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Item No.:
02
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Site:
Housekeeping-Public Vomit Incidents/Public Diarrhea Incidents (PVI/PDIs) in Cabins
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Violation:
PVI/PDIs in cabins were kept on a separate tab on housekeeping's acute gastroenteritis (AGE) cleaning log. This document was not shared with medical and these incidents were not added to housekeeping's PVI/PDI log. These incidents were reported via 911; however, not all the incidents were relayed to medical. For example, a PDI in a cabin on 23 April 2025 was not relayed to medical. Another PDI on 22 April that stated it was relayed to medical but there was not an incident log indicating medical followed up. Medical only received the 911 log to compare with their AGE log at the end of the voyage.
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Recommendation:
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.:
08
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Site:
Potable Water-Engine Room Pipe Striping
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Violation:
The distillate water lines were striped blue/dark blue/blue. Staff were aware and are awaiting blue/gray/blue tape.
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Recommendation:
Stripe or paint potable water lines either in accordance with ISO 14726 (blue/green/blue) or blue only. Stripe or paint distillate and permeate lines directed to the potable water system in accordance with ISO 14726 (blue/gray/blue). Ensure no other lines have the above color designations. Stripe or paint these lines at 5 meters (15 feet) intervals and on each side of partitions, decks, and bulkheads, except where decor would be marred by such markings, including potable water supply lines in technical lockers. Do not stripe or paint potable water lines after reduced pressure assemblies as potable water. Identify all refrigerant brine lines and nonpotable chilled water lines in all food areas, such as on ice machines, ice cream machines, etc., with either ISO 14726 (blue/white/blue) or by another uniquely identifiable method to prevent cross-connections.
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Item No.:
10
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Site:
Recreational Water Facilities-Deck 14 Terrace Pool
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Violation:
A large piece of debris was floating on the water's surface of the open pool.
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Recommendation:
Keep RWFs clean of debris, organic materials, and slime/biofilm in accessible areas in the water and on surfaces.
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Item No.:
10
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Site:
Recreational Water Facilities-Deck 16 Lotus Spa Pool
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Violation:
The bather load was missing on the starboard side safety sign.
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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.?
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Item No.:
10
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Site:
Recreational Water Facilities-Deck 14 Terrace Pool
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Violation:
The shepherd's hook was behind a hand railing and underneath a pool cleaning device which did not allow for easy access during an emergency. The inspector was unable to retrieve the shepherd's hook.
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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. Ensure the rescue or shepherd?s hook is long enough to touch the bottom center of the deepest portion of the RWF plus 2 feet (0.6 meters) as measured from the closest edge without an obstruction. This edge can only be used for measurement if someone could freely walk down both sides without an obstruction such as a waterfall, fountain, statue, etc. For a rectangular pool, ensure the shorter distance is measured from the long side of the rectangle as long as there are no obstructions. Measure the 2 feet (0.6 meters) distance from where the shepherd?s hook crosses the fill line of the RWF.
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Item No.:
10
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Site:
Recreational Water Facilities-Calypso and Neptune Pools
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Violation:
The calculated turnover rates using the actual flow rates were greater than six hours for the Calypso pool and Neptune pool according to records for 12 February 2025 and 21 March 2025. Additionally, the Calypso pool turnover rate was greater than six hours during the inspection. Staff stated there was an issue with the flow meter in the Neptune pool and an issue with a valve in the Calypso pool. The pools were open when the turnover rate was greater than six hours.
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Recommendation:
For RWFs with skim gutters, ensure that the fill level of the RWF is to the level of the skim gutters. Design recirculation systems and equipment, including chemical control equipment, UV disinfection systems, filter, and pumps to maintain adequate water chemistry control while operating at the following minimum turnover rates: (1) swimming pool (VSP 2005 Construction Guidelines or earlier): 6 hours; (2) swimming pool (VSP 2011 Construction Guidelines or later): 4 hours; (3) children's pool: 0.5 hours; (4) wading pool: 1 hour; (5) whirlpool spa: 0.5 hours; (6) spa pool: 2 hours; (7) interactive RWF or activity pool less than 610 millimeters (24 inches) deep: 1 hour; (8) interactive RWF or activity pool greater than 610 millimeters (24 inches) deep: 2 hours; and (9) baby-only water facility: 0.5 hours. Ensure an RWF slide that is combined with a pool has a turnover rate that matches the rate for the pool. This applies to wading or swimming pools but not to children's pools. The water for the slide must come directly from the basin of the pool and return directly to the basin of the pool. Flow rates from flow meters must be used to calculate turnover rates. Apply the most protective turnover rate for facilities that meet the definition of more than one type of RWF.
