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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Log
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Violation:
Three entries for the most recent 26 February 2023 to 12 March 2023 voyage had been left blank in the column for indicating presence of underlying medical conditions.
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Recommendation:
Ensure the AGE surveillance log includes a header containing the following information about the voyage: (20) presence of underlying medical conditions that may affect interpretation of AGE. If none, write ?none,? ?not applicable,? ?N/A,? or similar wording. Comments may also be added to the log in this column after the information about underlying illness.
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Item No.:
06
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Site:
Other-Engine Control Room Electronic Data Logging
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Violation:
Written documentation from the data logger manufacturer was unavailable during the inspection to verify that the features were secure.
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Recommendation:
If used, provide written documentation from the data logger manufacturer, such as a letter or instruction manual, to verify that the features are secure.
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Item No.:
08
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Site:
Potable Water-Cross-Connection Testing Log
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Violation:
The backflow prevention devices for the AC 4-05 and AC 5-05 units were recorded as last checked and inspected on '12/1/2023.' Staff confirmed that dates were documented as month/day/year. The records in the maintenance software program confirmed this was a clerical error and the devices had been checked on 12/1/2022.
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Recommendation:
Maintain a log documenting the inspection and maintenance in written or electronic form, and ensure it is available for review during inspections.
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Item No.:
08
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Site:
Potable Water-Cross-Connection Testing Log
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Violation:
There were 30 entries for deck one nontestable backflow prevention device checks and visual inspections were last completed '3/3/2022' according to the log eight days overdue on the day of the inspection. The entries included: 22 air gaps for potable water sample points, 1 vacuum breaker device for a service faucet, 1 dual check vacuum breaker device for a service connection, 3 dual check valve devices for handwash basins, and 3 air gaps for the mineralizers, evaporator production sampling station, and potable water distribution sampling station. Staff provided the inspector with the maintenance program record which grouped 25 devices on deck one with a reported completion date of 5/17/2022. The maintenance program record also indicated that the previous year's check and visual inspection had been completed on 2/26/2021. It was unclear whether the entries in the testing log were a clerical error.
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Recommendation:
Inspect backflow prevention devices periodically and replace any failed units. Complete a visual check for all non-testable backflow prevention devices and air gaps at least annually.
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Item No.:
08
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Site:
Galley-Deck 5
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Violation:
The backflow preventers on combination ovens #2 and #3 were leaking. Remediation started immediately.
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Recommendation:
Maintain backflow prevention devices in good repair.
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Item No.:
10
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Site:
Recreational Water Facilities-Children's Pool, Splash Pool, and Slides
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Violation:
The turnover rate for the identified combined children's pool system did not meet the required rate of 0.5 hours. The current configuration consists of two children slides which empty into two respective circular pools. These two circular pools are interconnected to a larger circular pool which connects all three pools together. The turnover rate for this system has been engineered to provide a turnover rate of 2 hours. According to the ship personnel, this system was classified as an interactive recreational water facility and thus only required a 2 hour turnover rate. The maximum depth of each pool is less than one meter. Safety signage instructs parents to take children on frequent bathroom breaks and the area is only for children that are toilet trained. This finding was previously identified on the 30 January 2020 inspection.
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Recommendation:
For RWFs with skim gutters, ensure that the fill level of the RWF is to the level of the skim gutters. 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. This applies to wading or swimming pools but not to children's pools. The water for the slide must come directly from the basin of the pool and return directly to the basin of the pool. Flow rates from flow meters must be used to calculate turnover rates. Apply the most protective turnover rate for facilities that meet the definition of more than one type of RWF.
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Item No.:
11
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Site:
Medical-AGE Case Food Employee Isolation
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Violation:
On 2 February 2023, one food employee had an onset of AGE symptoms at 0300 but did not report to the medical center until 0630. The timecard indicated that the food employee had worked from 0300 to 0600. A food risk assessment was completed. Additionally, the 72 hour food and beverage questionnaire indicated that the employee had breakfast in the crew mess at 0730. Correction actions were documented, and the employee received disciplinary action.
