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Item No.:
01
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Site:
Medical-Acute Gastrroenteritis (AGE) Reporting
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Violation:
The ship sent four AGE reports to VSP with incorrect information while having the correct information on the AGE surveillance logs. For instance, (1) on 22 October, a report was sent with a total count of passengers of 1756 but the actual number was 1754, (2) on 12 October, a report was sent with a total count of passengers of 1682 but the actual number was 1862, (3) on 12 September, a report was sent with zero passenger reportable cases and three crew reportable cases but the correct numbers for reportable cases were two for passengers and one for crew, (4) on 16 August, a special report was sent instead of a 24-hour report with zero passenger and crew reportable cases but the correct number of passenger reportable cases was one. In addition, the ship sent special reports on 12 October, 12 September, and 16 August, but the cumulative percentage of reportable cases entered in the AGE surveillance log did not reach 2% among passengers or 2% among crew.
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Recommendation:
Ensure that the AGE reports submitted to VSP include accurate information and that the appropriate report is used, i.e. 24-hour, 4-hour, or special report.
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Item No.:
08
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Site:
Potable Water-Medical Center
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Violation:
The reduced pressure assemblies for the sluice did not have shut-off valves on each side of the devices. Test results showing the pressure differences on both sides of the valves were kept by the staff but tests could not be performed without shut-off valves on both ends of the assemblies according to the technical documentation. It was unclear how the tests were performed.
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Recommendation:
Install the backflow prevention devices per manufacturer's instructions and test the devices with a test kit after installation.
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Item No.:
11
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Site:
Medical-Crew Acute Gastroenteritis (AGE) Reporting
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Violation:
The review of the AGE logs revealed that there were crew members who experienced AGE symptoms and did not report in a timely manner to the medical center. These cases included one non-food employee that continued working after his symptoms began and another non-food employee continued visiting public areas after her symptoms began. Specifically, (1) a technical worker had an onset of AGE symptoms on 3 October at 05:30, worked his morning shift, and reported to the medical center at 15:00 that day; (2) a waiter had an onset of AGE symptoms on 8 October at 03:30, did not work, and reported to the medical center at 10:38 that day; (3) a junior assistant cruise director had an onset of AGE symptoms on 12 October at 17:00, did not work, and reported to the medical center at 19:15 that day after having dinner at the officer's mess while symptomatic. These employees received written warnings.
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Recommendation:
Ensure that employees having AGE symptoms are restricted from work and report to the medical center as soon as having their first AGE symptom.
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Item No.:
16
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Site:
Food Service General-Time Control Plans
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Violation:
The time control plans for three separate areas (Bell Box, Garde Manger Deck 6, and Sabatini) listed refrigeration units that were not constantly under time control. For example, fridge #092424 and #092425 in the bell box were listed on the plan as under time control from 6:30 AM to 10:30 AM. The physical units were labeled as being under time control.
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Recommendation:
Ensure that each unit is either on time or temperature control all the time.
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Item No.:
19
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Site:
Buffet-Bell Box Hotel Locker 9252
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Violation:
Boxes of beer and water were stored on the deck.
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Recommendation:
Protect food from contamination by storing the food: (1) Covered or otherwise protected; (2) In a clean, dry location; (3) Where it is not exposed to splash, dust, or other contamination; and (4) At least 15 centimeters (6 inches) above the deck.
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Item No.:
20
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Site:
Galley-Vegetable Preparation
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Violation:
The two interior white baskets for the salad dryers were severely cracked, pitted, and chipped on the food contact surfaces rendering them no longer easily cleanable.
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Recommendation:
Ensure multiuse food-contact surfaces are: (1) Smooth; (2) Free of breaks, open seams greater than 0.8 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.
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Item No.:
21
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Site:
Galley-Beverage Station
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Violation:
The electrical cord for the counter-mounted coffee machine was draped on the counter which can hinder proper cleaning under the unit.
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Recommendation:
Shorten and/or support the electrical cord above the counter to allow for easy cleaning.
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Item No.:
21
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Site:
Bar-Lobby Bar
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Violation:
The electrical cord for the counter-mounted coffee machine was draped on the counter which can hinder proper cleaning under the unit.
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Recommendation:
Shorten and/or support the electrical cord above the counter to allow for easy cleaning.
