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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Case Reporting
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Violation:
On 11/23, an assistant waiter reported to the medical facility with 2 episodes of diarrhea and this was treated as a nonreportable AGE case. Three hours later, they had an additional episode of diarrhea, making them an AGE case. This case was not changed in the ship's electronic database to reportable and it was not included on the AGE report to VSP. The waiter was isolated for the required 48 hours.
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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:
Galley-Deck 5 Service Bar
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Violation:
The backflow prevention device located on the water line to the multiflow cabinet was leaking.
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Recommendation:
Maintain backflow prevention devices in good repair.
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Item No.:
08
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Site:
Galley-Deck 5
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Violation:
The backflow prevention device on the potable water line to the starboard double stacked Alto sham ovens near the cleaning locker was leaking.
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Recommendation:
Maintain backflow prevention devices in good repair.
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Item No.:
10
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Site:
Recreational Water Facilities-Safety Signage
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Violation:
The whirlpool safety signs did not include a caution against use by people with low blood pressure. The Solarium pool is considered a spa pool and the safety sign did not include whirlpool safety information. The Flow Rider safety signs did not include the information required for recreational water facilities. These are all repeat violations from the previous inspection. An email correspondence between the ship and the corporate office was observed which stated the new signs are on order.
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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.:
11
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Site:
Medical-Crew Acute Gastroenteritis (AGE) Reporting
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Violation:
On 12/6, a photographer had an onset of AGE symptoms at 3 pm. They went to the crew mess at 4:35 pm, clocked in on the electronic time clock system for work at 4:45 pm, and did not report to the medical facility until 6:20 pm. On 11/9, a dancer had an onset of AGE symptoms at 10 am and did not report to the medical facility until 11/13 at 4:10 pm. The dancer worked during 11/9 and 11/13. The ship's staff had investigated both of these late reporting's and disciplinary actions were taken and documented.
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Recommendation:
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; (2) follow-up with and receive approval by designated medical personnel before returning crew to work; (3) document the date and time of last symptom and clearance to return to work.
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Item No.:
16
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Site:
Galley-Vintages
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Violation:
The time control plan posted on a bulletin board inside the galley was covered up by food preparation photos/instructions.
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Recommendation:
Ensure the posted time control plans are visible at all times.
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Item No.:
16
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Site:
Other-Java Cafe
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Violation:
There were no set-up and discard times on the time control plan for the milk used in the coffee machine. The milk was labeled with a four hour discard label. Also, the time control plan described the flow for cupcakes, but cupcakes were not served or stored in this area.
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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 (1) Has an initial temperature of 5C (41F) or less or 57C (135F) or greater before placement on time control. (2) Is not be placed on temperature control again. (3) Is marked or otherwise identified to indicate the time 4 hours past the point in time when the food is removed from temperature control (if the time between service set-up and closing is greater than 4 hours. and (4) Is discarded within 4 hours of placement on time control.
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. Ensure plan(s): (1) Includes set-up and discard times for each outlet. (2) List refrigeration and hot holding units (compartments and cabinets) on time control (the physical units must also be labeled as such). (3) Describe or show the flow of potentially hazardous food from when last in temperature control to placement in time control and discard.
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Item No.:
17
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Site:
Provisions-Meat Box
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Violation:
There was a box of lamb loin that was covered in frozen ice crystals. There was evidence this food was not maintained frozen. The top of the box was stained red and the box was mangled, wet, and had been re-taped several times. The food was discarded.
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Recommendation:
Ensure stored frozen foods are maintained frozen.
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Item No.:
18
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Site:
Galley-Freezer #2830
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Violation:
There were five containers of raw ground beef patties stored above several containers of pre-cooked sausages and corned beef. The containers were re-arranged in the proper places.
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Recommendation:
Protect food from cross-contamination or other sources of contamination by the following methods: (1) Physically separating raw animal foods during storage, preparation, holding, and display from raw ready-to-eat food so that products do not physically touch and so that one product does not drip into another.
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Item No.:
19
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Site:
Galley-Soup Station
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Violation:
There were a few bowls out for service that were not covered or inverted.
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Recommendation:
During service, ensure the food contact portion of each self-service food dispensing utensil is covered or located beneath shielding. Ensure that dishware, glassware, and utensils out for service are inverted or covered.
