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Item No.:
*
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Site:
Potable Water-Variance
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Violation:
The company responsible for onboard operations has changed from V-Ships to Bernhard Schulte Cruise Services as of 2018 and the current potable water tank variance was submitted and approved under V-Ships. VSP will confirm if the variance needs to be resubmitted.
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Recommendation:
VSP will reach out if the variance needs to be resubmitted.
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Item No.:
01
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Site:
Medical-24-Hour Report
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Violation:
There was no 24-hour acute gastroenteritis report submitted prior to arrival in Puerto Rico on 15 November 2023. The vessel visited Grand Cayman Island, Montego Bay, and Santo Domingo prior to arriving in San Juan, Puerto Rico. Staff stated there were no cases and will submit a report as soon as possible.
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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.
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Item No.:
02
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Site:
Medical-Asymptomatic Cabin Mates
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Violation:
There was no documentation that asymptomatic cabin mates and immediate contacts of acute gastroentertitis symptomatic crew were followed up daily until 48 hours after the ill crew members' symptoms began. The cabin mates/immediate contacts were followed up within 8 hours from the time the ill crew member reported to the medical staff. Staff also stated they instructed the cabin mates/immediate contacts to report immediately to medical if they develop any symptoms.
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Recommendation:
When any crew member (food or nonfood employee) meets the case definition for AGE, take the following actions for the asymptomatic cabin mates or immediate contacts of symptomatic crew: (1) restrict exposure to symptomatic crew member(s); (2) undergo a verbal interview with medical or supervisory staff, who will confirm their condition, provide facts and a written fact sheet about hygiene and handwashing, and instruct them to report immediately to medical if they develop illness symptoms; (3) complete a verbal interview daily with medical or supervisory staff until 48 hours after the ill crew members? symptoms began. Ensure that the first verbal interview is conducted within 8 hours from the time the ill crew member initially reported to the medical staff. If the asymptomatic immediate contact or cabin mate is at work, ensure that he or she is contacted by medical or supervisory staff as soon as possible. Document the date and time of verbal interviews.
An immediate contact is someone sharing a cabin either full-time or part-time or sharing a cabin?s bathroom facilities. This includes boyfriends, girlfriends, spouses, and significant others. Ensure to document if the symptomatic crew member has or not cabin mate(s) or other immediate contact(s).
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Item No.:
08
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Site:
Potable Water-Bunker Stations
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Violation:
The bunker station potable water filling line was not clearly labeled 'POTABLE WATER FILLING.'
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Recommendation:
Ensure each bunker station potable water filling line is striped or painted blue or in accordance with the color designation in ISO 14726 (blue/green/blue) and clearly labeled "POTABLE WATER FILLING" in letters at least 13 millimeters (0.5 inch) high, stamped on a noncorrosive label plate or the equivalent, and located at or near the point of the hose connection.
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Item No.:
08
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Site:
Potable Water-Disinfection Records
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Violation:
There was no documentation for disinfection of backflow prevention devices prior to installation on the potable water system. A new backflow prevention device for the biodigester was installed within the last year.
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Recommendation:
Flush the disinfected parts of the system with potable water or otherwise dechlorinate until the free residual halogen is less than or equal to 5.00 mg/L (ppm). Document the free halogen test result.
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Item No.:
08
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Site:
Potable Water-Tank Disinfection Records
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Violation:
Empty tanks were disinfected using the filled tank disinfection procedure versus the empty tank disinfection procedure. The fresh water Tank 2 starboard was disinfected at 50 ppm for 4 hours on 7 June 2023. The fresh water Tank 12 center was disinfected at 50 ppm for 4 hours on 5 January 2022.
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Recommendation:
Maintain documentation of all inspections, maintenance, cleaning, and disinfection for 12 months and ensure it is available for review during inspections. Ensure records include a method of disinfection, concentration and contact time of the disinfectant, and a halogen value of less than or equal to 5 ppm before the tank is put back into service.
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Item No.:
10
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Site:
Recreational Water Facilities-Fecal and Vomit Accident Response Procedure
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Violation:
The fecal and vomit accident response procedure on page 72 of the Outbreak Prevention and Response Plan (OPRP) with an effective date of 05-08-2022 did not meet or exceed the procedure in Annex 13.9 of the 2018 VSP Operations Manual. Specifically, the plan stated to maintain pH between 7.2 - 7.5 during disinfection and it did not mention a required water temperature. Staff did have the updated fecal and vomit accident response procedures that meet the 2018 VSP Operations Manual printed out and placed in their OPRP binder.
