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Item No.:
02
|
Site:
Medical-Acute Gastroenteritis (AGE) Log
|
Violation:
The AGE log in STARDOCS did not include whether antidiarrheal medication was sold or dispensed or not and there was not a case identification number for each passenger or crew member in the log.
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Recommendation:
Ensure the AGE surveillance log entry for each passenger or crew member contain the following information in separate columns: (3) case identification number; (15) entry (yes/no) for antidiarrheal medications sold or dispensed by designated medical staff. 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
|
Site:
Potable Water-Bunkering Station Port Side
|
Violation:
The main potable water filling line was not striped or painted blue or in accordance with the color designation in ISO 14726.
|
Recommendation:
Ensure each bunker station potable water filling line is striped or painted blue or in accordance with the color designation in ISO 14726 (blue/green/blue).
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|
Item No.:
08
|
Site:
Potable Water-Forward Tank 3P
|
Violation:
The potable water sample cock was horizontal.
|
Recommendation:
Ensure potable water tanks have labeled sample cocks that are turned down.
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|
Item No.:
08
|
Site:
Potable Water-Bunkering
|
Violation:
The results of the free halogen residual and pH pretest on the shore-side water supply were not documented before bunkering between July 12- August 12, 2011.
|
Recommendation:
Conduct a free halogen residual and pH test on the shore-side water supply before starting the potable water bunkering process to establish the correct halogen dosage. Record the results of the pretest and ensure they are available for review during inspections.
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Item No.:
08
|
Site:
Preparation Room-Salad Washer
|
Violation:
The atmospheric vacuum breaker on the left side of the salad washer was corroded and weeping.
|
Recommendation:
Maintain backflow prevention devices in good repair.
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|
Item No.:
09
|
Site:
Recreational Water Facilities-Children's Pool
|
Violation:
It was unknown whether this facility was open or not; however, there was water in the pool and it was not netted. The inspector measured a residual chlorine level no greater than 0.15 ppm. Passengers had already begun boarding the ship. Staff stated there were no nets available for this pool or for any children's pools in the entire fleet.
|
Recommendation:
Maintain a free residual halogen in recirculated RWFs in the following ranges: (1) swimming pools, between 1.0 and 5.0 mg/L (ppm); (2) children's pools, between1.0 and 5.0 mg/L (ppm); (3) wading pools, between 1.0 and 5.0 mg/L (ppm); (4) interactive RWFs (activity pools), between 2.0 and 5.0 mg/L (ppm); (5) baby-only water facilities, between 3.0 and 10.0 mg/L (ppm) free chlorine or between 4.0 and 10.0 mg/L (ppm) bromine; and (6) whirlpool spas and spa pools, between 3.0 and 10.0 mg/L (ppm) free chlorine or between 4.0 and 10.0 mg/L (ppm) bromine. Immediately close facilities if these halogen and pH ranges are not maintained.
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Item No.:
10
|
Site:
Recreational Water Facilities-Swimming Pool and Whirlpool Signage
|
Violation:
The safety signs did not include 'do not use these facilities if you are experiencing diarrhea, vomiting, or fever or the bather load number.
|
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 and (4) bather load #.
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Item No.:
10
|
Site:
Recreational Water Facilities-Whrilpool Safety Signs
|
Violation:
The safety signs for the whirlpools did not include a caution for elderly persons using the whirlpools.
|
Recommendation:
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: (3) pregnant women, elderly persons, and children.
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Item No.:
10
|
Site:
Recreational Water Facilities-Turnover Rates
|
Violation:
Turnover rates were not available for any of the RWFs.
|
Recommendation:
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.
