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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Surveillance Log
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Violation:
The electronic medical AGE surveillance log did not cover all the fields and was not ordered exactly as the one required in 13.2.2 of the VSP Operations Manual. The system was also not capable of exporting the exact AGE log provided in 13.2.2.
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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) Date of the first medical visit or report to staff of illness; (2) time of the first medical visit or report to staff of illness; (3) case identification number; (4) person?s name; (5) person?s age; (6) person?s sex; (7) designation as passenger or crew member; (8) crew member position or job on the vessel, if applicable; (9) cabin number; (10) meal seating information; (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) number of episodes of vomiting in a 24-hour period; (c) bloody stools; (d) recorded temperature; (e) abdominal cramps; (f) headaches; (g) muscle aches; (14) entry (yes/no) for whether this was a reportable case; (15) entry (yes/no) for antidiarrheal medications sold or dispensed by designated medical staff; (16) presence of underlying medical conditions that may affect interpretation of AGE. Ensure the AGE surveillance log contains the above information in the exact order and is entered in the template in Annex 13.2.2. Ensure that the log data is exported in the exact order as in the example template in Annex 13.2.2 with analyzable formats such as Excel or Access. Ensure that any additional data fields are entered only outside of the form margins when exported to VSP.
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Item No.:
08
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Site:
Potable Water-Bunkering Hose
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Violation:
Two charged bunker water supply lines connected to the shore-side potable water connections were laying directly on the ground in direct contact with pooled water. Devices to elevate the lines were present, but not used when observed. According to the staff, the lines were not being used at the time.
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Recommendation:
Handle and store all hoses, fittings, water filters, buckets, equipment, and tools used for connection with the bunkering of potable water in a sanitary manner.
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Item No.:
08
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Site:
Potable Water-Potable Water / Technical Water Connection
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Violation:
Water dripped continuously from the air relief vent of the backflow prevention assembly protecting the potable water system from the technical water system.
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Recommendation:
Maintain backflow prevention devices in good repair.
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Item No.:
08
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Site:
Other-Deck 0 - Trolley Wash
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Violation:
Tape covered the backflow prevention assembly installed on the spring mounted spray hose. In addition, water was leaking from the assembly.
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Recommendation:
Maintain backflow prevention devices in good repair.
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Item No.:
08
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Site:
Integrated Pest Management-Logs
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Violation:
The IPM logs did not include follow up actions or records when pests were observed or an area was treated with chemicals. Also, the active surveillance logs did not include the type of pest(s) observed when found only the amount.
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Recommendation:
When pests are noted during an inspection, ensure the log includes action taken and follow-up inspection results.
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Item No.:
10
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Site:
Recreational Water Facilities-Shock Halogenation
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Violation:
Free halogen levels were not recorded at the beginning and end of shock treatments to Recreational Water Facilities (RWF).
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Recommendation:
Maintain halogenation and pH control systems in good repair and operate them in accordance with the manufacturer?s recommendations.
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Item No.:
10
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Site:
Recreational Water Facilities-Safety Signage
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Violation:
Safety signs for each Recreational Water Facility (RWF) type did not meet current requirements outlined in the 2011 VSP Operations Manual. According to the staff, new signs have been ordered and will be placed when they become available.
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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.? In addition to the safety sign requirements in section 6.7.1.1.1, 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.
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Item No.:
10
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Site:
Recreational Water Facilities-Depth Markers
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Violation:
Depth markers for swimming pools only marked measures in feet and not in both feet and meters.
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Recommendation:
Prominently display the depth of each RWF that is deeper than 1 meter (3 feet) so that it can be seen from the deck and in the pool. Label depth markers in both feet and meters. Additionally, install depth markers for every 1 meter (3 feet) change in depth.
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Item No.:
10
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Site:
Recreational Water Facilities-Antientrapment Drain Covers
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Violation:
The single blockable gravity drain covers at 7 of the 9 whirlpools were not ASME A112.19.8 compliant but did meet the secondary antientrapment requirement of having a gravity drainage system. It was noted that compliant drain covers have been purchased. The Serenity whirlpools (2) meet the antientrapment requirements.
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Recommendation:
For RWFs with gravity drainage and a single blockable drain or multiple drains less than 3 feet apart, provide an ASME A112.19.8 compliant antientrapment/antientanglement drain cover and a gravity drainage system.
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Item No.:
10
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Site:
Recreational Water Facilities-Test Kit
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Violation:
Test kit/kits to measure total alkalinity were not available.
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Recommendation:
Ensure a test kit is available for testing water quality parameters, including free and total halogen levels (chlorine and bromine, where applicable), pH, and total alkalinity. Ensure that test kits are accurate to within 0.2 mg/L (ppm) for halogen and have a testing range of free residual halogen normally maintained in the RWF. Ensure test kits for pH are accurate to within 0.2. Ensure all reagents are not past their expiration dates.
