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Item No.:
02
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Site:
Medical-
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Violation:
CREW POSITIONS WERE NOT PROVIDED IN THE GASTROINTESTINAL ILLNESS LOG.
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Recommendation:
The gastrointestinal illness surveillance log entry for each passenger or crew member shall contain the following information:
(1) The first date of clinic visit or report to staff of illness; (2) The person's name, age and gender; (3) A designation as passenger or crew member; (4) Crew member position or job on the vessel, if applicable; (5) Cabin number; (6) Meal seating information; (7) Date and time of illness onset; (8) Illness symptoms, including the presence of the following selected signs and symptoms: numbers of episodes each of diarrhea and vomiting per day, bloody stools, fever, recorded temperature, abdominal cramps, headaches and muscle aches; (9) Notation on whether or not a stool specimen was requested and received; (10) Use of antidiarrheal medication; and (11) The presence of underlying medical conditions which may affect interpretation of acute gastrointestinal illness for example diabetic diarrhea, inflammatory bowel disease, gastrectomy or others.
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Item No.:
08
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Site:
Bar-BARS GENERAL
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Violation:
IT DID NOT APPEAR THAT VENTED BACKFLOW PROTECTION DEVICES WERE INSTALLED ON THE WATER LINES SUPPLYING THE CARBONATORS.
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Recommendation:
Ensure that a continuous pressure-type backflow preventer is installed when a valve is located downstream from the backflow preventer.
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Item No.:
08
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Site:
Recreational Water Facilities-MAINTENANCE ROOMS FOR T-REX POOL AND PAX POOL #2
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Violation:
THE AIR GAP AT THE COMPENSATION TANKS FOR THESE POOLS WAS LESS THAN TWO PIPE DIAMETERS.
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Recommendation:
Ensure that air gaps are at least twice the diameter of the delivery fixture opening and a minimum of 3 cm (1 inch).
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Item No.:
08
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Site:
Potable Water-SPA HAIR SALON
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Violation:
THE BACKFLOW PREVENTION DEVICES ON THE HOT AND COLD POTABLE WATER LINES FEEDING THE HAIR SALON HAD PIPES ATTACHED TO THE INTERMEDIATE VENT. AIR GAPS WERE NOT PROVIDED IN THAT THE PIPES WERE DIRECTLY CONNECTED TO THE GRAY WATER LINE.
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Recommendation:
Ensure that air gaps are at least twice the diameter of the delivery fixture opening and a minimum of 3 cm (1 inch).
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Item No.:
08
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Site:
Potable Water-BUNKER HOSES
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Violation:
ONE OF THE BUNKER HOSES HAD BEEN CUT AND REATTACHED TO THE CONNECTION FITTING SO THAT THE WORDS "POTABLE WATER ONLY" COULD NOT BE FULLY READ.
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Recommendation:
Ensure that potable water hoses are labeled for use with the words "potable water only" in letters at least 13mm (0.5 inch) at each connecting end.
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Item No.:
09
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Site:
DO NOT USE (whirlpool/spa)-PAX POOL #3
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Violation:
THIS POOL HAD A BUBBLING WATER FEATURE THROUGHOUT THAT BREAKS THE WATER SURFACE. THE FREE HALOGEN RESIDUAL WAS NOT MAINTAINED AT THE PROPER LEVELS. THE VESSEL WAS TREATING THIS RECREATIONAL WATER FEATURE AS A SWIMMING POOL AND NOT A SPA POOL.
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Recommendation:
Ensure that whirlpool spas are maintained at a free residual chlorine of >3.0 mg/L (ppm) and <10 mg/L (ppm), or a free residual bromine of >4.0 mg/L (ppm) and <10 mg/L (ppm). The spa pool halogen shall be operated and maintained according to whirlpool spa standards provided in sections 6.3.1.1.1 - 6.4.1.3.1, except that daily water change in section 6.3.1.2 is not required. If the spa pool uses only seawater, the daily shock in section 6.3.2.1.2 is also not required.
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Item No.:
11
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Site:
Medical-
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Violation:
RESTAURANT STEWARDS AND CABIN STEWARDS WHO REPORTED TO THE MEDICAL OFFICE AND WERE CLASSIFIED AS HAVING GASTROINTESTINAL ILLNESS WERE NOT ISOLATED FOR THE APPROPRIATE AMOUNT OF TIME. THESE INDIVIDUALS WERE ISOLATED WHILE SYMPTOM FREE FOR LESS THAN THE REQUIRED 48 HOURS. CABIN STEWARDS RESTOCK CLEAN GLASSES, UTENSILS AND ICE IN THE PASSENGER CABINS. IN ADDITION, AN ASYMPTOMATIC CABIN MATE WAS INTERVIEWED INTIALLY ON 07/09 BUT THERE WERE NO FOLLOW-UP INTERVIEWS ON FILE.
