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Item No.:
*
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Site:
Recreational Water Facilities-Children's Pool
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Violation:
The children's pool had not been in use, but it was still physically connected to the aft pool and slide. It was unknown when the children's pool would be disconnected or modified.
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Recommendation:
Disconnnect the piping between the children's pool and aft pool/slide recreational water facility.
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Item No.:
01
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Site:
Medical-Acute Gastroenteritis (AGE) Report
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Violation:
The 4-hour AGE report was incorrect for arrival to Long Beach, CA on 1 April. The 4-hour AGE report stated 5 reportable crew cases, but the AGE log stated 6 reportable crew cases.
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Recommendation:
Ensure the 24-hour and 4-hour AGE reports are correct.
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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Log
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Violation:
A passenger listed on the April 22-29 AGE log had 'Declined' in the underlying illness column; the medical record stated this passenger had irritable bowel syndrome (IBS). A passenger listed on the April 8-15 AGE log had 'nil of note' in the underlying illness column; the medical record stated this passenger had IBS.
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Recommendation:
Ensure the AGE surveillance log entry for each passenger or crew member contain the following information in separate columns: (16) presence of underlying medical conditions that may affect interpretation of AGE.
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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Log
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Violation:
The AGE log for the April 22-29 stated a crew member had an AGE onset on 26 April at 0800, and reported to medical at 0745 on 26 April. The ship had a time change on each voyage for 2 days when visiting Puerto Vallarta. The AGE onset time was for central time zone, and the time reported to medical was for pacific time zone, which the medical database used. It was recommended the AGE log only use the pacific time zone (Long Beach, CA time zone).
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Recommendation:
Ensure AGE log records times, for time reported to medical and illness onset columns, in the same time zone.
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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Log
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Violation:
An anti-diarrheal medication was dispensed to a crew member during the April 22-29 voyage, but the AGE log indicated no anti-diarrheal medication was dispensed.
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Recommendation:
List in the AGE surveillance log (3) all passengers and crew members who are dispensed antidiarrheal medication from the master of the vessel, medical staff, or other designated staff.
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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Log
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Violation:
A crew member experienced 2 diarrheas and reported this was abnormal for them, but was listed as non-reportable on the AGE log for the April 1-8 voyage.
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Recommendation:
Ensure a reportable case of AGE is a case reported to the master of the vessel, the medical staff, or other designated staff by a passenger or a crew member and meets the case definition based on the following symptoms: (1) Diarrhea (three or more episodes of loose stools in a 24 hour period or what is above normal for the individual. See section 4.1.2.1.3, illness symptoms); or (2) vomiting and one additional symptom including one or more episodes of loose stools in a 24-hour period, or abdominal cramps, or headache, or muscle aches, or fever (temperature of greater than or equal to 38C [100.4F]).
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Item No.:
08
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Site:
Potable Water-Engine Room- Reverse Osmosis
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Violation:
A potable water hose did not have a backflow preventer installed on the line and this hose was able to touch the deck.
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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: (7) hose-bib connections.
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Item No.:
08
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Site:
Potable Water-Engine Room- Distillate Water (DW) Tank #1
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Violation:
The air gap to fill the DW tank had been modified by placing a plastic piece around the gap to prevent splashing. This was immediately removed.
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Recommendation:
Ensure air gaps are at least twice the diameter of the delivery fixture opening and a minimum of 25 millimeters (1 inch).
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Item No.:
10
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Site:
Recreational Water Facilities-Aft Pool and Slide
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Violation:
The slide and aft pool had the same filtration and chemical dosing systems, but there was no chart recorder for the slide (only the aft pool).
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Recommendation:
Provide a chart recorder for the slide.
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Item No.:
11
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Site:
Medical-Acute Gastroenteritis (AGE) Isolation
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Violation:
A food handler was not isolated for 48 hours after experiencing their last AGE symptom. The AGE onset was on 3/30 at 2240, and the last AGE symptoms were recorded at 0800 on 3/31. The follow-up interview on 4/1 at 0820 stated patient was unhappy and still experiencing symptoms, and this was not reflected in the recorded last AGE symptoms; the prior follow-up interview was on 3/31 at 0907 and stated the patient was unhappy and still experiencing AGE symptoms (last symptom on 3/31 at 0800). According to the 4/1 interview, the last AGE symptoms were after 3/31 at 0800 and the crew member was released for duty on 4/2 around 0900.
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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.
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Item No.:
22
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Site:
Pantry-Pizzeria
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Violation:
When entering the starboard pantry for this area, a crew member was observed removing a stack of approximately 8 colored soiled bowls stored on the deck.
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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.
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Item No.:
22
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Site:
Galley-Potwash
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Violation:
The compartment potwasher was under repair when the inspector entered the area. It was out of service since this morning.
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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.:
22
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Site:
Galley-Dishwash
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Violation:
The rightmost nozzle of the upper final rinse arm of the rack-type dishwasher was partially blocked and did not produce a fan-like spray pattern. The area was open. However, no dishes were being passed through the machine at the time the inspector was present.
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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.:
22
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Site:
Galley-Potwash
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Violation:
While in operation, the temperature gauge for the sanitizing compartment on the 3-compartment sink indicated 186F. The inspector's thermometer measured 180F the crew member's thermometer measured 180F .
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Recommendation:
Ensure water temperature-measuring devices are scaled: (1) in Celsius or dually scaled in Celsius and Fahrenheit are designed to be accurate to within 1.5C (within 3F) in the intended range of use; (2) only in Fahrenheit are designed to be accurate to within 3F in the intended range of use.