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Item No.:
10
|
Site:
Recreational Water Facilities-Anti-Entrapment Drains
|
Violation:
There was no documentation confirming the anti-entrapment drains for the swimming pools and the whirlpools meet the ASME 112.19.8 or requirements per the 2011 VSP Operations Manual. Also, the required information was not stated on the drain covers.
|
Recommendation:
For RWFs with gravity drainage and multiple drains (2 or more drains greater than 3 feet apart), provide either a standard design (not compliant with ASME A112.19.8) drain cover and an alarm, or an ASME A112.19.8 compliant antientrapment/antientanglement drain cover. Ensure the alarm is audible and sounds in both a continuously manned space and at the RWF. Ensure this alarm is for all draining: accidental, routine, and emergency. 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. Ensure the testing of manufactured drain covers is by a nationally or internationally recognized testing laboratory. Ensure the following information is stamped on each manufactured antientrapment drain cover: (1) certification standard and year; (2) type of drain use (single or multiple); (3) maximum flow rate (in gallons or liters per minute); (4) type of fitting (suction outlet); (5) life expectancy of cover; (6) mounting orientation (wall, floor, or both); (7) manufacturer?s name or trademark; and (8) model designation. Ensure the design of custom/shipyard constructed (field fabricated) drain covers and suction fittings is fully specified by a registered design professional in accordance with ASME A112.19.8-2007. Ensure the specifications fully address cover/grate loadings, durability, hair, finger and limb entrapment issues, cover/grate secondary layer of protection, related sump design, and features specific to the RWF. Provide a letter from the shipyard for each custom/shipyard constructed (field fabricated) drain cover fitting. At a minimum, ensure the letter specifies the shipyard, name of the vessel, specifications and dimensions of the drain cover, as well as the exact location of the RWF for which it was designed. Ensure the name of and contact information for the registered design professional and signature are on the letter.
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Item No.:
10
|
Site:
Recreational Water Facilities-Fecal and Vomit Accident Procedure
|
Violation:
The fecal and vomit accident response procedure did not meet or exceed the procedure provided in Annex 13.8 of the 2011 VSP Operations Manual.
|
Recommendation:
Ensure a fecal and vomit accident response procedure that meets or exceeds the procedure provided in Annex 13.8 is available for review during inspections.
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|
Item No.:
10
|
Site:
Recreational Water Facilities-Fecal and Vomit Accident Log
|
Violation:
The fecal and vomit accident log did not include whether the fecal material was formed or loose.
|
Recommendation:
Ensure a written or electronic record is made of all accidents involving fecal material or vomit. Ensure the record includes the name of the RWF, date and time of the accident, type of accident, response steps taken, and free residual halogen level and contact time reached during disinfection. For a fecal accident, ensure the record also includes whether the fecal material was formed or loose.
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Item No.:
10
|
Site:
Recreational Water Facilities-Chart Recorders
|
Violation:
There were no chart recorders or electronic data loggers to record pH and halogen measurements for any of the RWFs.
|
Recommendation:
Install chart recorders or electronic data loggers with security features that record pH and halogen measurements for each individual RWF. Ensure the sample line for the analyzer probe (monitoring) is either directly from the RWF or on the return line from each RWF and before the compensation tank. Install appropriate sample taps for analyzer calibration. In the event of equipment failure, measure free residual halogen and pH by a manual test kit at the RWF or return line at least hourly for whirlpool spas, spa pools, children's pools, and wading pools and every 4 hours for all other RWFs. Record manual readings on a chart or log, retain for at least 12 months, and ensure that they are available for review during inspections. Complete repairs on malfunctioning halogen analyzer-chart recorders within 30 days of equipment failure. Provide an audible alarm in a continuously occupied watch station to indicate low and high free halogen and pH readings in each RWF.
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Item No.:
10
|
Site:
Recreational Water Facilities-Whirlpool and Spa Pool Water Change Log
|
Violation:
The date and time the whirlpool and spa pool water was changed was not documented.
|
Recommendation:
Change the whirlpool spa water, including compensation tank, filter housing, and associated piping, every 72 hours, provided that the system is operated continuously and that the correct water chemistry levels are maintained during that period, including daily shock halogenation. Change spa pool water as often as necessary to maintain proper water chemistry. Change the water at least every 30 days. Record the date and time of whirlpool spa and spa pool water changes in the log.
