milk, pork, poultry, or shellfish that is raw, undercooked, or not otherwise processed to eliminate pathogens is offered in a ready-to-eat form or as a raw ingredient in another ready-to-eat food, ensure the consumer is informed by way of disclosure using menu advisories, placards, or other easily visible written means of the significantly increased risk to certain especially vulnerable consumers eating such foods in raw or undercooked form. Locate the advisory at the outlets where these types of food are served. Ensure that disclosure is made by one of the two following methods: (2) On a menu using an asterisk at the animal-derived foods requiring disclosure and a footnote with a statement indicating that consuming raw or undercooked meats, seafood, shellfish, eggs, milk, or poultry may increase your risk for foodborne illness, especially if you have certain medical conditions.
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Item No.:
19
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Site:
Buffet-Staff Mess
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Violation:
The handle of the serving utensil was touching the hot dog buns. This was corrected.
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Recommendation:
During pauses in food preparation or dispensing, ensure food preparation and dispensing utensils are stored: (1) In the food with their handles above the top of the food and the container.
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Item No.:
20
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Site:
Buffet-Port and Starboard Beverage Stations
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Violation:
There were slotted fasteners inside the water dispensing chute of the ice/water machine.
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Recommendation:
Use only low profile, nonslotted, noncorroding, and easy-to-clean fasteners on food-contact surfaces and in splash zones. Prohibit the use of exposed slotted screws, Phillips head screws, or pop rivets in these areas.
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Item No.:
21
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Site:
Galley-Deck 6 Hot Line
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Violation:
There was peeling sealant around the bottom of the drip tray housing of the left aft grooved grill.
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Recommendation:
Remove the peeling sealant. If required, use hard sealant that can withstand heat and allows for easy cleaning.
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Item No.:
21
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Site:
Galley-Deck 6 Hot Line
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Violation:
There was peeling sealant on the underside of the oil release chute of the right aft grooved grill.
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Recommendation:
Remove the peeling sealant. Install hard sealant that can withstand heat and allows for easy cleaning.
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Item No.:
25
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Site:
Buffet-Port Hot Line
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Violation:
A wet wiping cloth was draped over the side of a bucket of chlorine sanitizing solution. The staff placed the wiping cloth into the solution.
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Recommendation:
Restrict wiping cloths to the following: (2) Cloths used for wiping food spills are dry and used for wiping food spills from tableware and single service articles or wet and cleaned, stored in a chemical sanitizer, and used for wiping spills from food-contact and nonfood-contact surfaces of equipment.
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Item No.:
26
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Site:
Galley-Deck 5 Coffee Station
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Violation:
The inside of the two left dispensing ports of the juice machine were soiled with old juice residue. The dispensing ports were removed and taken to be cleaned and sanitized.
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Recommendation:
Ensure food contact surfaces of equipment and utensils are clean to sight and touch.
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Item No.:
27
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Site:
Buffet-Starboard Yogurt Line
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Violation:
The top surface of a decorative box with a white figurine inside was heavily soiled with dust. The box was removed to be cleaned.
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Recommendation:
Ensure 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.:
33
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Site:
Galley-
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Violation:
At the entrance from the main galley, the bulkhead stainless steel flange on the drinking fountain potable water supply line was loose, exposing gaps.
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Recommendation:
Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, bars, and food and equipment storage areas are constructed and maintained for easy cleaning.
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Item No.:
37
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Site:
Galley-Hot Line
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Violation:
There was condensation on the exhaust hood above the in-use left soup kettle. The condensation was not dripping into the food below. The staff wiped off the condensation and after a few minutes no further condensation occurred.
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Recommendation:
Ensure ventilation hood systems and devices operate effectively to prevent grease and condensate from collecting on the bulkheads and deckheads and remove contaminants generated by equipment located under them.
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Item No.:
37
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Site:
Galley-Potwash Area
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Violation:
There was a small amount of condensation dripping from the tack welding of the exhaust hood above the clean end of the in-use potwash machine. The staff wiped off the condensation, but it continued to drip. No clean items were impacted.
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Recommendation:
Ensure ventilation hood systems and devices operate effectively to prevent grease and condensate from collecting on the bulkheads and deckheads and remove contaminants generated by equipment located under them.
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Item No.:
37
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Site:
Buffet-Staff Mess
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Violation:
There was condensation on the underside of the sneeze guards above the in-use bain maries. The condensation was not dripping into the food below. The staff covered all of the serving containers and wiped off the condensation. After a few minutes no further condensation occurred.
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Recommendation:
Ensure the bain maries are kept covered to prevent condensation build-up on the sneeze guards.
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Item No.:
40
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Site:
Integrated Pest Management-Records
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Violation:
There were no records for loading inspections, active monitoring, or follow-up inspections following sightings and treatment of pests. Staff stated that all of these inspections were conducted, but the company directed them to only record an inspection if a pest was found. No pests were found during the inspection.
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Recommendation:
Ensure the IPM Plan includes provisions for logs for active monitoring of pest sightings in operational areas of the vessel. Ensure the IPM plan includes provisions for training of crew members in charge of log completion. Record the time of the active monitoring inspections in the log. When pests are noted during an inspection, ensure the log includes action taken and follow-up inspection results. Routinely inspect incoming shipments of food and all other supplies for evidence of insects, rodents, and other pests. Maintain a record of these inspections onboard the vessel and make the record available for review during inspections.
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Item No.:
41
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Site:
Housekeeping-Bridge Toilet Room
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Violation:
The toilet room in the bridge did not have a sign informing users to wash their hands or to use a paper towel to open the door when exiting the toilet room.
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Recommendation:
Provide the passenger and crew public toilets with a handwashing station that includes: (4) A sign advising users to wash hands. Post a sign advising users of toilet facilities to use hand towel, paper towel, or tissue to open the door unless the exit is hands free.
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Item No.:
41
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Site:
Housekeeping-Outbreak Prevention and Response Plan (OPRP)
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Violation:
One of the trigger points for code red was when the number of reportable acute gastroenteritis cases among passengers or crew reached '2% within 72 hours' instead of 2% at any time. Also the procedures for informing embarking passengers and crew members following an outbreak cruise was not in the OPRP. An example of a recently used letter to embarking passengers was provided.
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Recommendation:
Update the OPRP to indicate a code red trigger point of greater than or equal to 2% illness in passengers and crew members at any time during the cruise. Ensure each vessel has a written OPRP that details standard procedures and policies to specifically address AGE onboard. Include the following in the written OPRP: (4) Procedures for informing passengers and crew members of the outbreak. Ensure this section also includes procedures for notification of passengers embarking the vessel following an outbreak voyage or segment of a voyage.
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Item No.:
42
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Site:
Children Area-Toilet Rooms
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Violation:
The step stools provided at the toilets and handwashing sinks were not high enough. From the top of the stool, the height of the toilet seat edge was measured at 12 inches and the height of the handwashing sink was measured at 24 inches.
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Recommendation:
If toilet rooms are located in a child-activity center, provide a child-size toilet(s) or child-accessible toilet(s) (child-size seat and step stool) and handwashing facilities. Ensure child-size toilets (to include the toilet seat) have a maximum height of 280 millimeters (11 inches) and a toilet seat opening no greater than 203 millimeters (8 inches). Ensure handwashing sinks have a maximum height of 560 millimeters (22 inches) above the deck or a step stool.
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