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Item No.:
11
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Site:
Medical-Acute Gastroenteritis (AGE) Surveillance Log
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Violation:
Two nonfood employees and one food employee were working while symptomatic. (1) A nonfood employee had AGE symptom onset at 2230 on 18 April 2025 and reported to medical at 0105 on 19 April 2025. (2) A nonfood employee had AGE symptom onset at 0100 on 28 March 2025 and started working at 0730 until they reported to medical at 1040. (3) A food employee had AGE symptom onset at 1730 while they were working, continued to work until 1841, and then reported to medical at 1845.
Additionally, one nonfood employee and one food employee experienced AGE symptoms overnight and did not report to medical in a timely manner. On 11 April 2025, a food employee had AGE symptom onset at 0100 and did not report to medical until 0600. On 26 March 2025, a nonfood employee had AGE symptom onset at 2300 and did not report to medical until 0855 on 27 March.
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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; (2) follow-up with and receive approval by designated medical personnel before returning crew to work; (3) document date and time of last symptom and clearance to return to work. 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. Ensure the food employee's supervisor or person in charge conducts an assessment of food prepared or served by the food employee while symptomatic and take appropriate corrective actions. Document corrective actions taken as a result of the assessment. Maintain records for 1 year and make them available for review during inspections. Review [when possible] any AGE cases among passengers or crew reported after the ill food employee?s symptom onset for epidemiologic link/connection. Appropriate corrective actions could include discarding ready-to eat food, thoroughly cooking raw food, and disinfecting the food area and equipment.
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Item No.:
18
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Site:
Galley-Deck 14- Walk-In Cooler
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Violation:
One pan of raw ground beef burgers and one pan of raw veal/pork burgers were stored above a pan of fully cooked turkey, chicken, and beef.
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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. (2) Separating types of raw animal foods from each other such as beef, fish, lamb, pork, and poultry?except when combined as ingredients?during storage, preparation, holding, and display by using separate equipment for each type, or by arranging each type of food in equipment so that cross-contamination of one type with another is prevented, or by preparing each type of food at different times or in separate areas. (3) Cleaning and sanitizing equipment and utensils. (4) Storing the food in packages, covered containers, or wrappings. (5) Cleaning visible soil on hermetically sealed containers of food before opening. (6) Protecting food containers that are received packaged together in a case or overwrap from cuts when the case or overwrap is opened. (7) Separating damaged, spoiled, or recalled food being held on the vessel. (8) Separating unwashed fruits and vegetables from ready-to-eat food.
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Item No.:
22
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Site:
Galley-Deck 15- Cafe Caribe Flight-Type Dishwashing Machine
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Violation:
A small paper-like material was on the clean side of the dishwashing machine.
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Recommendation:
Ensure warewashing machines, drainboards, and the compartments of sinks, basins, or other receptacles used for washing and rinsing equipment, utensils, or raw foods, or laundering wiping cloths are cleaned: (1) before use; (2) throughout the day at a frequency necessary to prevent recontamination and accumulation of excessive debris, and to ensure that the equipment performs its intended function; (3) at least every 24 hours (if used).
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Item No.:
22
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Site:
Galley-Deck 16- Salty Dog Show Galley
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Violation:
The sanitizing solution in the sanitizing bucket was excessively cloudy.
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Recommendation:
Ensure the wash, rinse, and sanitize solutions are maintained clean.
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Item No.:
26
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Site:
Galley-Deck 17- Sabatini's
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Violation:
The previously cleaned and sanitized waffle iron stored in the equipment cabinet was soiled with crusty grease 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:
Buffet-Deck 15- Horizon Court Starboard Forward Beverage Station
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Violation:
Food debris was inside one mug. It was sent to be washed.