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|
Item No.:
10
|
Site:
Recreational Water Facilities-Swimming Pool Granular Filters
|
Violation:
There were no sight glasses on the three granular filters for the swimming pools to ensure the filter media was backwashed until the water viewed through the sight glass runs clear.
|
Recommendation:
Monitor filter pressure differentials. Backwash granular filter media until the water viewed through a sight glass runs clear and at the following frequencies: (1) whirlpool spa and spa pool: every 72 hours, or sooner if the whirlpool spa is drained; (2) baby-only water facility: daily; and (3) all other RWFs: at a frequency recommended by the manufacturer. For automatic backwashing systems, ensure an individual is present in the filter room to ensure that backwashing is repeated as necessary until the water runs clear. Clean cartridge filters according to the manufacturer's recommendations. Maintain a written or electronic record documenting filter backwashing and cleaning.
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|
Item No.:
10
|
Site:
Recreational Water Facilities-Water Quality Parameters
|
Violation:
There was no test kit available to measure the total alkalinity in the RWFs.
|
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
|
Site:
Recreational Water Facilities-Bather Load
|
Violation:
There was no documentation on the maximum bather load for each RWF.
|
Recommendation:
Maintain documentation on the maximum bather load for each RWF. Ensure the maximum bather load is based on the following factor: one person per five gallons (19 liters) per minute of recirculation flow.
|
|
Item No.:
11
|
Site:
Medical-Acute Gastroenteritis (AGE) Reporting
|
Violation:
Two nonfood workers self-reported their date and time of onset of AGE symptoms on their questionnaires. However, these dates did not match what was entered into STARDOCS. One gift shop worker reported their symptoms starting on October 12, 2011, but did not go to medical until October 13, 2011 at 1652. However, STARDOCS states that the worker reported symptoms starting on October 13, 2011. One deck worker self-reported symptoms starting on October 13, 2011 at midnight, but STARDOCS stated the worker did not start having symptoms until October 14, 2011 at 1300.
|
Recommendation:
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 crew members are instructed to report to the medical center upon the first symptom of AGE.
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|
Item No.:
16
|
Site:
Buffet-Lido - Omelet Stations
|
Violation:
There was no consumer advisory statement for consumers ordering foods of animal origins that could be served undercooked, raw, or cooked-to-order at the omelet station outlet.
|
Recommendation:
If an animal food such as beef, eggs, fish, lamb, milk, pork, poultry, or shellfish that is raw, undercooked, or not otherwise processed to eliminate pathogens is offered in a ready-to-eat form or as a raw ingredient in another ready-to-eat food, ensure the consumer is informed by way of disclosure using menu advisories, placards, or other easily visible written means of the significantly increased risk to certain especially vulnerable consumers eating such foods in raw or undercooked form. Locate the advisory at the outlets where these types of food are served. Ensure that disclosure is made by one of the two following methods: (1) On a sign describing the animal-derived foods (e.g., ?oysters on the half-shell,? ?hamburgers,? ?steaks,? or ?eggs?); AND that they can be cooked to order and may be served raw or undercooked; AND a statement indicating that consuming raw or undercooked meats, seafood, shellfish, eggs, milk, poultry may increase your risk for foodborne illness, especially if you have certain medical conditions. Ensure the advisory is posted at the specific station where the food is served raw, undercooked, or cooked to order.
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Item No.:
20
|
Site:
Galley-Steakhouse
|
Violation:
Silver sealant was peeling along the seam of the back plate of the slicer, which made cleaning difficult. In addition, the plastic press plate was cracked along the edge.
|
Recommendation:
Food contact equipment must be maintained in good repair and proper adjustment: (1) Equipment must be maintained in a state of repair and condition that meets the materials, design, construction, and operating specifications of these guidelines; and (2) Cutting or piercing parts of can openers must be kept sharp to minimize the creation of metal fragments that can contaminate food when the container is opened. Remove the peeling sealant. Seal the seam on the back plate of the slicer.
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|
Item No.:
20
|
Site:
Preparation Room-Salad Washers
|
Violation:
There were slotted fasteners on the plastic submerged water inlets of the salad washers.
|
Recommendation:
Use only low profile, nonslotted, noncorroding, and easy-to-clean fasteners on food-contact surfaces and in splash zones. Prohibit the use of exposed slotted screws, Phillips head screws, or pop rivets in these areas.