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Item No.:
22
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Site:
Galley-Horizon Court Warewashing
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Violation:
The top left nozzle of the final rinse spray on the glasswash machine was partially obstructed and not producing an effective spray pattern.
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Recommendation:
Maintain warewashing equipment in good repair and proper adjustment, including: (1) warewashing equipment is maintained in a state of repair and condition that meets the standards of the materials, design, and construction of these guidelines; (2) water pressure and water temperature-measuring devices are maintained in good repair and accurate within the intended range of use.
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Item No.:
26
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Site:
Galley-Horizon Court Lido Bar
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Violation:
Two small, previously cleaned glasses stored on the clean storage rack were soiled with food debris. These glasses were immediately removed and re-washed.
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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.:
26
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Site:
Galley-Deck 6 Portside Warewashing
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Violation:
The front surface of the ice chute in the top compartment of ice machine 063503A was soiled.
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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:
Galley-Beverage Station
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Violation:
The counter underneath the counter-mounted coffee machine was soiled with more than a day's worth of food debris.
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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.:
27
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Site:
Galley-Beverage Station
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Violation:
The counter underneath the mounted-coffee machine was soiled with more than a day's worth of food debris.
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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.:
28
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Site:
Galley-International Cafe
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Violation:
Two tea cups were stored on the clean storage racks with their lids on. When inspected these tea cups had standing water inside indicating they had not be properly inverted and air dried. These two tea cups were immediately removed to be re-washed.
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Recommendation:
Store clean equipment and utensils in a self-draining position that allows air drying, and covered or inverted.
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Item No.:
28
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Site:
Galley-Deck 6 Starboard Warewashing
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Violation:
A small stack of bowls were not stored covered or inverted in a plate cart.
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Recommendation:
Store clean equipment and utensils in a self-draining position that allows air drying, and covered or inverted.
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Item No.:
28
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Site:
Buffet-Bell Box Hotel Locker 9252
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Violation:
A box of hard plastic drinking cup lids was stored on the deck.
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Recommendation:
Store cleaned equipment and utensils, laundered linens, and single-service and single-use articles: (1) in a clean, dry location; (2) in a location where they are not exposed to splash, dust, or other contamination; (3) at least 150 millimeters (6 inches) above the deck.
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Item No.:
28
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Site:
Galley-Deck 6 Portside Warewashing
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Violation:
A trolley had clean plates that were not stored covered or inverted.
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Recommendation:
Store clean equipment and utensils in a self-draining position that allows air drying, and covered or inverted.
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Item No.:
29
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Site:
Galley-Deck 6 Bakery
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Violation:
The handwashing sink to the left of the clean storage rack had a maximum water temperature of 92F.
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Recommendation:
Ensure handwashing sinks are equipped to provide water at a temperature of at least 38C (100F) through a mixing valve or combination faucet.
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Item No.:
30
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Site:
Buffet-Horizon Court Pastry Outlet
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Violation:
The soap dispenser in the front of the outlet was empty at the time of the inspection. The outlet was in operation at the time.
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Recommendation:
Ensure 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.:
33
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Site:
Galley-Deck 6 Starboard Warewashing
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Violation:
The deckhead vent above the clean storage rack by the door to the escalators was not flush against the deckhead. This created a gap which allowed a significant amount of dust to accumulate.
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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. Ensure decks, bulkheads, deckheads, and attached equipment in food preparation, warewashing, pantries, and storage areas are cleaned as often as necessary.
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Item No.:
33
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Site:
Pantry-Lido Bar
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Violation:
The deckhead/bulkhead juncture panel above the clean storage counter was not flush against the deckhead. This created a gap which allowed dust to accumulate.
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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. Ensure decks, bulkheads, deckheads, and attached equipment in food preparation, warewashing, pantries, and storage areas are cleaned as often as necessary.
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Item No.:
33
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Site:
Buffet-Trident Grill
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Violation:
There were two ceiling fans over food preparation surfaces and clean utensils. The blades of the two ceiling fans were soiled with dust. The blades could blow the dust to the surfaces below them. In addition, one of the glass deckhead panels looked cracked and the extent of the damage could not be determined.
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Recommendation:
Remove the ceiling fans. Repair the deckhead glass panel once the extent of the damage is determined. Ensure decks, bulkheads, deckheads, and attached equipment in food preparation, warewashing, pantries, and storage areas are cleaned as often as necessary.
