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Item No.:
*
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Site:
Dining Room-Blu - Menus
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Violation:
Many food items (i.e. muesli, yogurts, cheese, fully-cooked meats) were marked with an asterisk indicating they were animal-derived food items served raw or undercooked. None of these food items fit that description.
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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.:
02
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Site:
Medical-Acute Gastroenteritis Surveillance Logs
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Violation:
On 27 February a passenger had 2 episodes of diarrhea and 2 episodes of vomiting, was issued antidiarrheal medication, and had Irritable Bowel Syndrome (IBS) as an underlying illness. This passenger was listed as an AGE non-reportable case. Between 28 December 2013 and 5 March 2014, many passengers and crew members experienced 1-2 episodes of diarrhea, abdominal cramps, were issued antidiarrheal medication, had 'none' as their underlying illness, and were listed as an AGE non-reportable case. Staff stated that 'none' indicated the diarrhea was not normal for that person.
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Recommendation:
Ensure a reportable case of AGE is a case reported to the master of the vessel, the medical staff, or other designated staff by a passenger or a crew member and meets the case definition based on the following symptoms: (1) Diarrhea (three or more episodes of loose stools in a 24 hour period or what is above normal for the individual. See section 4.1.2.1.3, illness symptoms); or (2) vomiting and one additional symptom including one or more episodes of loose stools in a 24-hour period, or abdominal cramps, or headache, or muscle aches, or fever (temperature of greater than or equal to 38C [100.4F]).
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Item No.:
08
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Site:
Potable Water-Inspection Log
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Violation:
On the written log for the inspection and testing of backflow devices and air gaps, there were three pages under the backflow preventer and air gap section where 17-24 individual connections on each page were listed, but no data was completed on the fields describing the date of visual inspection and remarks on the findings from the inspection. Only the individual backflow preventers that required testing had the various data fields completed. The log indicated all the inspections and testing took place in August 2013. In addition, there were log forms from the original shipyard list of backflow preventers where there was no remark field to enter the inspection result or that the device was leaking, replaced, or damaged. Lastly, there was a third log form in the chemical dispenser section where no result was listed and there was no remark field to describe if the devices were leaking, changed, or acceptable.
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Recommendation:
Retain the inspection and test results for backflow prevention devices for at least 12 months and ensure they are available for review during inspections.
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Item No.:
10
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Site:
Recreational Water Facilities-Deck 12 - Deck Feature
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Violation:
The spray pad named Deck Feature was not equipped with safety signs as required for recreational water facilities. Staff stated the new sign was scheduled to arrive in March.
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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 #.
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Item No.:
10
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Site:
Recreational Water Facilities-RWF Maintenance Logs
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Violation:
The Whirlpool/Spa Pool/Interactive Daily Log described the weekly hair and lint strainer cleaning and sanitizing, but did not describe or note the cleaning and sanitizing of the housing for the hair and lint strainers. Staff stated the hair and lint strainer housings were cleaned and disinfected when the strainer was removed.
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Recommendation:
Clean, rinse, and disinfect the hair and lint strainer and hair and lint strainer housing on all RWFs weekly. Ensure disinfection is accomplished with an appropriate halogen-based disinfectant. At a minimum, use a 50-ppm solution for 1 minute, or equivalent CT value. Maintain records on all inspection and cleaning procedures.
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Item No.:
16
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Site:
Galley-Cafe al Baccio
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Violation:
The whipped cream and lactose-free milk placed on time control at the bar service line had a discard time of 11:00 a.m. At 11:40 a.m. the whipped cream and milk remained on the service line. These items were immediately discarded.
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Recommendation:
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, ensure the food (4) Is discarded within 4 hours of placement on time control.
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Item No.:
20
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Site:
Galley-Qsine - Pantry
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Violation:
There were gaps in the food splash panel of the coffee machine, making cleaning difficult. Staff stated the machine had not been in use for over a year because a part was missing.
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Recommendation:
Materials used in the construction of multiuse utensils and food contact surfaces of equipment must be: (3) finished to have a smooth, easily cleanable surface; and (4) resistant to pitting, chipping, crazing, scratching, scoring, distortion and decomposition.
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Item No.:
21
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Site:
Galley-Qsine - Pantry
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Violation:
There were difficult to clean areas underneath the coffee machine (gaps and crevices on the machine) and dust had accumulated in the gaps and crevices. Staff stated the machine had not been in use for over a year because a part was missing.