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|
Item No.:
20
|
Site:
Galley-Pastry
|
Violation:
The stacked ovens had slotted fasteners holding the glass doors inside of the oven.
|
Recommendation:
Use only low profile, nonslotted, noncorroding, and easy-to-clean fasteners on food-contact surfaces and in splash zones. Prohibit the use of exposed slotted screws, Phillips head screws, or pop rivets in these areas.
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|
Item No.:
21
|
Site:
Galley-Grills (Port and Starboard)
|
Violation:
There were numerous pits, worn edges and raised welds on the stainless steel counter inset hot plates, making cleaning difficult.
|
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.
|
|
Item No.:
21
|
Site:
Galley-Grills (Port and Starboard)
|
Violation:
There was a large gap where the grease chute penetrated the bottom of the hot plate and grooved griddle.
|
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.
|
|
Item No.:
23
|
Site:
Galley-Warewash
|
Violation:
Food residue was on the wash tank, rinse tank and final rinse tank of the in-use flight type warewash machine and the glasswash machine. Large pieces of debris were along the soiled landing of each machine.
|
Recommendation:
Ensure food debris on equipment and utensils is scrapped over a waste disposal unit, pulper, or garbage receptacle or removed in a warewashing machine with a prewash cycle.
|
|
Item No.:
26
|
Site:
Galley-Steakhouse
|
Violation:
A green substance and other food residue soiled the seam along the back plate of the slicer. In addition, food particles soiled the crack in the plastic press plate.
|
Recommendation:
Ensure food contact surfaces of equipment and utensils are clean to sight and touch.
|
|
Item No.:
26
|
Site:
Galley-Steakhouse
|
Violation:
There were old deposits of grease and food residue on the food contact surface of the previously cleaned salamander oven rack.
|
Recommendation:
Ensure food contact surfaces of equipment and utensils are clean to sight and touch.
|
|
Item No.:
27
|
Site:
Bar-Lido Pool Bar
|
Violation:
There was food debris and a sticky residue on the ice bins of two previously cleaned plastic beverage trolleys.
|
Recommendation:
Ensure non-food-contact surfaces of equipment are kept free of an accumulation of dust, dirt, food residue, and other debris.
|
|
Item No.:
27
|
Site:
Buffet-Beverage Station
|
Violation:
The technical compartment of the ice/water machine above the ice bin was soiled with a black substance.
|
Recommendation:
Ensure non-food-contact surfaces of equipment are kept free of an accumulation of dust, dirt, food residue, and other debris.
|
|
Item No.:
27
|
Site:
Buffet-Lido - Ice Cream Stations
|
Violation:
There was a large amount of dried ice cream and sticky food residue on the sides of the self-service ice cream machines on both the port and starboard sides.
|
Recommendation:
Ensure non-food-contact surfaces of equipment are kept free of an accumulation of dust, dirt, food residue, and other debris.
|
|
Item No.:
27
|
Site:
Buffet-Lido - Ice/Water Machines
|
Violation:
There was a black residue on the technical compartment of the combination ice/water machine located above the ice bin.
|
Recommendation:
Ensure non-food-contact surfaces of equipment are kept free of an accumulation of dust, dirt, food residue, and other debris.
|
|
Item No.:
29
|
Site:
Galley-Warewash
|
Violation:
The hot water temperature at the handwash sink near the clean dish storage area could not be adjusted below 130°F measured by using the inspector's thermometer.
|
Recommendation:
Ensure handwashing sinks are equipped to provide water at a temperature of at least 38°C (100°F) through a mixing valve or combination faucet. For handwash sinks with electronic sensors, and other types of handwash sinks where the user cannot make temperature adjustments, ensure the temperature provided to the user after the mixing valve does not exceed 49°C (120°F).
|
|
Item No.:
36
|
Site:
Galley-Center Galley
|
Violation:
The lighting was less than 110 lux between the bulkhead and the two large combination ovens.