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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. 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 the food employee's supervisor or person in charge conducts an assessment of food prepared or served by the food employee while symptomatic and take appropriate corrective actions. Document corrective actions taken as a result of the assessment. Maintain records for 1 year and make them available for review during inspections. Review [when possible] any AGE cases among passengers or crew reported after the ill food employee?s symptom onset for epidemiologic link/connection. Appropriate corrective actions could include discarding ready-to eat food, thoroughly cooking raw food, and disinfecting the food area and equipment.
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Item No.:
16
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Site:
Dining Room-Deck 7 Teppanyaki
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Violation:
The consumer advisory on the menu did not contain the asterisk at the footnote to denote the food items that could be served raw or undercooked.
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Recommendation:
Ensure the advisory on a menu using an asterisk at the animal-derived foods requiring disclosure and a footnote with a statement indicating that consuming raw or undercooked meats, seafood, shellfish, eggs, milk, or poultry may increase your risk for foodborne illness, especially if you have certain medical conditions.
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Item No.:
21
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Site:
Buffet-Deck 5 Staff Mess
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Violation:
The sealant around the convection cooktops was rough and peeling making the area hard to clean.
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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.:
21
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Site:
Preparation Room-Deck 3
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Violation:
The soup kettle had water leaking from the control panel.
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Recommendation:
Ensure nonfood contact equipment is maintained in good repair and proper adjustment including: (1) Equipment maintained in a state of repair and condition that meets the materials, design, construction, and operation specifications of these guidelines. Ensure nonfood contact equipment is maintained in good repair and proper adjustment including: (1) Equipment maintained in a state of repair and condition that meets the materials, design, construction, and operation specifications of these guidelines; (2) Equipment components such as doors, seals, hinges, fasteners, and kick plates are kept intact, tight, and adjusted in accordance with manufacturer's specifications.
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Item No.:
21
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Site:
Galley-Deck 12 Garden Cafe
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Violation:
The door on Refrigerator #5 did not shut properly. Remediation started immediately.
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Recommendation:
Ensure nonfood contact equipment is maintained in good repair and proper adjustment including: (1) Equipment maintained in a state of repair and condition that meets the materials, design, construction, and operation specifications of these guidelines; (2) Equipment components such as doors, seals, hinges, fasteners, and kick plates are kept intact, tight, and adjusted in accordance with manufacturer's specifications.
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Item No.:
21
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Site:
Galley-Deck 12 Garden Cafe
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Violation:
The sealant on the technical housing on ice machines #3 and #4 was rough and peeling making it hard to clean.
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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.:
21
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Site:
Galley-Deck 6 Soup Area
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Violation:
Water was leaking from the control panels of soup kettle #1 and #4.
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Recommendation:
Ensure nonfood contact equipment is maintained in good repair and proper adjustment including: (1) Equipment maintained in a state of repair and condition that meets the materials, design, construction, and operation specifications of these guidelines; (2) Equipment components such as doors, seals, hinges, fasteners, and kick plates are kept intact, tight, and adjusted in accordance with manufacturer's specifications.
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Item No.:
26
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Site:
Galley-Deck 6 Room Service Area
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Violation:
The not in-use deck mounted stand mixer, that was previously cleaned and sanitized, had food debris on the food splash area and arm assembly.
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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.:
33
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Site:
Provisions-Deck 3 Vegetable Store Room
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Violation:
Water dripped slowly from the deckhead near the entrance. The water was pooling on the deck. No food was 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:
Provisions-Deck 4 Dairy Storeroom
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Violation:
Water dripped slowly from the deckhead near the middle of the room. The water was pooling on the deck. No food was 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.:
36
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Site:
Bar-Deck 7 Java Cafe
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Violation:
The light intensity in the preparation area did not reach above 70 lux.
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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.
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Item No.:
39
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Site:
Buffet-Deck 5 Beverage Station
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Violation:
One small fly was observed in the area.
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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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