|
|
|
Item No.:
02
|
|
Site:
Medical-Acute Gastroenteritis (AGE) Log
|
|
Violation:
The AGE log for the voyage ending on 10/27 listed 2 reportable cases and 2 nonreportable cases, but the total reportable number of cases on the top of the log listed 3 passengers and 1 crew as reportable cases. The submitted 24 hour report for this voyage listed the reportable cases as 3 passengers and 0 crew. After investigation, it was determined the actual number was 2 reportable passenger cases and 0 reportable crew cases.
The AGE log for the voyage ending on 10/13 listed 34 reportable passenger cases and 4 reportable crew cases. The submitted 24 hour report for this voyage listed 30 reportable passengers cases and 3 reportable crew cases. After investigation, it was determined the 24 hour report contained the correct information.
|
|
Recommendation:
Ensure the AGE log and 24 hour report contain the same accurate information.
|
|
|
Item No.:
02
|
|
Site:
Medical-Acute Gastroenteritis (AGE) Log
|
|
Violation:
A crew member reported to medical on 9/16 with two episodes of diarrhea. When a third episode was reported to medical later that day after the initial visit the case was correctly update and reclassified as reportable on the AGE log. However, the number of diarrhea episodes on the AGE log was not updated and remained at two.
|
|
Recommendation:
Ensure the AGE log is updated when a patient experiences additional symptoms after the initial consultation.
|
|
|
Item No.:
08
|
|
Site:
Potable Water-Mineralizer Backflush Line
|
|
Violation:
An extension was placed on the mineralizer backflush line which resulted in an air gap less than 2 times the diameter of pipe. The extension was removed.
|
|
Recommendation:
Ensure air gaps are at least twice the diameter of the delivery fixture opening and a minimum of 25 millimeters (1 inch).
|
|
|
Item No.:
16
|
|
Site:
Provisions-Parasite Destruction
|
|
Violation:
This ship serves raw and undercooked seafood in a ready-to-eat form. In reviewing the logs documenting freezing in storage to kill potential parasites, the Sysco company letter stated that the fish supplied to the ship was frozen to 0 F and 0C for a period of 7 days prior to transfer to this and several other NCL cruise ships. The Sysco company supplied the bulk of the fish to the ship.
|
|
Recommendation:
Before service in ready-to-eat form, ensure raw, raw-marinated, partially cooked, or marinated-partially cooked fish and fishery products other than molluscan shellfish are frozen throughout to a temperature of -20C (-4F) or below for 168 hours (7 days) in a freezer or to -35C (-31F) or below for 15 hours in a blast chiller.
|
|
|
Item No.:
19
|
|
Site:
Buffet-Garden Cafe'
|
|
Violation:
The stacks of clean bowls for both hot cereal buffet islands were positioned behind the hot milk and oatmeal containers, such that passengers had to reach over those containers to the point of touching the tops to retrieve the bowls for serving themselves. The cut lemon dispensing unit was similarly placed directly in front of the stacked racks of cups beside the ice/water dispensers. Passengers were required to both reach and lean over the container of cut lemons to reach the cups for self-service in coffee stations 1 and 2.
|
|
Recommendation:
Ensure staff position the serving bowls beside and not behind the hot milk and oatmeal containers to avoid contamination from reaching over these. Find a protective position for the lemon self-service portable stations.
|
|
|
Item No.:
28
|
|
Site:
Other-Deck 7 Staircase #40
|
|
Violation:
A trolley with 8 racks containing clean and inverted ramekin dishes and ice cream dishes was set in a corner of the staircase landing, directly beneath a cable tray of wiring which subjected the cleaned items to soil from above. Staff stated that there was a function on board which required these items, but had no idea why the staff did not leave the trolley at that final point. The trolley was moved immediately to the dishwash area for re-cleaning.
|
|
Recommendation:
Store cleaned equipment and utensils, laundered linens, and single-service and single-use articles: (1) in a clean, dry location; (2) in a location where they are not exposed to splash, dust, or other contamination; (3) at least 150 millimeters (6 inches) above the deck.
|
|
|
Item No.:
33
|
|
Site:
Buffet-Garden Cafe'
|
|
Violation:
There was heavy dust debris present along the deckhead lights over toaster stations 1 and 2. Additionally there was heavy dust residue noted on the deckhead surrounding the lights and, in the case of station #2 there was dust debris on the bulkhead as well. The lights and the deckhead in question were directly above two toaster ovens.
