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Item No.:
02
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Site:
Medical-AGE Surveillance Logs
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Violation:
Some of the AGE surveillance logs contained incorrect voyage dates. For example, for voyage 26421 the log stated the voyage dates were 12-19 October, however the actual dates were 12-18 October; for voyage 26422 the log stated the voyage dates were 18-25 October, however the actual dates were 19-25 October; for voyage 26423 the log stated the voyage dates were 25 October - 1 November, however the actual dates were 26 October - 1 November.
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Recommendation:
Ensure the information on the AGE surveillance logs is correct and accurate.
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Item No.:
02
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Site:
Medical-Acute Gastroenteritis Surveillance Logs
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Violation:
The acute gastroenteritis (AGE) surveillance logs from voyages 26421, 26422, and 26423 contained over four times the actual number of crew members onboard. For example, for voyage 26421 (12-18 October) the number of crew members onboard was 855, but the logs stated 3721; for voyage 26422 (19-25 October) the number of crew members onboard was 875, but the logs stated 3665; for voyage 26423 (26 October - 1 November) the number of crew members onboard was 867, but the logs stated 4383.
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Recommendation:
Ensure the information on the AGE surveillance logs is correct and accurate.
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Item No.:
08
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Site:
Galley-Deck 4 - Beverage Station
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Violation:
There was no backflow prevention device for the potable water connection for the new juice dispensing guns at the counter.
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Recommendation:
Provide a comprehensive cross-connection control program. Protect the following connections to the potable water system against backflow with air gaps or mechanical backflow prevention devices: (10) food service equipment.
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Item No.:
11
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Site:
Medical-Crew Members Reporting
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Violation:
A Stateroom Attendant had an onset of AGE symptoms on 22 October at 00:30, but did not report to the medical center until 16:17. His time card stated he worked 12:01-13:02. He received a written warning for late reporting.
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Recommendation:
When food 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 48 hours; (2) follow-up with and receive approval by designated medical personnel before returning crew to work; (3) document date and time of last symptom and clearance to return to work. Exclude food employees suspected of, diagnosed with, or exposed to any communicable disease caused by Salmonella typhi, Shigella spp., E. coli O157:H7, hepatitis A virus, norovirus, or other communicable diseases that can be transmitted by food, from working in any food or food related areas or operations, including working with exposed food, warewashing, equipment, utensils, table linens, single-service articles and single-use articles. Do not allow the excluded individual to return to the above duties until they are symptom free for a minimum of 48 hours.
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Item No.:
19
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Site:
Galley-Deck 4 - Pastry
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Violation:
Mango mousse was stored in the walk-in refrigerator without any covering. Also in this walk-in refrigerator there was sponge cake, a tray of individual gelatins, berry cobbler, apple pies, and individual cheese cakes all uncovered on the top shelf of their individual storage racks. All items were covered immediately during the inspection.
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Recommendation:
Protect food from contamination by storing the food: (1) Covered or otherwise protected; (3) Where it is not exposed to splash, dust, or other contamination.
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Item No.:
22
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Site:
Galley-Deck 4 - Dishwash Port
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Violation:
During operation of the flight-type conveyor dishwash machine, the final sanitizing rinse spray pattern was not producing a proper pattern and the far right upper nozzle was spraying and stopping frequently. In addition, there was a significant scaling and soiling visible on the stainless steel panel just after the final sanitizing spray arm. Water made contact with this panel and dripped heavily down to the surfaces, including dishware passing below. The build-up on the upper and lower sections of the panel was beyond one day's accumulation.
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Recommendation:
Ensure warewashing machines, drainboards, and the compartments of sinks, basins, or other receptacles used for washing and rinsing equipment, utensils, or raw foods, or laundering wiping cloths are cleaned: (1) before use; (2) throughout the day at a frequency necessary to prevent recontamination of equipment and utensils and to ensure that the equipment performs its intended function; (3) at least every 24 hours (if used). 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 4 - Pastry
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Violation:
The interior surfaces of the counter model oven was soiled with food residue beyond one day's accumulation.
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Recommendation:
Ensure food-contact surfaces of cooking equipment and pans are kept free of encrusted grease deposits and other soil accumulations. Ensure food contact surfaces of equipment and utensils are clean to sight and touch.
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Item No.:
26
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Site:
Galley-Hot Service Line
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Violation:
There were 10 of the total 40 stainless steel serving pans stacked at the preparation counter for filling that were found visibly soiled with food residue or debris. Staff removed these pans immediately to the potwash area.