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Recommendation:
Ensure that symptomatic food employees meeting the case definition for AGE are isolated in cabin or designated, restricted area until symptom-free for a minimum of 48 hours. Ensure that medical staff conduct verbal interviews with asymptomatic cabin mates or immediate contacts to confirm their condition, advise them of the hygiene and handwashing facts, and instruct them to report immediately to medical if they develop illness symptoms. Ensure that medical staff conduct daily verbal interviews with asymptomatic crew until 48 hours after onset of the ill crew members symptoms.
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Item No.:
11
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Site:
Medical-
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Violation:
A PERSONAL HYGIENE AND HANDWASHING FACT SHEET HAS NOT BEEN DEVELOPED FOR DISTRIBUTION TO ILL PASSENGERS. CURRENTLY THE VESSEL IS USING A VIDEO THAT WAS AVAILABLE TO ALL PASSENGERS IN THEIR CABINS.
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Recommendation:
Ensure that symptomatic passengers meeting the defintion for AGE are provided handwashing tips and personal hygiene information.
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Item No.:
20
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Site:
Bar-BIMINI BAR
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Violation:
GOUGES WERE NOTED INSIDE THE BLENDER PITCHERS, MAKING CLEANING DIFFICULT.
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Recommendation:
Ensure that materials used in the construction of multiuse utensils and food-contact surfaces of equipment are: (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-GARDEN CAFE
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Violation:
THE LOWER VENT COVER ON THE RIGHT SIDE OF THE PIZZA OVEN WAS SEPARATING FROM THE SIDE OF THE OVEN, CREATING A DIFFICULT TO CLEAN GAP.
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Recommendation:
Ensure that 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:
Preparation Room-HOT BUFFET
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Violation:
GAPS WERE NOTED AROUND THE CONTROL BOX OF THE KETTLES, MAKING CLEANING DIFFICULT.
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Recommendation:
Ensure that 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:
Preparation Room-HOT BUFFET
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Violation:
THE WELDS WERE ROUGH BEHIND THE COOK-TOP, MAKING CLEANING DIFFICULT.
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Recommendation:
Ensure that 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:
Galley-HOT GALLEY
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Violation:
CONDENSATE WAS DRIPPING OUT OF THE BOTTOM DOOR AREA OF THE COMBINATION OVENS. PER THE STAFF THIS WAS DUE TO FAULTY GASKETS IN THE UNITS.
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Recommendation:
Replace the gaskets. Ensure that the replacement gaskets are appropriate for these types of units.
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Item No.:
22
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Site:
Galley-GARDEN CAFE DISHWASH
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Violation:
THE MOUNTED FINAL RINSE THERMOMETER ON THE PORT SIDE FLIGHT-TYPE DISHWASH MACHINE INDICATED 240F, BUT THE PLATE SURFACE TEMPERATURE WAS MEASURED AT 170F. THERE WAS NO STEAM AT THE FINAL RINSE NOZZLES, INDICATING THAT THE THERMOMETER WAS NOT ACCURATE.
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Recommendation:
Ensure that water temperature measuring devices: (1) That are scaled in Celsius or dually scaled in Celsius and Fahrenheit are designed to be accurate to 1.5C in the intended range of use. (2) That are scaled only in Fahrenheit are designed to be accurate to 3F in the intended range of use.
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Item No.:
24
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Site:
Pantry-DECK 9 ROOM SERVICE PANTRY
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Violation:
THE RED SANITIZING BUCKET WAS TESTED AND FOUND TO BE BELOW 50 PPM CHLORINE. THIS WAS CORRECTED IMMEDIATELY.
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Recommendation:
Ensure that a chlorine solution used as a sanitizing solution has a concentration between 50 mg/L (ppm) and 200 mg/L (ppm).
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Item No.:
27
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Site:
Provisions-POTWASH
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Violation:
THE PIPES UNDER THE POTWASH MACHINE WERE SOILED.
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Recommendation:
Ensure that 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-
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Violation:
THE EXTERIOR BASES OF THE REFRIGERATION UNITS WERE SOILED IN SEVERAL AREAS.
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Recommendation:
Ensure that 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.:
28
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Site:
Bar-BIMINI BAR
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Violation:
A FEW WET GLASSES WERE PLACED OUT FOR SERVICE.
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Recommendation:
After cleaning and sanitizing, ensure that equipment and utensils are air-dried or adequately drained before contact with food.
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Item No.:
29
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Site:
Pantry-DECK 9 ROOM SERVICE PANTRY
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Violation:
THERE WAS A GREEN SCRUB PAD IN THE BOWL OF THE HANDWASH SINK.
