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Item No.:
*
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Site:
Recreational Water Facilities-Deck 16 Spa - Flotation Salt Pool
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Violation:
The safety sign indicated the pool was 113.2 cm (3.7 feet) deep. No depth markers were displayed at the pool. Crew measured the depth and confirmed that it was only 87 cm (2.85 feet) deep. Crew began correcting the sign.
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Recommendation:
Ensure RWF deepr than 1 meter (3 feet) prominently display depth markers. Ensure the depth stated on the safety sign is accurate to the depth of the RWF.
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Item No.:
02
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Site:
Medical-Close Contact Follow Up
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Violation:
Close contacts of symptomatic crew members were not consistently being followed up by medical staff until 48 hours after the ill members' acute gastroenteritis (AGE) symptoms began. Examples include:
1) A crew member had AGE symptom onset on 28 December 2024 at 1500; the close contact was last followed up on 30 December at 0900.
2) A crew member had AGE symptom onset on 18 December 2024 at 0830; the close contact was last followed up on 19 December at 0850.
3) A crew member had AGE symptom onset on 6 December 2024 at 0630; the close contact was last followed up on 7 December at 1100.
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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.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Surveillance Logs
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Violation:
Per the AGE Surveillance Log, a crew member experienced AGE symptom onset at 0200 on 23 December 2024 and reported to medical at 0900 on 30 December. Staff indicated the date was a typo and that symptom onset began on 30 December, the crew member reported to medical the same day and was isolated in their cabin until they reported.
Additionally, three of five crew members did not have crew positions specified on the most recent voyage's AGE Surveillance Log. Instead, a numerical code was listed including 1000090.0, 300327, and 320060. This was not consistent across all crew members; some crew positions were documented.
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Recommendation:
Ensure the AGE surveillance log entry for each passenger or crew member contain the following information in separate columns: (1) Patient ID; (2) Date of the first medical visit or report to staff of illness; (3) time of the first medical visit or report to staff of illness; (4) person's last name; (5) person's first name; (6) person's age; (7) person's sex; (8) designation as passenger or crew member; (9) cabin number; (10) crew member position or job on the vessel, if applicable; (11) date of illness onset; (12) time of illness onset; (13) illness symptoms, including the presence or absence of the following selected signs and symptoms, with a separate column for each of the following: (a) number of episodes of diarrhea in a 24 hour period; (b) bloody stools (yes/no); (c) number of episodes of vomiting in a 24 hour period; (d) fever (yes/no); (e) abdominal cramps (yes/no); (f) headaches (yes/no); (g) myalgia (yes/no); (14) date of last symptom; (15) time of last symptom; (16) entry (yes/no) for whether a specimen was requested; (17) entry (yes/no) for whether a specimen was received; (18) entry (yes/no) for antidiarrheal medications sold or dispensed by designated medical staff; (19) entry (yes/no) for whether this was a reportable case; (20) presence of underlying medical conditions that may affect interpretation of AGE.
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Item No.:
02
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Site:
Medical-Vomit / Fecal Incident Follow-up
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Violation:
Several documented instances of identified passenger's vomit or fecal incidents had no documented follow up from medical to determine if the passenger met the definition of an acute gastroenteritis (AGE) case. The following examples include passengers that declined medical attention when offered by housekeeping/guest services staff, but were not followed up by medical:
1) A vomit incident in a known stateroom at 1825 on 1 January 2025.
2) A vomit incident from a known passenger at Los Lobos restaurant at 2158 on 31 December 2024.
3) A vomit incident in a known stateroom at 0410 on 1 January 2025.
4) A vomit incident in a known stateroom at 2340 on 25 December 2024.
5) A vomit incident in a known stateroom on 26 December 2024.
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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]). Ensure medical records document evaluations for public vomit/diarrhea incidents when the individuals involved are identified. Proper evaluation should include determining if the individuals meet the definition of an AGE reportable case and assessing the need for isolation.
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Item No.:
06
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Site:
Potable Water-Microbiologic Monitoring
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Violation:
During November 2024, only three potable water samples were analyzed for the presence of E. coli. Two samples were collected from deck 12 and one from deck 4. The other samples collected that month were from an ice machine, pool tubs, bunkering lines, and potable water tanks.
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Recommendation:
Collect and analyze a minimum of four potable water samples per month for the presence of E. coli. Collect samples from the forward, aft, upper, and lower decks of the vessel. Change the sample sites each month so that all of the potable water distribution system is effectively monitored. Conduct follow-up sampling for each positive test result.