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Item No.:
10
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Site:
Recreational Water Facilities-Aft Pump Room
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Violation:
The analyzer probe for the Starboard Aft whirlpool was not working correctly. The whirlpool was not open for use at the time.
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Recommendation:
Maintain halogenation and pH control systems in good repair and operate them in accordance with the manufacturer?s recommendations.
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Item No.:
10
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Site:
Recreational Water Facilities-Flow Rates
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Violation:
There was no way to actively determine the flow rates for the swimming pools.
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Recommendation:
Monitor and adjust the RWF?s flow rates, free and combined halogen levels, pH, total alkalinity, and clarity as recommended by the manufacturer and to maintain optimum public health protection and water chemistry.
Install a flow meter to measure flow rates.
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Item No.:
10
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Site:
Recreational Water Facilities-Slide Pool
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Violation:
The four suction drains used to provide water for the slide did not meet ASME A112.19.8 antientrapment requirements. The drains were greater than 3 feet apart.
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Recommendation:
For RWFs with suction fittings and multiple drains (2 or more drains per pump with drains greater than 3 feet apart), provide an ASME A112.19.8 compliant antientrapment/antientanglement drain cover.
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Item No.:
20
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Site:
Galley-Deck 9 - Deli
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Violation:
A large crack on the end of the plastic press plate made cleaning difficult.
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Recommendation:
Ensure multiuse food-contact surfaces are: (1) Smooth; (2) Free of breaks, open seams greater than 0.8 mm (1/32 inch), cracks, chips, inclusions, pits, and similar imperfections; (3) Free of sharp internal angles, corners, and crevices
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Item No.:
20
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Site:
Galley-Deck 3 - Apetizer
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Violation:
Paint was pealing from the mixer shaft of the deck-mounted mixer, which made cleaning difficult.
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Recommendation:
Materials used in the construction of multiuse utensils and food contact surfaces of equipment must be: (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.:
20
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Site:
Preparation Room-Deck 0 - Vegetable
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Violation:
Pitting, cracks and gouges made the metal press plate of the slicer difficult to clean.
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Recommendation:
Ensure multiuse food-contact surfaces are: (1) Smooth; (2) Free of breaks, open seams greater than 0.8 mm (1/32 inch), cracks, chips, inclusions, pits, and similar imperfections; (3) Free of sharp internal angles, corners, and crevices;
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Item No.:
20
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Site:
Preparation Room-Deck 0 - Vegetable
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Violation:
Pitting, cracks and gouges made the metal press plate of the slicer difficult to clean.
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Recommendation:
Ensure multiuse food-contact surfaces are: (1) Smooth, (2) Free of breaks, open seams greater than 0.8 mm (1/32 inch), cracks, chips, inclusions, pits, and similar imperfections
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Item No.:
20
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Site:
Galley-Deck 0 - Crew Galley - Adjacent to Steam Kettles
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Violation:
Cracks and gouges along the edges of the plastic press plate of the slicer made cleaning difficult.
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Recommendation:
Ensure multiuse food-contact surfaces are: (1) Smooth, (2) Free of breaks, open seams greater than 0.8 mm (1/32 inch), cracks, chips, inclusions, pits, and similar imperfections
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Item No.:
21
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Site:
Galley-Deck 9 - Gary's Burger Joint
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Violation:
Gaps created a void space between the grease collection chute and the bottom edge of the hot plates.
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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.:
22
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Site:
Galley-Deck 3 - Warewash
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Violation:
The final sanitizing rinse nozzle on the left side of the upper manifold did not work.
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Recommendation:
Maintain warewashing equipment in good repair and proper adjustment, including: (1) warewashing equipment is maintained in a state of repair and condition that meets the standards of the materials, design, and construction of these guidelines; (2) water pressure and water temperature-measuring devices are maintained in good repair and accurate within the intended range of use.
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Item No.:
26
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Site:
Galley-Deck 10 - Steakhouse Galley
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Violation:
Food residue and old grease soiled the installed thermometer probe of the combination oven.
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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.:
36
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Site:
Pantry-Lighting
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Violation:
The lighting behind and around the deck mounted ice machines in the deck pantries did not have the required 110 lux of light.
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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.:
41
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Site:
Housekeeping-Outbreak Prevention and Response Plan (OPRP)
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Violation:
The OPRP did not have a way to notify passengers and crew members of an existing outbreak as well as informing passengers embarking the vessel following an outbreak voyage. The plan had letters in place that were to be distributed to the passengers and crew for both scenarios, however, the letters that were observed did not indicate that an outbreak was either occurring or had occurred, rather the letters were fact sheets on Norovirus.
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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: (4) Procedures for informing passengers and crew members of the outbreak. Ensure this section also includes procedures for notification of passengers embarking the vessel following an outbreak voyage or segment of a voyage;
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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 OPRP did not have procedures in place for returning the vessel to normal operating conditions after an outbreak.
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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: (5) Procedures for returning the vessel to normal operating conditions after an outbreak.
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