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Item No.:
22
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Site:
Galley-Dishwash
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Violation:
The sanitizing solution in a wiping bucket, stored at the clean end of the plate conveyor, was cloudy and had an oily sheen on the surface.
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Recommendation:
Ensure the wash, rinse, and sanitize solutions are maintained clean.
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Item No.:
27
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Site:
Galley-Potwash
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Violation:
A previously cleaned rectangular chafing dish, stored in the clean drying area, was soiled with brown stains on the nonfood contact surface.
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Recommendation:
Ensure nonfood-contact surfaces of equipment are kept free of an accumulation of dust, dirt, food residue, and other debris.
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Item No.:
27
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Site:
Galley-Dishwash
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Violation:
Three previously cleaned white plates, stored in the clean area, were observed to have brown water spots on the nonfood contact side. They were observed stored with over 200 other plates.
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Recommendation:
Ensure nonfood-contact surfaces of equipment are kept free of an accumulation of dust, dirt, food residue, and other debris.
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Item No.:
28
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Site:
Buffet-Lido
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Violation:
The juice container lids for inside the dispenser were stored outside on top of the juice dispenser port side during breakfast.
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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.
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Item No.:
31
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Site:
Medical-Pantry
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Violation:
The locker labeled 'Pantry Provisions' had disposable cups stored (used by patients for water consumption) and a bottle of laundry stain remover.
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Recommendation:
Store poisonous or toxic materials used in the cleaning and maintenance of food areas in a cleaning materials locker so they cannot contaminate food, equipment, utensils, linens, and single-service and single-use articles.
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Item No.:
32
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Site:
Galley-Appetizer
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Violation:
Lettuce was observed discarded improperly in the handwash sink trash can, which did not have a lid.
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Recommendation:
Ensure receptacles and waste-handling containers for refuse and recyclables and for use with materials containing food residue are insect and rodent resistant and have tight-fitting lids.
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Item No.:
33
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Site:
Galley-Potwash
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Violation:
When the inspector arrived in the area, the deckhead appeared to be wet. Water was observed dripping from a light fixture over the clean pot rack drying area. No pots were impacted.
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Recommendation:
Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are maintained in good repair.
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Item No.:
33
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Site:
Galley-Dishwash
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Violation:
Water was observed dripping from deckhead hatch #3 in front of combination oven 4811.092.520, while the oven was in use.
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Recommendation:
Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are maintained in good repair.
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Item No.:
33
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Site:
Buffet-Lido
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Violation:
The deckhead on the port side fruit service contained loose metal panels that exposed gaps into the plenum above the space. Additionally, the panels were soiled with more than a day's accumulation of debris.
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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. Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are maintained in good repair. Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, bars, and food and equipment storage areas are constructed and maintained for easy cleaning.
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Item No.:
33
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Site:
Buffet-Lido
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Violation:
After breakfast service and prior to embarkation, the area was cleaned for breakfast and the inspector returned to the Lido service counters. An excessive amount of accumulated food debris was above the counters on the deckhead, which was easily removed from the deckhead with a damp towel containing only water. This condition was observed on most of the red metal deckhead on the Lido deck.
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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:
Buffet-Lido
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Violation:
The deckhead above the fresh fruit service contained what appeared to be dried fruit jelly, which was beyond a day's accumulation.
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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:
Galley-Cooler 1110
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Violation:
Water was pooling on the deck in this freezer, inside this cooler and in front of the freezer 1111. The deck was stained in this area, indicating water had been standing in this area for some time. Drips were observed on the deckhead in this area along a seam in the deckhead in front of the condenser fan.
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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. Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are maintained in good repair.
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Item No.:
39
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Site:
Galley-Bakery
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Violation:
One live fruit fly was observed on the deckhead in this area.
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Recommendation:
Effectively control the presence of insects 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-Assistant Food Manager Office
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Violation:
Four live fruit flies were observed in the cleaning locker, which contained mops and equipment in this area.
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Recommendation:
Effectively control the presence of insects 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:
Buffet-Pizzeria
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Violation:
One live fruit fly was observed in this area on the deckhead, while the Lido area was open for breakfast. Food was present in the area.
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Recommendation:
Effectively control the presence of insects 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-Assistant Food Manager Office
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Violation:
One live fruit fly was observed on the deckhead in this area.
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Recommendation:
Effectively control the presence of insects 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-Appetizer
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Violation:
One live fruit fly was observed in this area midship on the deckhead.
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Recommendation:
Effectively control the presence of insects 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.:
44
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Site:
Medical-Acute Gastroenteritis (AGE) Definition
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Violation:
Staff were not employing the AGE definition correctly to determine if a patient was a reportable AGE case or not. A crew member had 2 diarrheas, with no additional symptoms, and it was stated that this was abnormal for the crew member in the medical record; medical staff categorized this a nonreportable AGE case. The inspection team had a discussion that if a patient presented with only one diarrhea, which was abnormal for the person, this would be considered a reportable AGE case.
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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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Item No.:
44
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Site:
Medical-Acute Gastroenteritis (AGE) Log
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Violation:
Medical had been dispensing an anti-diarrheal medication to passengers and crew, but this was not recorded on the AGE logs. Medical staff were dispensing this medication to treat for symptoms other than diarrhea, such as upset stomach, and stated none of these patients experienced vomiting or diarrhea.
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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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