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Recommendation:
Ensure a fecal and vomit accident response procedure that meets or exceeds the procedure provided in Annex 13.9 is available for review during inspections.
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Item No.:
19
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Site:
Buffet-Deck 8 - Cold Well Starboard Side
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Violation:
The handle of the self-service serving forks were touching the deli meats out for passenger self-service.
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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; (2) In food that is not potentially hazardous with their handles above the top of the food within containers or equipment that can be closed, such as bins of sugar, flour, or cinnamon; (3) On a clean portion of the food preparation table or cooking equipment only if the in-use utensil and the food-contact surface of the food preparation table or cooking equipment are cleaned and sanitized at least every 4 hours; (5) In a clean, protected location (if the utensils, such as ice scoops, are used only with a food that is not potentially hazardous).
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Item No.:
21
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Site:
Buffet-Deck 8 - Egg Station
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Violation:
Sealant around the hot plates was missing making the area difficult to clean.
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Recommendation:
Ensure nonfood-contact surfaces of equipment that are exposed to splash, spillage, or other food soiling or that require frequent cleaning are constructed of a corrosion-resistant, nonabsorbent, and smooth material.
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Item No.:
21
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Site:
Buffet-Deck 8 - Egg Station
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Violation:
Sealant around the hot plates was missing making the area difficult to clean.
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Recommendation:
Ensure nonfood-contact surfaces of equipment that are exposed to splash, spillage, or other food soiling or that require frequent cleaning are constructed of a corrosion-resistant, nonabsorbent, and smooth material.
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Item No.:
33
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Site:
Galley-Deck 8
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Violation:
Deck tiles were pitted, chipped, and recessed throughout the galley. Staff stated the tiles were an ongoing maintenance and on a replacement plan.
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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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Item No.:
33
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Site:
Galley-Deck 2
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Violation:
Deck tiles were pitted, chipped, and recessed throughout the galley. Staff stated the tiles were an ongoing maintenance and on a replacement plan.
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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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Item No.:
33
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Site:
Galley-Deck 2 - Walk-in Refrigerator #40
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Violation:
Sealant around the bulkhead/deckhead juncture was missing creating a seam making the area difficult to clean.
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Recommendation:
Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are maintained in good repair. 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-Deck 2 - Biodigester Room
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Violation:
The sprinkler head was recessed in the deckhead, creating an opening exposing the void space.
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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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Item No.:
33
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Site:
Bar-Deck 9 - Pacific Bar
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Violation:
The deck was soiled with general debris in the technical space at the corner of the bar.
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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.
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Item No.:
33
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Site:
Bar-Deck 8 - Kopernikus Bar
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Violation:
The bulkhead in the technical space below the beer tap had an open penetration exposing the void space in back.
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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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Item No.:
33
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Site:
Provisions-Deck 2 - Dairy Room
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Violation:
The deckhead was in disrepair. Staff stated that they put in a workorder.
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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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Item No.:
33
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Site:
Dining Room-Deck 2 - Waiter Station
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Violation:
Carpet was used in front of the four clean only waiter stations.
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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. Do not use carpet in these areas.
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Item No.:
39
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Site:
Provisions-Deck 0 - Bonded Storage
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Violation:
A small fly was observed in the area.
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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:
Bar-Deck 4 - Phoenix Bar
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Violation:
Three ants were observed in the area. One ant was around the point of sales computer - two were in the technical space under the cold well.
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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:
Bar-Deck 2
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Violation:
A small fly was observed in the area.
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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:
Bar-Deck 9 - Pacific Bar
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Violation:
Two small flies were observed in the corner technical space.
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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.:
44
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Site:
Medical-
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Violation:
Staff were unaware that asymptomatic cabin mates and immediate contacts of acute gastroentertitis symptomatic crew must be followed up daily until 48 hours after the ill crew members' symptoms began. Additionally, staff were unaware that they needed to submit a 24-hour acute gastroenteritis report prior to arrival in Puerto Rico on 15 November 2023.
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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 2018 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 2018 Operations Manual as it relates to their assigned duties.
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