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Item No.:
19
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Site:
Galley-
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Violation:
There were a few bags and boxes of food stored under an insect light trap near the entrance to the dry storage area and behind the scullery. The food was removed.
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Recommendation:
Do not locate insect control devices, such as insect light traps, over food storage, food preparation areas, food service stations, or clean equipment. Prevent dead insects and insect fragments from falling on exposed food.
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Item No.:
19
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Site:
Buffet-Diamond Lounge
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Violation:
The tongs for the fruit and pastries were placed on plates in front of the food and the food contact surfaces of the tongs were not protected by the sneeze shield. This was corrected during the inspection.
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Recommendation:
During service, ensure the food contact portion of each self-service food dispensing utensil is covered or located beneath shielding. Ensure that dishware, glassware, and utensils out for service are inverted or covered.
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Item No.:
19
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Site:
Provisions-Fish Freezer
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Violation:
There were seven boxes of frozen lobster meat that were partially stored under the evaporative condenser in the back right corner. The majority of the boxes were wet and had several layers of frozen ice particles. The food was discarded.
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Recommendation:
Protect food from contamination that may result from a physical, chemical, biological origin. 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.:
19
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Site:
Provisions-Meat Box
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Violation:
There was a box of lamb loin that was covered in frozen ice crystals. The top of the box was stained red and the box was mangled, wet, and had been re-taped several times. The food was discarded.
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Recommendation:
Protect food from contamination that may result from a physical, chemical, biological origin. 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:
Buffet-Solarium
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Violation:
On the worker side back counter of the buffet, the cover to the counter-top cold well was cracked around the handle.
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Recommendation:
Materials used in the construction of multiuse utensils and food contact surfaces of equipment must be: (1) durable, corrosion resistant, and nonabsorbent; (2) sufficient in weight and thickness to withstand repeated warewashing; (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-150 Central Park
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Violation:
Inside the drip pan housing of the flat/grooved grill, the flange around the grease chute was loose and missing two fasteners. This was corrected during the inspection.
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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:
Food Service General-Rack-Conveyor Dishwash Machines
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Violation:
The data plate on these warewash machines had the speed in racks per hour instead of transit time.
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Recommendation:
Ensure a warewashing machine is provided with an easily accessible and readable data plate affixed to or posted adjacent to the machine that indicates the machine?s design and operating specifications including the: (3) conveyor speed in feet per minute or minimum transit time for belt conveyor machines, minimum transit time for rack conveyor machines, and wash and final sanitizing rinse times as specified by the manufacturer for stationary rack machines.
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Item No.:
26
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Site:
Galley-Crew Mess Scullery
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Violation:
There was food residue on the lip surface of a drinking glass on a clean storage rack.
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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.:
29
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Site:
Provisions-Toilet Room
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Violation:
There was a roll of toilet paper in the handwashing sink in the toilet room next to the main preparation room.
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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:
Provisions-Toilet Room
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Violation:
There were no paper towels at the handwashing station in the toilet room next to the main preparation room.
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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.:
31
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Site:
Bar-Bow and Stern Pub
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Violation:
A spray bottle of Oxivir 516 was stored on a step ladder in the bar. The bottle was moved.
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Recommendation:
Ensure only poisonous or toxic materials that are required for the operation and maintenance of a food area of the vessel, such as for the cleaning and sanitizing of equipment and utensils and the control of insects and rodents, are allowed in the food areas of the vessel.
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Item No.:
31
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Site:
Bar-Pool
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Violation:
A spray bottle of Oxivir 516 was stored on the deck. The bottle was moved.
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Recommendation:
Ensure only poisonous or toxic materials that are required for the operation and maintenance of a food area of the vessel, such as for the cleaning and sanitizing of equipment and utensils and the control of insects and rodents, are allowed in the food areas of the vessel.
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Item No.:
36
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Site:
Buffet-Sorrento's
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Violation:
The light intensity behind the new soda machines was less than 110 lux.
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Recommendation:
Ensure the light intensity is at least 110 lux (10 foot candles) behind and around mounted equipment, including counter-mounted equipment.
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Item No.:
37
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Site:
Galley-Deck 5
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Violation:
There was a buildup of condensate on the deckhead immediately above the sauces on the hot line. Condensate was dripping onto the deck. No food items were impacted.
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Recommendation:
Ensure all food preparation rooms have sufficient ventilation to keep them free of excessive heat, steam, and condensation.
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