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Item No.:
10
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Site:
Recreational Water Facilities-Deck 16 Spa - Flotation Salt Pool & Vitality Spa Pool Safety Signs
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Violation:
The safety signs for both facilities indicated the maximum temperature was 100,4F / 38C. However, the Flotation Salt Pool water temperature measured 102F and the Vitality Spa Pool measured 101F at the time of inspection. The facilities were open. Additionally, the safety sign for the Vitality Spa Pool was not located at the entrance to the facility. Users may not pass by the sign from all access points into the facility.
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Recommendation:
Provide a temperature-control mechanism to prevent the temperature from exceeding 40C (104F) on whirlpool spas and spa pools. Measure the water temperature within the whirlpool spa or spa pool tub itself. In addition to the safety sign requirements in section 6.8.1.1.1, 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. Those under 16 years of age are considered children for the purpose of whirlpool safety sign requirements.
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Item No.:
10
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Site:
Recreational Water Facilities-Deck 17 Main Pool
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Violation:
There was no flotation device with an attached rope that reached 2/3 the maximum width of the pool at a prominent location. The pool was closed at the time of inspection. Crew reported that when the facility is open, a lifeguard with a flotation device is present; however, the length of the rope attached to this device was unknown.
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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 approved flotation device includes an attached rope that is at least 2/3 of the maximum pool width.
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Item No.:
10
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Site:
Recreational Water Facilities-Deck 17 Main Whirlpool Spa - Starboard
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Violation:
The bather load was partially covered by a label; therefore, the bather load number on the safety sign was not clear.
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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.:
19
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Site:
Provisions-Deck 4 Ice Cream Freezer
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Violation:
An excessive accumulation of ice was on one ice cream container's lid. Staff immediately disposed of the ice cream. No source of a leak could be found.
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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; (4) At least 150 millimeters (6 inches) above the deck; (5) At least 127 millimeters (5 inches) for food in packages and working containers on pallets, skids, and racks; and (6) At least 150 millimeters (6 inches) above the deck on shelving racks. Protect food from contamination that may result from a physical, chemical, biological origin.
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Item No.:
20
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Site:
Galley-Deck 17 Food Republic
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Violation:
The edges of one cutting board, stored on a clean storage rack, were peeling which created easily removable shavings and potential food contamination.
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Recommendation:
Ensure surfaces such as cutting blocks and boards that are subject to scratching and scoring are resurfaced if they no longer can be effectively cleaned and sanitized or discarded if they are not capable of being resurfaced.
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Item No.:
21
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Site:
Buffet-Deck 12 Studio Lounge
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Violation:
The marble countertop was cracked in multiple locations which created difficult to clean seams. This is expected to be corrected March/April 2025.
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Recommendation:
Design and construct nonfood-contact surfaces of equipment and utensils to be durable and to retain their characteristic qualities under normal use conditions. 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.:
21
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Site:
Galley-Deck 17 Food Republic Show Galley
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Violation:
The coating over the combination oven's display screen was flaking off and discolored.
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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. Design and construct nonfood-contact surfaces of equipment and utensils to be durable and to retain their characteristic qualities under normal use conditions. 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.:
21
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Site:
Buffet-Deck 17 Surfside Cafe
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Violation:
The decorative wrap was peeling in the upper right corner of two large bulk coffee machines which created a difficult to clean surface and left a sticky residue.
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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.:
21
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Site:
Buffet-Deck 17 Surfside Cafe
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Violation:
The juice machine housing above the dispensing nozzles was cracked and in disrepair near the fasteners. This created a difficult to clean nonfood-contact surface that was soiled with more than a day's accumulation of juice residue.
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Recommendation:
Design and construct nonfood-contact surfaces of equipment and utensils to be durable and to retain their characteristic qualities under normal use conditions. Ensure nonfood-contact surfaces are free of unnecessary ledges, projections, and crevices, and designed and constructed to allow easy cleaning and to facilitate maintenance. 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.:
21
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Site:
Buffet-Deck 17 Surfside Cafe Bread & Toast
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Violation:
The cold top was cracked, and the edges were chipped which created difficult to clean surfaces. This is scheduled to be corrected in March/April 2025.
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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. Design and construct nonfood-contact surfaces of equipment and utensils to be durable and to retain their characteristic qualities under normal use conditions. 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.:
21
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Site:
Buffet-Deck 17 Surfside Cafe Line 2
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Violation:
Two induction cookers were in disrepair with a circular, melted surface that was rough and 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. Design and construct nonfood-contact surfaces of equipment and utensils to be durable and to retain their characteristic qualities under normal use conditions. 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.:
26
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Site:
Galley-Deck 17 Palomar
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Violation:
The ice machine's evaporator panel cover was soiled with pink residue on the food contact surface.