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Recommendation:
Ensure food only contacts surfaces of equipment and utensils that are cleaned and sanitized. Ensure food contact surfaces of equipment and utensils are clean to sight and touch.
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Item No.:
28
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Site:
Other-Solarium Cafe - Service Area
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Violation:
The paper towel dispenser was positioned over the raised shield meant to prevent water from dripping onto the adjacent preparation counter.
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Recommendation:
Move the paper towel dispenser so it is contained within the counter shield.
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Item No.:
28
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Site:
Galley-Deck 5 - Hot Galley
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Violation:
The handwash station beside the broiler had the waste bin installed on the flat grill side of the basin, where it was near a contact point with the grill.
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Recommendation:
Move the handwash station waste receptacle so it is in a safe position from the adjacent equipment.
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Item No.:
33
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Site:
Galley-Deck 4 - Deckheads
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Violation:
There was visible soil both on some of the deckhead panels, but also there were accumulated particles of debris in the crevice where two panels join. This was clearly a food source for some of the fruit flies observed on the inspection.
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Recommendation:
Ensure decks, bulkheads, deckheads, and attached equipment in food preparation, warewashing, pantries, and storage areas are cleaned as often as necessary.
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Item No.:
33
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Site:
Pantry-Schooner Bar
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Violation:
The deckhead throughout this pantry had what appeared to be an oily liquid on the panels and droplets forming in most areas of the space. Although technicians arrived and checked the overhead hatches to identify a source, none was found. When wiped, the liquid was light green in color and bar staff stated they made no cleaning using a product like this.
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Recommendation:
Ensure decks, bulkheads, deckheads, and attached equipment in food preparation, warewashing, pantries, and storage areas are cleaned as often as necessary.
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Item No.:
39
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Site:
Buffet-Windjammer - Coffee Stations
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Violation:
There were 5 live fruit flies on the decorative deckhead and bulkhead over the back bar counter. Coffee was in production at the time of the inspection and staff were preparing coffee and trays of plastic cups for filling just before the lunch service. There were 6 live fruit flies observed on the back bar deckhead and bulkhead in the starboard side coffee station.
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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.
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Item No.:
39
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Site:
Galley-Deck 4 - Dishwash Port
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Violation:
One live fruit fly was on the deckhead at the clean serving tray storage rack.
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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.
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Item No.:
39
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Site:
Galley-Deck 4 - Cold Galley
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Violation:
Three live fruit flies were on the deckhead. Most were specifically in the seams between deckhead panels.
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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.
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Item No.:
39
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Site:
Galley-Deck 4 - Pastry
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Violation:
One live fruit fly was on the deckhead over the preparation counter beside the walk-in refrigerator. At the forward section of the area there were four more live fruit flies on the deckhead.
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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.
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Item No.:
41
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Site:
Housekeeping-Outbreak Prevention and Response Plan
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Violation:
The ship's Outbreak Prevention Plan (OPP) stated in section 2.2 that when applying chemicals, the crew should ensure guests were not exposed to those chemicals. This was a statement rather than a procedure. The staff also presented a standard operating procedure (SOP) on the fogging process, but that procedure offered no information on protecting passengers from exposure to the fogging chemicals. In the previous VSP inspection it was noted that there was no procedure in the outbreak plan to protect passengers for respiratory or dermal exposure to the disinfectant products used, particularly during spraying and fogging applications.
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Recommendation:
Update the OPP to state that when any spraying or fogging operations occur, first remove passengers and crew members from the area and use methods to prevent passengers and crew members from entering the area both during and after the operation.
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Item No.:
44
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Site:
Medical-
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Violation:
The medical staff were not paying particular attention to the number of crew members and the voyage dates on the AGE surveillance logs. AGE surveillance logs contained over four times the number of crew members onboard and incorrect voyage dates. For example, the logs indicated the voyages started and ended on a Friday or started and ended on a Saturday. Medical staff showed the itineraries which indicated voyages started on a Saturday and ended on a Friday.
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Recommendation:
Ensure the supervisor or person in charge of medical operations related to AGE on the vessel demonstrates to VSP-during inspections and on request-knowledge of medical operations related to AGE, is able to demonstrate this knowledge by compliance with Section 4 of the VSP 2011 Operations Manual or by responding correctly to the inspector's questions as they relate to the specific operation, and properly trains employees to comply with Section 4 of the VSP 2011 Operations Manual as it relates to their assigned duties.
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