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Item No.:
01
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Site:
Medical-4-hour Update Report
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Violation:
A 4-hour update report was not sent before arrival to Los Angeles on 17 October to add a crew AGE reportable case that reported to the medical center on 16 October at 22:45. The ship arrived Los Angeles at 07:00.
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Recommendation:
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.
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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 log for the voyage dated 17 October-1 November indicated that 13 out of 25 cases had no information on the underlying illness column. The AGE log for the voyage dated 2-17 October indicated that 23 out of 27 cases had no information on the underlying illness column.
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Recommendation:
Ensure the AGE surveillance log entry for each passenger or crew member contain the following information in separate columns: (16) presence of underlying medical conditions that may affect interpretation of AGE. Write "none," "nil," "N/A (non-applicable)" or similar wording if no relevant conditions exist.
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Item No.:
08
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Site:
Potable Water-Cross-Connection Control Program
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Violation:
On the list of backflow prevention devices, a reduced pressure zone (RPz) backflow prevention device was listed as being installed at the water supply to the mineralizer. Upon inspection, this RPz was verified as installed before the backwash mineralizer drainage and not at the water supply.
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Recommendation:
Update the list of backflow prevention devices.
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Item No.:
10
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Site:
Recreational Water Facilities-Crew Pool Shepherd's Hook
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Violation:
The shepherd's hook was not long enough to reach the center of the deepest portion of the pool from the side plus two feet (0.6 meters).
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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. Ensure the approved flotation device includes an attached rope that is at least 2/3 of the maximum pool width.
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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 for the last five cruises revealed that four food employees worked while having AGE symptoms and one nonfood worker did not work, but went to the Horizon Court while symptomatic. Specifically, (1) a galley steward had an onset of AGE symptoms on 18 November at 05:00, reported to the medical center 19 November at 08:45, and worked 12 hours while symptomatic; (2) a dancer had an onset of AGE symptoms on 12 November at 11:00, reported to the medical center that day at 15:20, and had breakfast in the Horizon Court while symptomatic; (3) a galley steward had an onset of AGE symptoms on 20 October at 14:00, reported to the medical center that day at 18:30, and worked one hour while symptomatic; (4) a galley steward had an onset of AGE symptoms on 24 September at 15:00, reported to the medical center that day at 17:50, and worked 30 minutes while symptomatic; (5) a chef had an onset of AGE symptoms on 26 September at 08:00, reported to the medical center that day at 11:30, and worked four hours while symptomatic. All cases were isolated accordingly after they reported to the medical center and received written disciplinary actions.
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Recommendation:
When food employees meet the case definition for AGE, ensure the following actions are taken: (1) isolate in cabin or designated restricted area until symptom-free for a minimum of 48 hours. When nonfood employees meet the case definition for AGE, ensure the following actions are taken: (1) isolate in cabin or designated restricted area until symptom-free for a minimum of 24 hours.
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Item No.:
13
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Site:
Medical-Crew Acute Gastroenteritis (AGE) Reporting
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Violation:
The review of the AGE logs for the last five cruises revealed that four food employees worked while having AGE symptoms. Specifically, (1) a galley steward had an onset of AGE symptoms on 18 November at 05:00, reported to the medical center 19 November at 08:45, and worked 12 hours while symptomatic; (2) a galley steward had an onset of AGE symptoms on 20 October at 14:00, reported to the medical center that day at 18:30, and worked one hour while symptomatic; (3) a galley steward had an onset of AGE symptoms on 24 September at 15:00, reported to the medical center that day at 17:50, and worked 30 minutes while symptomatic; (4) a chef had an onset of AGE symptoms on 26 September at 08:00, reported to the medical center that day at 11:30, and worked four hours while symptomatic. All cases were isolated accordingly after they reported to the medical center and received written disciplinary actions.
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Recommendation:
Because of the risks for foodborne illness inherent to the food operation, ensure the supervisor or person in charge of food operations on the vessel demonstrates to VSP - during inspections and on request - knowledge of foodborne disease prevention, application of the Hazard Analysis Critical Point principles, and the food-safety guidelines in this manual. Ensure that the person in charge demonstrates this knowledge: (1) By compliance with these guidelines; (2) By being a domestically or foreign certified food protection manager who has shown proficiency of required information through passing a test that is part of an accredited program; or (3) By responding correctly to the inspector's questions as they relate to the specific food operation. Ensure that the areas of knowledge include: (1) Describing the relation between prevention of foodborne disease and personal hygiene of a food employee; (2) Explaining the responsibility of the person in charge to prevent transmission of foodborne disease by a food employee who has a disease or medical condition that may cause foodborne disease; (3) Describing the symptoms associated with diseases that are transmissible through food. Ensure the supervisor or person in charge of food operations on the vessel monitors that: (13) Food employees are informed of their responsibility to report to the supervisor or person in charge information about their health and activities as they relate to diseases that are transmissible through food.