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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:
Buffet-Deck 15- Horizon Court Starboard Forward Buffet Locker
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Violation:
Food debris was on the food-contact surface of two bowls stored in this area.
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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 5- International Cafe Show Galley
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Violation:
Food debris was on the food-contact surface of one previously cleaned and sanitized plate.
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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.:
27
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Site:
Galley-Deck 14- Hot Galley
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Violation:
Old food debris and grease collected on the sides of the two tilting kettles under the cylinder arms that connect the kettle to the technical compartments.
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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:
Galley-Deck 5- Starboard Forward Dishwashing Area
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Violation:
Dust accumulated in the slots of the stainless steel ventilation panel on the clean side of the flight-type dishwashing machine. This was cleaned immediately.
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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:
Pantry-Housekeeping Central Pantry #8524
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Violation:
Water pooled on the deck next to the ice machine from an overflowing deck drain.
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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:
Galley-Deck 5- Hot Galley
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Violation:
The deck grouting in this area was recessed and in disrepair.
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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.:
34
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Site:
Preparation Room-Deck 4- Vegetable Preparation Room
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Violation:
Water dripped continuously from the pipe behind the right-most potato peeler.
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Recommendation:
Ensure a plumbing system in a food area is maintained in good repair.
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Item No.:
36
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Site:
Galley-Deck 5- Pastry Walk-In Freezer
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Violation:
There was no light in the walk-in freezer. Staff stated they ordered light bulbs twice and had received the incorrect shipment both times.
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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.:
38
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Site:
Pantry-Housekeeping Central Pantry #9534
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Violation:
An ice machine was unnecessary and not in use due to another ice machine within the pantry.
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Recommendation:
Ensure only articles necessary for the food service operation are stored in food preparation, food storage, and warewashing areas.
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Item No.:
39
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Site:
Galley-Deck 15- Horizon Court Dishwashing Area
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Violation:
One fruit fly was in this 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:
Buffet-Deck 15- Cafe Caribe
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Violation:
One fruit fly was on the bulkhead near the fruit station. A second fruit fly was flying above the fruit station.
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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:
Housekeeping-PDI/PVIs in Cabins
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Violation:
PVI/PDIs in cabins were kept on a separate tab on housekeeping's acute gastroenteritis (AGE) cleaning log. This document was not shared with medical and these incidents were not added to housekeeping's PVI/PDI log. These incidents were reported via 911; however, not all the incidents were relayed to medical. For example, a PDI in a cabin on 23 April 2025 was not relayed to medical. Another PDI on 22 April that stated it was relayed to medical but there was not an incident log indicating medical followed up. Medical only received the 911 log to compare with their AGE log at the end of the voyage.
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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. Ensure the supervisor or person in charge of housekeeping operations on the vessel demonstrates to the VSP?during inspections and on request ? knowledge of housekeeping operations, is able to demonstrate this knowledge by compliance with section 9 of the 2018 VSP Operations Manual of these guidelines or by responding correctly to the inspector?s questions as they relate to the specific operation, and properly trains employees to comply with section 9 of the 2018 VSP Operations Manual as it relates to their assigned duties.
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Item No.:
44
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Site:
Medical-Acute Gastroenteritis (AGE) Surveillance Log
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Violation:
Two nonfood employees and one food employee were working while symptomatic. (1) A nonfood employee had AGE symptom onset at 2230 on 18 April 2025 and reported to medical at 0105 on 19 April 2025. (2) A nonfood employee had AGE symptom onset at 0100 on 28 March 2025 and started working at 0730 until they reported to medical at 1040. (3) A food employee had AGE symptom onset at 1730 while they were working, continued to work until 1841, and then reported to medical at 1845.
Additionally, one nonfood employee and one food employee experienced AGE symptoms overnight and did not report to medical in a timely manner. On 11 April 2025, a food employee had AGE symptom onset at 0100 and did not report to medical until 0600. On 26 March 2025, a nonfood employee had AGE symptom onset at 2300 and did not report to medical until 0855 on 27 March.
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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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