|
|
Recommendation:
Ensure decks, bulkheads, deckheads, and attached equipment in food preparation, warewashing, pantries, and storage areas are cleaned as often as necessary.
|
|
|
Item No.:
33
|
|
Site:
Bar-Mama's Italian Restaurant - Bar
|
|
Violation:
The bricks installed as decorative bulkhead trim along the two side entries to the bar and installed along the deckhead and bulkhead of the back bar were not proper for either bulkhead or deckhead construction due to their difficult to clean features. The bricks were very rough and porous along the exposed surfaces and in no way smooth. They were all absorbent and most were fractured along the surface, with crevices that were not cleanable. There was heavy dust debris present along the cement between each brick. According to staff this brick accent was installed from the original construction of the vessel.
|
|
Recommendation:
Ensure bulkheads and deckheads have smooth, hard finishes and light colored surfaces. Exception: bars may have decorative surfaces provided that they are easily cleanable.
|
|
|
Item No.:
33
|
|
Site:
Bar-Mama's Italian Restaurant - Bar
|
|
Violation:
The square, white deckhead over the front bar was soiled with dust debris, which became quite heavy at each of the individual lights.
|
|
Recommendation:
Ensure decks, bulkheads, deckheads, and attached equipment in food preparation, warewashing, pantries, and storage areas are cleaned as often as necessary.
|
|
|
Item No.:
36
|
|
Site:
Buffet-Garden Cafe'
|
|
Violation:
There was a working fluorescent light tube inside the front upper exterior panel of the ice/water dispensers at all 4 coffee stations in the buffet. Each light was unshielded and not shatter-resistant and they were installed directly above the open chute where ice falls from the upper bin into individual cups when triggered. Staff immediately removed all the tubes from the machines.
|
|
Recommendation:
Ensure light bulbs are shielded, coated, or otherwise shatter-resistant in areas where there is exposed food, clean equipment, utensils, and linens, or unwrapped single-service and single-use articles.
|
|
|
Item No.:
36
|
|
Site:
Buffet-Garden Cafe'
|
|
Violation:
The deckhead recessed artificial lights over coffee stations 1-3 and the two ice cream stations were not shielded or shatter-resistant bulbs.
|
|
Recommendation:
Ensure light bulbs are shielded, coated, or otherwise shatter-resistant in areas where there is exposed food, clean equipment, utensils, and linens, or unwrapped single-service and single-use articles.
|
|
|
Item No.:
37
|
|
Site:
Provisions-Walk-in Dairy Refrigerator and Vegetable Freezer
|
|
Violation:
There was a small condensate drip identified near the evaporative condenser on the deckhead of the walk-in dairy refrigerator. Two boxes had drips of water from this deckhead issue. Additionally there was evidence of dripping on boxes in the vegetable walk-in freezer, specifically those directly below an ice accumulation present on the deckhead panel immediately in front of the evaporative condenser.
|
|
Recommendation:
Ensure the refrigeration engineers evaluate both walk-in refrigerator and freezer to find the source of the condensation and make the necessary repairs.
|
|
|
Item No.:
40
|
|
Site:
Integrated Pest Management-Rat Guards
|
|
Violation:
Two forward mooring lines were not equipped with rat guards.
|
|
Recommendation:
Ensure all mooring lines are equipped with rat guards while docked in port.
|
|
|
Item No.:
42
|
|
Site:
Children Area-Child Activity Area
|
|
Violation:
Some of the previously cleaned Lego building blocks in two different bins were still connected together, indicating they were not properly cleaned. This is a repeat violation from the previous VSP inspection.
|
|
Recommendation:
Ensure toys used in the child activity center are cleaned and disinfected daily and balls used in ball pits/pens are cleaned when contaminated or at least once per week. If a chemical disinfectant is used, ensure toys are air dried before use.
|
|
|
Item No.:
42
|
|
Site:
Children Area-Child Activity Center
|
|
Violation:
A large table top toy was soiled with dust and dirt in the crevices around most of the buttons and other features.
|
|
Recommendation:
Ensure toys used in the child-activity center are maintained in a clean condition.
|
|