|
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.
|
|
Item No.:
36
|
Site:
Buffet-Lido - Pizzeria
|
Violation:
The light intensity was less than 220 lux at the handwash station on the worker side of the counter.
|
Recommendation:
Ensure the light intensity is at least 220 lux (20 foot candles) on food preparation surfaces, and at a distance of 75 centimeters (30 inches) above the deck in food preparation areas, handwashing facilities, warewashing areas, equipment, and utensil storage, pantries, toilet rooms, and consumer self-service areas.
|
|
Item No.:
36
|
Site:
Buffet-Lido - Ice Cream Stations
|
Violation:
The lighting was less than 220 lux at the self-service ice cream stations on both the port and starboard sides.
|
Recommendation:
Ensure the light intensity is at least 220 lux (20 foot candles) on food preparation surfaces, and at a distance of 75 centimeters (30 inches) above the deck in food preparation areas, handwashing facilities, warewashing areas, equipment, and utensil storage, pantries, toilet rooms, and consumer self-service areas.
|
|
Item No.:
36
|
Site:
Galley-Center Galley Port Side Work Counter
|
Violation:
The lighting was less than 220 lux at the two stainless steel work counters adjacent to the dry cereal and bread storage.
|
Recommendation:
Ensure the light intensity is at least 220 lux (20 foot candles) on food preparation surfaces, and at a distance of 75 centimeters (30 inches) above the deck in food preparation areas, handwashing facilities, warewashing areas, equipment, and utensil storage, pantries, toilet rooms, and consumer self-service areas.
|
|
Item No.:
37
|
Site:
Galley-Warewash
|
Violation:
There was excessive condensation immediately above the clean landing of the flight-type warewash machine.
|
Recommendation:
Ensure ventilation hood systems and devices are sufficient in number and capacity to prevent grease or condensation from collecting on bulkheads and deckheads.
|
|
Item No.:
39
|
Site:
Galley-Hot Galley
|
Violation:
One small black fly was on the deckhead immediately adjacent to the tilting kettles.
|
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.
|
|
Item No.:
39
|
Site:
Galley-Warewash
|
Violation:
Ten small black flies were on the bulkhead and deckhead of the soiled landing of the in-use flight-type warewash machine.
|
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.
|
|
Item No.:
39
|
Site:
Buffet-Lido - Ice/Water Machines
|
Violation:
One small black fly was on the deckhead immediately above the ice/water machine.
|
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.
|
|
Item No.:
39
|
Site:
Galley-Center Galley - Port Side
|
Violation:
Three small live flies were on the bulkhead and the deckhead.
|
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.
|
|
Item No.:
39
|
Site:
Preparation Room-
|
Violation:
One small live fly was on the deckhead immediately above the preparation counter.
|
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.
|
|
Item No.:
39
|
Site:
Other-Provisions Corridor
|
Violation:
Several small black flies were in the provisions corridor adjacent to the preparation rooms and walk-in refrigerators.
|
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.
|
|
Item No.:
39
|
Site:
Preparation Room-Poultry
|
Violation:
One small black fly was on the bulkhead immediately above the preparation counter. This area was not in operation at the time of the inspection.
|
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.
|
|
Item No.:
41
|
Site:
Housekeeping-Outbreak Prevention and Response Plan (OPRP)
|
Violation:
There were no specific procedures for returning the vessel to normal operating conditions after an outbreak in the OPRP.
|
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.
|
|
Item No.:
42
|
Site:
Children Area-Diaper Station
|
Violation:
There was no disinfectant available in the diaper changing station. In addition, the handwashing sink was more than 22 inches above the deck and a step stool was not available.
|
Recommendation:
Include in each diaper changing station: (2) A supply of disposable diapers, gloves, wipes, table cleanser, and disinfectant. If toilet rooms are located in a child-activity center, provide a child-size toilet(s) or child-accessible toilet(s) (child-size seat and step stool) and handwashing facilities. Ensure handwashing sinks have a maximum height of 560 millimeters (22 inches) above the deck or a step stool.
|
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