|
|
|
Item No.:
01
|
|
Site:
Medical-
|
|
Violation:
On March 23, an individual reported to the medical facility with diarrhea and vomiting and was classified as a case of gastrointestinal illness. This individual was listed as non-reportable in the gastrointestinal illness log and was not reported in the 24-hour prior to arrival report for the US entry in to St. Thomas.
|
|
Recommendation:
The gastrointestinal illness report shall contain:
(1) The name of the vessel; (2) The ports of embarkation and disembarkation; (3) The dates of embarkation and disembarkation; (4) The total numbers of reportable cases of gastrointestinal illness among passengers and crew members, including those who have been disembarked or removed because of illness, even if the number is 0; and (5) The total number of passengers and crew members on the cruise.
Ensure that the master, the medical staff, or other designated staff of a vessel destined for a U.S. port from a foreign port submits at least one standardized gastrointestinal illness report based on the number of reportable cases in the gastrointestinal illness log to the VSP no less than 24 hours, but not more than 36 hours before the vessel's expected arrival at the U.S. port.
|
|
|
Item No.:
06
|
|
Site:
Potable Water-
|
|
Violation:
The vessel bunkered potable water in San Juan on January 31 and in St. Thomas on February 13. The were no recent microbiologic test reports for these ports. There were no E. coli tests conducted by the vessel on these dates or the 30 days prior for these ports.
|
|
Recommendation:
Where available, ensure that the vessel has a copy of the most recent microbiologic report from each port before bunkering potable water to verify that the water meets potable standards. Ensure that these records are maintained on the vessel for 12 months and available to the VSP for review during inspections.
|
|
|
Item No.:
06
|
|
Site:
Potable Water-
|
|
Violation:
On April 15, the upper loop reading on the far point charts showed less than 0.2 ppm free chlorine residuals for more than 8 hours. There was a notation on the chart referring to "failure on analyzer" but no manual tests were conducted. On April 13, the upper loop readings appeared to be frozen on 4.0 ppm. There was no notation as to why this occurred. On April 12, the upper loop reading was maxed out at 5.0 ppm for 5.5 hours with no indication that anything was done to verify that the free halogen levels were not above 5.0 ppm. There was no notation on the chart to show why the reading was maxed out at 5.0 ppm.
|
|
Recommendation:
Ensure that halogen analyzer-chart recorder charts are changed, initialed, and dated daily and contain notations of any unusual water events in the potable water system. Ensure that records from the halogen analyzer-chart recorder verify the free residual halogen between 0.2 mg/L (ppm) and 5.0 mg/L (ppm) in the water distribution system for at least 16 hours in each 24-hour period since the last inspection of the vessel.
|
|
|
Item No.:
08
|
|
Site:
Potable Water-
|
|
Violation:
The cross-connection control list was not accurate. The list showed 5 connections in the photo laboratory protected by Watts N9 devices but there were only 3 connections that were protected by Watts 9BD devices. The list showed that crew launderettes were protected by Oras devices but at the deck 0 forward crew launderette the potable water lines were fitted with Watts 9BD devices. The workshops were listed as having Watts 9D devices but there were no connections to the potable water system that required protection and there were no devices connected to the potable water lines.
|
|
Recommendation:
Ensure that the cross-connection control listing accurately reflects the connections to the potable water system and the protection used.
|
|
|
Item No.:
08
|
|
Site:
Potable Water-
|
|
Violation:
The potable water line supplying the shower in spa room 1 did not have adequate backflow protection. The shower head could reach the deck drain.
|
|
Recommendation:
Ensure that backflow preventers are installed when air gaps are impractical or when water under pressure is required.
|
|
|
Item No.:
08
|
|
Site:
Potable Water-
|
|
Violation:
The hose connection in the women's sauna room, the hose connection in the children's pool room, and the steam generator potable connections were not listed in the cross-connection control program.
|
|
Recommendation:
Ensure that the cross-connection control program includes at minimum: a complete listing of cross-connections and the backflow prevention method/device for each, so that there is a match to the plumbing system component and location, and an inspection frequency. Ensure that air-gaps are included in the listing.
|
|
|
Item No.:
10
|
|
Site:
DO NOT USE (whirlpool/spa)-Roman Spa
|
|
Violation:
The shipyard letter for the drain covers in the whirlpool spas did not specify the whirlpools where the drain covers were installed. In addition, the letter only stated that the drain cover was designed to conform with the anti-entrapment standard and not that they were tested to verify that they were anti-entrapment. The drain covers have been replaced in the whirlpools but not the Roman Spa.