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Recommendation:
Ensure food only contacts surfaces of equipment and utensils that are cleaned and sanitized. 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-Deck 17 Food Republic
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Violation:
The aerator in the bulk water dispenser was soiled with a brown residue.
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Recommendation:
Ensure food only contacts surfaces of equipment and utensils that are cleaned and sanitized. 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-Deck 17 Food Republic
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Violation:
The espresso machine was soiled with a dark residue above the dispensing nozzles. The area was not in operation and the machine had been previously cleaned and sanitized.
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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.:
27
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Site:
Buffet-Deck 12 Studio Lounge
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Violation:
The countertop behind the ice and water machine was soiled with more than a day's accumulation of dust. Additionally, the horizontal surface on top of the countertop's coving strip was soiled with dust.
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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:
Buffet-Deck 4 Crew Mess Hot Line
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Violation:
The previously cleaned heat lamps above the hot plates had more than a day's accumulation of grease residue. The lamps were cleaned immediately and no food was impacted.
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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:
Buffet-Deck 17 Surfside Cafe Bread & Toast
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Violation:
The horizontal surface of the microwave's support legs was soiled with more than a day's accumulation of food debris near the fasteners.
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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:
Buffet-Deck 17 Surfside Cafe
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Violation:
The juice machine housing above the dispensing nozzles was soiled with more than a day's accumulation of juice residue in the cracks near the fasteners.
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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:
Buffet-Deck 17 Surfside Cafe
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Violation:
A sticky residue was in the upper right corner of two large bulk coffee machines where the decorative wrap had peeled away.
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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.:
33
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Site:
Buffet-Deck 17 Surfside Cafe Line 2
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Violation:
The deck tile grout was recessed and in disrepair in front of the flat and grooved grills.
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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 17 Palomar
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Violation:
The deckhead light cover above the grills was cracked and soiled with grease residue.
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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. Ensure light fixtures, vent covers, and similar equipment attached to the bulkheads or deckheads are easily cleanable.
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Item No.:
36
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Site:
Provisions-Deck 4 Banana Refrigerator
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Violation:
The light intensity near the condenser measured less than 110 lux. A light was installed before the end of the inspection.
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Recommendation:
Ensure the light intensity is at least 110 lux (10 foot candles) at a distance of 75 centimeters (30 inches) above the deck when in use, in walk-in refrigerator units and dry storage areas, and in other areas and rooms during periods of cleaning. 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.:
40
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Site:
Integrated Pest Management-Active Monitoring Records
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Violation:
The periodic active monitoring records stated weekly inspections typically occurred 0700 - 1100 hours each week during November and December 2024. The only night inspections occurred in the garbage and incinerator areas. Staff stated the active monitoring records were inspections completed by the environmental staff and crew conducted internal inspections of their area which occurred during the night; however, there was no documentation for those inspections.
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Recommendation:
Ensure the IPM Plan sets a schedule for periodic active monitoring inspections, including some at night or during periods of no or minimal activity.
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Item No.:
41
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Site:
Housekeeping-Outbreak Prevention and Response Plan (OPRP)
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Violation:
The Routine Cleaning and Disinfection Procedures stated one product was used for general cleaning and sanitizing in OPRP Code Green and Code Red conditions. Another product was used in specific situations with the approval from Corporate or in cases where 1000 ppm chlorine was needed but could not be used. However, housekeeping staff explained they no longer maintain any of these products on board. Instead, they use 200 ppm hypochlorous acid for one to five minutes which was not included as part of the OPRP or the routine cleaning and disinfection procedures.
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Recommendation:
Ensure each vessel has a written OPRP that details standard procedures and policies to specifically address AGE onboard. Include the following in the written OPRP: (1) Disinfectant products or systems used, including the surfaces or items the disinfectants will be applied to, concentrations, and required contact times. Ensure the disinfectant products or systems are effective against human norovirus or an acceptable surrogate (e.g., caliciviruses).
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Item No.:
44
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Site:
Medical-
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Violation:
Medical staff were not consistently following up with ill passengers who experienced fecal or vomit incidents to determine if they met the case definition of AGE. Additionally, medical staff were not consistently following up with close contacts of symptomatic crew members for up to 48 hours after symptom onset.
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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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