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Recommendation:
Ensure 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.:
22
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Site:
Galley-Deck 3 Warewash Area
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Violation:
Inside the glasswash machine, the right upper final rinse sanitizing spray nozzle had a weak spray pattern. The repairman removed the upper spray arm, determined the nozzle was broken, so he replaced the nozzle. Again, the spray pattern was weak, so the repairman sprayed out all nozzles, which corrected the issue.
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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.
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Item No.:
26
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Site:
Buffet-Mast Grill - Beverage Station
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Violation:
The food splash panel of the juice machine was soiled. This machine was previously cleaned and the area was closed.
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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-Bisto 5 - Beverage Station
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Violation:
The food splash panel of the juice machine and one dispensing port inside the machine where the juice container sits were soiled. This machine was previously cleaned and the area was closed.
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Recommendation:
Ensure food contact surfaces of equipment are clean to sight and touch.
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Item No.:
26
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Site:
Galley-Qsine - Pantry
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Violation:
The food contact surfaces of the coffee machine were very soiled with food residue and dust. Staff stated the machine had not been in use for over a year because a part was missing.
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Recommendation:
Ensure food contact surfaces of equipment are clean to sight and touch.
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Item No.:
27
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Site:
Galley-Qsine - Pantry
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Violation:
There were difficult to clean areas underneath the coffee machine (gaps and crevices on the machine) and dust had accumulated in the gaps and crevices. Staff stated the machine had not been in use for over a year because a part was missing.
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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-Deck 3 Galley Equipment Lockers
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Violation:
The shelves of the multi-flow cabinet were soiled with dust. The upper shelf below the carbonators was wet. Staff stated the cabinet had not been used since 22 September 2013.
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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-Cold Pantry
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Violation:
There was water splashed on the counter beside the forward handwash station and on the surface of the food chopper stored on the counter.
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Recommendation:
Install a splash panel at the handwash station and counter to prevent oversplash when handwashing takes place.
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Item No.:
32
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Site:
Galley-Deck 3 Potwash Area
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Violation:
A packet of sweetener was found in the uncovered waste receptacle of the handwash station at the soiled end.
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Recommendation:
Cover receptacles and waste-handling containers when not in continuous use and after they are filled.
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Item No.:
33
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Site:
Galley-Deck 4 Soup/Sauce Station
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Violation:
At the walk-in refrigerator, the locking mechanism was missing on both the inside and outside of the entry door, exposing a hole.
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Recommendation:
Cover the hole or replace the locking mechanism.
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Item No.:
38
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Site:
Galley-Deck 3 Potwash Area
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Violation:
A squeegee was stored near the handwash station at the soiled end.
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Recommendation:
Ensure maintenance tools such as mops, brooms, and similar items are stored in a designated locker so they do not contaminate food, food-contact surfaces of utensils, and equipment, linens, and single-service and single-use articles.
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Item No.:
39
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Site:
Galley-Deck 3
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Violation:
One live fly was near the galley equipment lockers and multi-flow cabinet. The area was in operation during the inspection.
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Recommendation:
Effectively control the presence of insects, rodents, and other pests to minimize their presence in the food storage, preparation, and service areas and warewashing and utensil storage areas aboard a vessel.
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Item No.:
39
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Site:
Galley-Qsine - Pantry
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Violation:
One live house fly was observed in the pantry. This area was not in operation.
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Recommendation:
Effectively control the presence of insects to minimize their presence in the food storage, preparation, and service areas aboard a vessel.
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Item No.:
44
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Site:
Medical-Acute Gastroenteritis Case Definition
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Violation:
The medical staff was not consistently applying the acute gastroenteritis (AGE) reportable case definition. For example, on 27 February a passenger had 2 episodes of diarrhea and 2 episodes of vomiting, was issued antidiarrheal medication, and had Irritable Bowel Syndrome (IBS) as an underlying illness. This passenger was listed as an AGE non-reportable case. The medical staff stated that vomiting was not a symptom of IBS and still determined the passenger was a non-reportable case. Between 28 December 2013 and 5 March 2014, many passengers and crew members experienced 1-2 episodes of diarrhea, abdominal cramps, were issued antidiarrheal medication, had 'none' as their underlying illness, and were listed as an AGE non-reportable case. Staff stated that 'none' indicated the diarrhea was not normal for that person. Some patients were fully evaluated based on the AGE case definition and that was documented in the medical records. Other patients appeared to be evaluated according to the old reportable case definition of 3 or more episodes of diarrhea within 24 hours, and there was no documentation supporting the conclusion they were non-reportable.
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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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