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Recommendation:
Ensure that handwashing facilities are used for no other purpose and are accessible at all times.
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Item No.:
29
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Site:
Galley-GARDEN CAFE
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Violation:
THE MOUNTED WASTE RECEPTACLE WAS PARTICIALLY BLOCKING THE HANDWASH STATION BY THE TILTING PANS.
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Recommendation:
Ensure that 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:
Bar-POOL BAR
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Violation:
THE WASTE RECEPTACLES WERE MISSING AT THE CENTER HANDWASH STATIONS.
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Recommendation:
Ensure that a handwashing facility includes a sink, soap dispenser, single-use towels dispenser, and waste receptacle.
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Item No.:
33
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Site:
Buffet-OFFICERS' MESS
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Violation:
THE DECK WAS ROUGH AND DIFFICULT TO CLEAN UNDER THE SOILED DROP-OFF. THE DECK-BULKHEAD AND DECK-CABINET JUNCTURES WERE NOT COVED.
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Recommendation:
Ensure that decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are constructed and maintained for easy cleaning. Ensure that bulkhead and deck junctures are coved (including galleys, pantries, deck/counter junctures at buffets, bars, waiter stations, and dining room work counters).
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Item No.:
33
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Site:
Other-TEX MEX DINING ROOM
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Violation:
SOFT SEALANT WAS NOTED AT THE BASE OF THE WAIT STATIONS. THESE AREAS WERE NOT COVED. THESE CONDITIONS MADE CLEANING DIFFICULT.
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Recommendation:
Ensure that decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are constructed and maintained for easy cleaning. Ensure that bulkhead and deck junctures are coved (including galleys, pantries, deck/counter junctures at buffets, bars, waiter stations, and dining room work counters). Ensure that sealant used around the deck dries to a smooth, durable, easy to clean finish.
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Item No.:
33
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Site:
Preparation Room-HOT BUFFET
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Violation:
REMNANTS OF PLASTIC PROTECTIVE SHEETING WERE NOTED ON THE INSIDE OF THE EXIT DOOR, MAKING CLEANING DIFFICULT.
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Recommendation:
Ensure that light fixtures, vent covers, and similar equipment attached to the bulkheads or deckheads are easily cleanable.
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Item No.:
33
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Site:
Food Service General-
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Violation:
THERE WERE NUMBEROUS AREAS OF THE DECKS WHERE THE GROUT WAS WORN OR RECESSED. WAITER STATION-DECK JUNCTURES WERE NOT COVED IN THE FOOD SERVICE OUTLETS AND DINING AREAS. THESE CONDITIONS MADE CLEANING DIFFICULT.
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Recommendation:
Ensure that decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are constructed and maintained for easy cleaning. Ensure that bulkhead and deck junctures are coved (including galleys, pantries, deck/counter junctures at buffets, bars, waiter stations, and dining room work counters).
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Item No.:
33
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Site:
Preparation Room-PREPARATION ROOM DECK 3
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Violation:
SEVERAL DAMAGED/CRACKED DECK TILES WERE NOTED IN THIS AREA.
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Recommendation:
Ensure that decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are constructed and maintained for easy cleaning.
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Item No.:
33
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Site:
Preparation Room-HOT BUFFET
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Violation:
THE GROUT WAS WORN ALONG THE COVE TILE AT THE COOKING EQUIPMENT.
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Recommendation:
Ensure that decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are constructed and maintained for easy cleaning.
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Item No.:
41
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Site:
Housekeeping-
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Violation:
THE WRITTEN OUTBREAK PREVENTION AND RESPONSE PLAN DID NOT INDICATE THE FREQUENCY OF CLEANING FOR PUBLIC AREAS DURING AN OUTBREAK.
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Recommendation:
Ensure that when the cumulative proportion of cases of gastrointestinal illness among passengers or crew members is 2%, the infection control response includes cleaning and disinfecting all public areas, including handrails and restrooms, on a continuous basis until the proportion decreases to <2%. Ensure that each vessel has a written Outbreak Prevention and Response Plan (OPRP) which details the standard procedures and policies to specifically address gastrointestinal illness onboard. The plan shall include the duties and responsibilities of each department and their staff to include steps in outbreak management and control as well as the trigger for each step.
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Item No.:
41
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Site:
Children Area-
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Violation:
THE VINYL COVERING WAS WORN SO THAT THE FABRIC UNDER SURFACE WAS VISIBLE ON TWO OF THE SOFT TOYS IN THE PADDED PLAY AREA. THIS FABRIC SURFACE WAS DIFFICULT TO CLEAN.
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Recommendation:
Ensure that surfaces of tables, chairs, and other furnishings that children touch with their hands are cleanable.
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