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Item No.:
33
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Site:
Galley-Horizon Court Warewashing
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Violation:
The deckhead light fixture above the glasswash machine was loose and not flush against the deckhead, creating a gap.
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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.:
33
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Site:
Provisions-Fruit and Vegetable Walk-In 4212
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Violation:
A small leak was noted in the deckhead seam adjacent to the technical hatch in the center of the room. Water was present in the seam and several water drops were formed on the deckhead but there was no evidence the water was dripping on the food or deck below. It could not be determined at the time if there was a plumbing or condensation issue.
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Recommendation:
Ensure decks, bulkheads, deckheads, and attached equipment in food preparation, warewashing, pantries, and storage areas are cleaned as often as necessary. Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are maintained in good repair.
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Item No.:
33
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Site:
Galley-Starboard Warewash
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Violation:
A deckhead section above a clean storage rack that was cut during an emergency was not flush against the deckhead creating several large 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.:
34
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Site:
Galley-Horizon Court Warewashing
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Violation:
A pipe under the three compartment sink was continuously leaking.
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Recommendation:
Ensure the plumbing system in the food area is maintained in good repair.
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Item No.:
34
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Site:
Galley-Potwash
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Violation:
Three separate water leaks were noted in the area. A water leak was coming from the mechanical potwash machine, a second leak was coming from the water pipes leading to the sanitizing compartment of the three compartment sink, and a third leak was coming from the water pipes leading to the wash compartment of the three compartment sink. These three leaks caused a significant amount of water to accumulate and pool on the deck in the area.
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Recommendation:
Ensure the plumbing system in the food area is maintained in good repair.
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Item No.:
35
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Site:
Galley-Potwash
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Violation:
Three separate water leaks were noted in the area. A water leak was coming from the mechanical potwash machine, a second leak was coming from the water pipes leading to the sanitizing compartment of the three compartment sink, and a third leak was coming from the water pipes leading to the wash compartment of the three compartment sink. These three leaks caused a significant amount of water to accumulate and pool on the deck in the area.
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Recommendation:
Ensure black and gray water is discharged to the vessel's wastewater disposal system and does not pool on the deck.
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Item No.:
35
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Site:
Galley-Horizon Court Warewashing
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Violation:
A pipe under the three compartment sink was continuously leaking, causing an excessive amount of water to accumulate and pool on the deck under the three compartment sink and under the dirty loading side of the dishwash machine.
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Recommendation:
Ensure black and gray water is discharged to the vessel's wastewater disposal system and does not pool on the deck.
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Item No.:
38
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Site:
Galley-Deck 5 Main Galley
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Violation:
Three portable hot holding units and two portable cold holding units were stored in the galley but were not used at least for three years as stated by staff.
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Recommendation:
Ensure only articles necessary for the food service operation are stored in food preparation, food storage, and warewashing areas.
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Item No.:
41
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Site:
Galley-Toilet Room
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Violation:
The main door of the toilet room did not have a sign advising users to use hand towels, paper towel, or tissue to open the door when exiting.
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Recommendation:
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.:
42
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Site:
Children Area-Kid's Toilet & Diaper Changing Area
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Violation:
There was no airtight, washable waste receptacle to dispose of excrement, soiled sanitary wipes, and soiled gloves.
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Recommendation:
Conveniently locate an airtight, washable waste receptacle to dispose of excrement, soiled sanitary wipes, and soiled gloves. Remove waste materials from the child activity center each day.
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Item No.:
44
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Site:
Medical-Acute Gastroenteritis (AGE) Reporting
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Violation:
The ship sent four AGE reports to VSP with incorrect information while having the correct information on the AGE surveillance logs. In addition, the ship sent special reports on three different times but the cumulative percentage of reportable cases entered in the AGE surveillance log did not reach 2% among passengers or 2% among crew. The ship's electronic quality management system available to the staff had instructions, consistent with the 2011 VSP Operations Manual, on when to send 24-hour reports, 4-hour update reports, and special reports, but these instructions were not always followed.
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Recommendation:
Ensure the supervisor or person in charge of medical operations related to AGE on the vessel demonstrates to VSP-during inspections and on request-knowledge of medical operations related to AGE, is able to demonstrate this knowledge by compliance with Section 4 of the VSP 2011 Operations Manual or by responding correctly to the inspector's questions as they relate to the specific operation, and properly trains employees to comply with Section 4 of the VSP 2011 Operations Manual as it relates to their assigned duties.
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