|
|
Recommendation:
Ensure that anti-entrapment drain covers or other drains that prevent entrapment hazards as specified in U.S. Consumer Product Safety Publication 363-009801 (dual drains/channel drains) are provided on swimming pools and whirlpool spas. Ensure that drain covers have either the plumbing/engineering approving organization stamp and flow rate affixed to the cover, or that a letter is maintained aboard the vessel certifying that the cover meets the safety requirements outlined in AMSE/ANSI A112.19.8M or an equivalent standard.
|
|
|
Item No.:
10
|
|
Site:
Recreational Water Facilities-Children's Pool
|
|
Violation:
The rectangular metal drain cover in the big slide pool was loose. This drain cover was not stamped and there was no documentation for this drain cover. The drain cover for the children's pool was under a platform that covered the entire pool bottom. The drain cover could not be inspected to verify that it met anti-entrapment requirements.
|
|
Recommendation:
Ensure that anti-entrapment drain covers or other drains that prevent entrapment hazards as specified in U.S. Consumer Product Safety Publication 363-009801 (dual drains/channel drains) are provided on swimming pools and whirlpool spas. Ensure that drain covers have either the plumbing/engineering approving organization stamp and flow rate affixed to the cover, or that a letter is maintained aboard the vessel certifying that the cover meets the safety requirements outlined in AMSE/ANSI A112.19.8M or an equivalent standard. Ensure that drain covers are properly secured with the appropriate fasteners.
|
|
|
Item No.:
11
|
|
Site:
Medical-
|
|
Violation:
During the April 11-18 cruise, a CDR cleaner who was a contact of crew member diagnosed with gastrointestinal illness did not have a 48-hour interview.
|
|
Recommendation:
Ensure that medical staff conduct daily verbal interviews with asymptomatic crew until 48 hours after onset of the ill crew members symptoms.
|
|
|
Item No.:
11
|
|
Site:
Medical-
|
|
Violation:
On March 28, an assistant waiter reported to the medical facility and was classified as a case of gastrointestinal illness. This individual was isolated for only 24 hours and not the required 48 hours. The doctor who treated this individual stated that he did not believe this person truly had diarrhea and even required that individual to remain in the medical facility to verify this. The doctor did not feel that a 48-hour isolation period was warranted. There was no mention of this in the patient record or any other record.
|
|
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.
|
|
|
Item No.:
18
|
|
Site:
Galley-Deck 4
|
|
Violation:
A pan containing raw corned beef was stored directly over a pan of cooked ready-to-eat ham. This item was corrected.
|
|
Recommendation:
Ensure that food is protected from cross-contamination by: (1) Physically separating raw animal foods during storage, preparation, holding, and display from raw ready-to-eat food including other raw animal food such as fish for sushi or molluscan shellfish, or other raw ready-to-eat food such as vegetables, and cooked ready-to-eat food; so products do not physically touch, and so as to prevent dripping of one product into another.
|
|
|
Item No.:
19
|
|
Site:
Buffet-Windjammer
|
|
Violation:
The consumer-self service soup station was not protected with a sneeze shield.
|
|
Recommendation:
Ensure that food on display is protected from contamination by the use of packaging; counter, service line, or salad bar food guards; display cases; or other effective means.
|
|
|
Item No.:
21
|
|
Site:
Galley-Pastry
|
|
Violation:
The metal data plate on the front of the pie press machine was corroded and loose. The data plate could fall into the raw pie shells below.
|
|
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.
|
|
|
Item No.:
21
|
|
Site:
Galley-Deck 4
|
|
Violation:
The soft sealant used on the fryers and mixer was pealing and difficult to clean.
|
|
Recommendation:
Ensure that nonfood-contact surfaces of equipment and utensils are designed and constructed to be durable and to retain their characteristic qualities under normal use conditions.
|
|
|
Item No.:
26
|
|
Site:
Galley-
|
|
Violation:
The nozzles and food contact surface of the plastic insulated beverage containers had a heavy accumulation of sticky residue.
|
|
Recommendation:
Ensure that food-contact surfaces of equipment and utensils are clean to sight and touch.
|
|
|
Item No.:
27
|
|
Site:
Galley-
|
|
Violation:
The outside surfaces of the insulated beverage containers were heavily soiled with an accumulation of sticky residue.
