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Item No.:
01
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Site:
Medical-Routine Acute Gastroenteritis (AGE) Reporting
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Violation:
The review of the last 7 cruises found underreporting at the time of submitting 24-hour reports, failure to submit 4-hour report updates, and failure to submit a routine AGE report up arrival to a U.S. port from a foreign port. Specifically:
(1) On the voyage of 28 December to 4 January, a 24-hour report was submitted on 2 January at 12:17 pm for arrival at Key West at 8:00 am on 3 January from Cozumel, Mexico; it reported 2 passenger reportable cases and 0 reportable crew cases but at the time of that report, the AGE log documented 5 passenger reportable cases and 3 reportable crew cases.
(2) On the voyage of 28 December to 4 January, a 4-hour report was not submitted to update the count with an additional passenger reportable case from 2 January at 2:05 pm prior to arrival to Key West on 3 January at at 8:00 am.
(3) On the voyage of 21-28 December, a 24-hour report was submitted on 23 December at 8:29 am with 0 passenger reportable cases and 1 reportable crew case, while at the time of this report the AGE log documented 0 passenger reportable cases and 1 reportable crew case; a second 24-hour report was submitted on 26 December at 7:56 pm with 0 passenger reportable cases and 0 reportable crew cases, and a third 24-hour report was submitted on 27 December at 8:57 pm with 0 passenger reportable cases and 1 reportable crew case, all three reports prior to arrival to Fort Lauderdale on 28 December at 7:00 am. These three reports underreported cases at the time of submission, being the correct count of reportable cases, per the AGE log, at the time of the report submitted on 26 December to be 2 passenger reportable cases and 2 reportable crew cases.
(4) On the voyage of 7-14 December, a 24-hour report submitted on 9 December at 12:26 pm prior to arrival to San Juan indicated 2 passenger reportable cases and 1 reportable crew case, while the AGE log documented at the time of that submission 4 passenger reportable cases and 1 reportable crew case.
(5) On the voyage of 7-12 December, no 24-hour or 4-hour reports were submitted prior to arrival to Fort Lauderdale on 14 December at 7:00 am from Bahamas. The AGE log for the cruise documented 5 passenger reportable cases out of 1857 total passengers and 2 reportable crew cases out of 864 total crew members.
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Recommendation:
Ensure the master, medical staff, or other designated staff of a vessel destined for a U.S. port from a foreign port submits at least one standardized AGE report based on the number of reportable cases in the AGE log to VSP no less than 24 hours-but not more than 36 hours-before the vessel's expected arrival at the U.S. port. If the number of cases changes after submission of the initial report, submit an updated report no less than 4 hours before the vessel's arrival at the U.S. port. Ensure that the 4-hour update report contains a cumulative total count of the reported crew and passengers during the entire cruise, including the additional cases. Ensure the AGE report contains the following: (1) name of the vessel; (2) port of embarkation; (3) date of embarkation; (4) port of disembarkation; (5) date of disembarkation; (6) total numbers of reportable cases of AGE among passengers, including those who have disembarked because of illness-even if the number is 0 (zero reporting); (7) total numbers of reportable cases of AGE among crew members, including those who have disembarked because of illness-even if the number is 0 (zero reporting); and (8) total number of passengers and crew members on the cruise.
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Item No.:
19
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Site:
Buffet-Deck 9 - Cheese Station / Salad Station
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Violation:
Regular small dinner forks were found placed in the buffet line for passengers serving themselves the cheese cubes on at least four platters. The fork handles were not long enough to prevent the cheese from being touched by the passenger hands. Small tongs which provided more distance for adequate food protection were placed on these platters. The tongs for the lettuce bowl had been placed by staff where the part of the handle that would be touched by the passenger hands was in the salad. The passengers had not started through the line at the time these areas were inspected so no food needed to be discarded.
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Recommendation:
Ensure consumer self-service operations, such as salad bars and buffets, for unpackaged ready-to-eat foods are provided with suitable utensils.
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Item No.:
19
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Site:
Housekeeping-Steward Station S.8.3.01
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Violation:
Two closed beer bottles were stored on the deck and next to trash bins. These were removed from the station.
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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.:
21
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Site:
Galley-Deck 2 - Main Galley Beverage Station
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Violation:
The plastic inner liner near the door hinge of the counter-mounted milk cooler for the coffee machine was severely cracked making it difficult to clean. Staff had already ordered a new one and it is due to be delivered on 03 Feb.
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Recommendation:
Ensure nonfood contact equipment is maintained in good repair and proper adjustment including: (1) Equipment maintained in a state of repair and condition that meets the materials, design, construction, and operation specifications of these guidelines; (2) Equipment components such as doors, seals, hinges, fasteners, and kick plates are kept intact, tight, and adjusted in accordance with manufacturer's specifications.
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Item No.:
22
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Site:
Buffet-Deck 9 - Dessert Station
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Violation:
A wiping cloth solution was soiled with a grease film on the water. The water was changed immediately.
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Recommendation:
Ensure the sanitize solutions are maintained clean.
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Item No.:
27
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Site:
Galley-Deck 2 - Main Galley - Grill Line
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Violation:
A counter-mounted fryer that had been previously cleaned, had old grease splash on the electrical cable.
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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.:
31
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Site:
Preparation Room-Deck B - Fish Preparation
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Violation:
An insect bait station was found on the top of the soap dispenser at the handwashing sink. Another one was on the piping cover of the prewash station of the dirty counter. The adhesive strip where they had been originally placed somewhere on the bulkhead was very small and they had been knocked off during the area cleaning operation. These bait stations were discarded and the area where they were found was cleaned.
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Recommendation:
Ensure poisonous or toxic materials are used according to: (1) Law and 2011 VSP Operations guidelines; (2) Manufacturer's use directions included in labeling, and, for a pesticide, manufacturer's label instructions about proper use in a food area.
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Item No.:
33
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Site:
Bar-Deck 3 - Ocean Bar
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Violation:
The recessed screw holes in the bottom of the shutter track on the back bar had old food soil in them. Cleaning and sealing the holes started immediately.
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Recommendation:
Ensure bulkheads and attached equipment in food areas are cleaned as often as necessary.
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Item No.:
42
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Site:
Children Area-
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Violation:
Although a written guidance on symptoms of common childhood infectious illnesses was posted at the entrance of the area for 3 to 7 year olds, staff explained that this area was not always used and usually all kids from this age range were cared at the areas for kids 8 years old and up and never have to go near the 3 to 7 year old area. All areas had separate entrances and the areas for 8 years and up had no postings of the aforementioned guidance.
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Recommendation:
Post written guidance on symptoms of common childhood infectious illnesses at the entrance of the child activity center.
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Item No.:
42
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Site:
Children Area-
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Violation:
The faucet of the kids bathroom sink did not work.
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Recommendation:
Ensure proper operation of the handwashing sink.
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Item No.:
44
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Site:
Medical-Routine Acute Gastroenteritis (AGE) Reporting
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Violation:
The review of the last 7 cruises found underreporting at the time of submitting 24-hour reports, failure to submit 4-hour report updates, and failure to submit a routine AGE report up arrival to a U.S. port from a foreign port. The onboard medical staff was not aware or could provide explanations for the multiple AGE reporting deficiencies found during the inspection. Staff stated that most of the deficiencies found were done by the previous medical team.
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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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