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Item No.:
16
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Site:
Galley-Officer Mess Pantry
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Violation:
On the preparation counter, the milk container was not labeled with its 4-hour discard time. This was immediately corrected.
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Recommendation:
Working containers and mis-en-place containers of potentially hazardous foods placed on time control must be labeled with their 4-hour discard time, even if the service period is less than four hours. This is to prevent the potentially hazardous food item from being returned to temperature control once placed on time control.
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Item No.:
19
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Site:
Buffet-Staff Mess
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Violation:
Two chaffing dishes were on a table in this area. The lids were not self-closing. During the inspection the dishes were turned on, but were not being used. Staff explained the dishes were frequently used for self-service pasta so staff members did not need to return to the crew mess buffet line to obtain this food item.
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Recommendation:
Protect food on display from contamination by the use of packaging; counter, service line, or salad bar food guards; display cases; self-closing hinged lids; or other effective means. Install side protection for sneeze guards if the distance between exposed food and where consumers are expected to stand is less than 1 meter (40 inches).
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Item No.:
19
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Site:
Buffet-Crew Mess
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Violation:
The serving utensil handle was resting inside the container of honeydew melon. During the inspection a crew member was observed placing the serving utensil into the food container, and the handle immediately fell inside the container. It appeared the serving utensil was too short for the large container of food.
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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.:
19
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Site:
Buffet-Horizon Court / Amueletto
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Violation:
At the pastry station, three platters of food were missing the serving utensil.
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Recommendation:
Provide food-dispensing utensils for each container displayed at a consumer self-service unit such as a buffet or salad bar.
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Item No.:
20
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Site:
Pantry-Bridge
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Violation:
The microwave oven was for household use only.
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Recommendation:
Replace the household microwave with one that is for commercial-use.
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Item No.:
22
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Site:
Other-Hotel Store 5649
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Violation:
A tray with food discards and dirty plates and utensils was stored on the lower side shelf of a clean linen trolley. Another trolley had a tray of dirty glasses.
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Recommendation:
Do not store soiled items in this locker. Move them to a proper dishwash area.
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Item No.:
22
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Site:
Galley-Officer Mess Dishwash
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Violation:
The hood-type dishwash machine was out of service for 2-4 months.
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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.:
22
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Site:
Galley-
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Violation:
The hood-type glasswash machine was out of service for 3-4 months. All equipment and utensils were washed and sanitized in the adjacent conveyor dishwash machine.
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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.:
22
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Site:
Galley-Deck 5
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Violation:
The port side glasswash machine had been out of order since 13 October.
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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.:
27
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Site:
Preparation Room-Deck 4 - Potato Room
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Violation:
On the inside of the left potato peeler small front exit door, soil was around the black door gasket. It appeared the gasket was sealed to the underside of the door using silicone, and was not intended to be removable. The inspection team was able to remove the gasket.
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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. Ensure the potato peeler front exit door gaskets are removable for cleaning.
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Item No.:
28
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Site:
Dining Room-Deck 5 - Pantry #5312
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Violation:
Clean linens were stored in this room with exposed deckhead cables and soft bulkheads. Many areas of the cables were slightly soiled with dust.
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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.
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Item No.:
28
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Site:
Other-Deck 8 Corridor
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Violation:
A housekeeping cart had a rack of clean glassware stored 2 inches (50 millimeters) from the deck in the lower shelf of the cart. This cart was next to cabin E718 at 12:45 during the inspection.
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Recommendation:
Store cleaned equipment and utensils, laundered linens, and single-service and single-use articles: (3) at least 150 millimeters (6 inches) above the deck.
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Item No.:
29
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Site:
Galley-Deck 5
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Violation:
The toilet room was locked when the galley was in operation.
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Recommendation:
Ensure toilet facilities intended for use by galley personnel are not locked when the galley is in service.
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Item No.:
29
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Site:
Preparation Room-Deck 4 - Potato Room
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Violation:
The handwash station was blocked by a rolling 50-gallon drum.
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Recommendation:
Ensure handwashing facilities are used for no other purpose and are accessible at all times.
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Item No.:
30
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Site:
Preparation Room-Deck 4 - Potato Room
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Violation:
At the handwash station, the small metal 'wash hands frequently' sign was difficult to read. The letters were worn on many words.
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Recommendation:
Replace the "wash hands frequently" sign with one that is easy to read.
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Item No.:
31
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Site:
Dining Room-Deck 5 - Pantry #5314
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Violation:
Three spray bottles of Virox were stored inside the chemical locker. This chemical was not approved for use or to be stored in food areas. The pantry also included clean equipment and food condiments.
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Recommendation:
Do not store chemicals not approved for use in food areas in the pantry cleaning locker without permission. Ensure it is stored in a non-food area.
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Item No.:
33
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Site:
Galley-Deck 5 - Soup Station
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Violation:
Deck tile grout was missing or recessed around some of the deck sinks.
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Recommendation:
Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are maintained in good repair.
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