|
|
Recommendation:
Ensure that nonfood-contact surfaces of equipment are kept free of an accumulation of dust, dirt, food residue, and other debris.
|
|
|
Item No.:
27
|
|
Site:
Galley-Pastry
|
|
Violation:
The pie press machine had a heavy accumulation of oil and a black substance immediately above the food contact surface of the press, along fasteners and the technical space. The black substance transferred to a raw pie shell. The pie shell was discarded.
|
|
Recommendation:
Ensure that nonfood-contact surfaces of equipment are kept free of an accumulation of dust, dirt, food residue, and other debris.
|
|
|
Item No.:
28
|
|
Site:
Galley-
|
|
Violation:
Two soiled plastic insulated beverage containers used for juice were stored on a clean preparation table.
|
|
Recommendation:
Do not store soiled items on clean preparation tables.
|
|
|
Item No.:
33
|
|
Site:
Bar-Ben & Jerry's
|
|
Violation:
The deck in the technical space for the dipper well was soiled with a black substance.
|
|
Recommendation:
Ensure that decks, bulkheads, deckheads, and attached equipment in food preparation, warewashing, pantries, and storage areas, are cleaned as often as necessary.
|
|
|
Item No.:
33
|
|
Site:
Galley-
|
|
Violation:
The deck behind the pulper had an accumulation of water and food residue. This area was not in operation at the time of the inspection.
|
|
Recommendation:
Ensure that decks, bulkheads, deckheads, and attached equipment in food preparation, warewashing, pantries, and storage areas, are cleaned as often as necessary.
|
|
|
Item No.:
35
|
|
Site:
Galley-
|
|
Violation:
The liquid waste line from the pulper was missing. Wastewater could drain directly to the deck and not be directed to the scupper below. This area was not in operation at the time of inspection.
|
|
Recommendation:
Ensure that black and gray water is discharged to the vessel's wastewater disposal system and does not pool on the deck.
|
|
|
Item No.:
37
|
|
Site:
Galley-Deck 4 Warewashing
|
|
Violation:
Condensate was collecting on the bulkhead of the clean landing of the flight-type warewashing machine. Condensate did not drip on clean items or the landing.
|
|
Recommendation:
Ensure that ventilation hood systems and devices are sufficient in number and capacity to prevent grease or condensation from collecting on bulkheads and deckheads.
|
|
|
Item No.:
37
|
|
Site:
Galley-Deck 2 Hot Hold
|
|
Violation:
Condensate was collecting along the bulkhead, deckhead and ventilation hood. Condensate was not dripping at the time of the inspection. There were food items in the hot hold units at the time of inspection. This item was corrected.
|
|
Recommendation:
Ensure that ventilation hood systems and devices are sufficient in number and capacity to prevent grease or condensation from collecting on bulkheads and deckheads.
|
|
|
Item No.:
37
|
|
Site:
Galley-Steam Kettle
|
|
Violation:
Condensate was collecting on the deckhead in front of the ventilation hood for the steam kettles. Condensate was not dripping and did not impact food.
|
|
Recommendation:
Ensure that ventilation hood systems and devices are sufficient in number and capacity to prevent grease or condensation from collecting on bulkheads and deckheads.
|
|
|
Item No.:
37
|
|
Site:
Galley-Preparation
|
|
Violation:
There was an accumulation of condensate above the tilting steam tables in the ventilation hood and along the bulkhead. This area was in operation at the time of inspection. Condensate was not observed dripping at the time of the inspection. The chef closed the tilting tables and cleaned and sanitized the ventilation hood and bulkhead.
|
|
Recommendation:
Ensure that ventilation hood systems and devices operate effectively to prevent grease and condensate from collecting on the bulkheads and deckheads and remove contaminants generated by equipment located under them.
|
|
|
Item No.:
41
|
|
Site:
Ventilation-
|
|
Violation:
There was no access to view the condensate collection system and drain pan in air-conditioning unit 629.
|
|
Recommendation:
Ensure that air handling unit condensate drain pans and collection systems are accessible for inspection, maintenance, and cleaning.
|
|
|
Item No.:
41
|
|
Site:
Housekeeping-Outbreak Prevention and Response Plan
|
|
Violation:
The plan did not address the disinfection frequency for the crew gym, crew public restrooms and crew launderettes should the cumulative proportion of gastrointestinal cases among crew members reach 2%.
|
|
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.
|
|