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San Joaquin County <br /> DIRECTOR <br /> Environmental <br /> 1868 t I$ Donna Heran,REHS <br /> Stockton, California 95205-6232 PROGRAM COORDINATORS <br /> Robert McClellon,REHS <br /> ® Jeff Carruesco, REHS, RDI <br /> c ®P@ Sly@: S OV. I / Kasey Foley,REHS <br /> 1 Linda Turkatte, REHS <br /> Phone: ( )468-3420 Rodney Estrada,REHS <br /> Fax: ( )464-0138 Adrienne Ellsaesser,REHS <br /> Medical Waste Inspection Continuation Form <br /> 1. 118307—The "Soiled Utility"room inside the "Dental Clinic"did not have a biohazard <br /> label on the entrance door. All access points to interim storage areas must have biohazard <br /> labels. Label doors immediately and submit evidence of compliance by 4/10/2014. <br /> 2. 118305 —Throughout the "Dental Clinic,"there were containers with biohazard labels <br /> being used to collect solid waste. Solid waste can be stored in a container previously used <br /> for medical waste, but only after the container as been properly decontaminated and all the <br /> medical waste labels have been removed. Remove biohazard labels from the solid waste <br /> containers immediately and submit evidence of compliance by 4/10/2014. <br /> 3. 118285(b)—In building "113" of the "A" yard, a full sharps container inside of the "med <br /> room" did not have a lid on it. Sharps containers must have a tight fitting lid and/or be <br /> taped closed to preclude loss of contents and tampering. Close container immediately and <br /> submit evidence of compliance by 4/10/2014. <br /> 4. 118285(d)— Sharps containers located throughout the facility were not labeled and/or labels <br /> were not visible. Sharps containers must be labeled with the words "sharps waste" or with <br /> the international biohazard symbol and the word"BIOHAZARD." Label containers <br /> immediately and submit evidence of compliance by 4/10/2014. <br /> 5. 118280—A biohazardous waste container inside of the "Soiled Utility"room of the"Dental <br /> Clinic"was not labeled. Biohazardous waste containers shall be labeled with the words <br /> "Biohazardous Waste" or with the international biohazard symbol and the word <br /> "BIOHAZARD"on the lid and on the sides so as to be visible from any lateral direction. <br /> Label the container immediately and submit evidence of compliance by 4/10/2014. <br /> 6. 118275(a)—Pharmaceutical waste is not being segregated from the point of origin and is <br /> being delivered to the"Pharmacy" where it is being stored in bags before being segregated <br /> by hand. Medical waste must be segregated from the point of origin and be placed in the <br /> proper containers. This facility must create and implement a plan to ensure that <br /> pharmaceutical waste is segregated at the point of origin. Submit evidence of compliance <br /> by 4/10/2014. <br /> 7. 118275(g)—Pharmaceutical waste containers located throughout the facility were not <br /> labeled properly and were missing lids. Pharmaceutical waste containers shall be labeled <br /> with the words "INCINERATION ONLY" on the lid and on the sides. Submit evidence of <br /> compliance by 4/10/2014. <br /> 8. 118215 (a)(2)(D)—Monthly biological indicators of adequate sterilization(spore tests) <br /> were not available. Begin conducting spore tests immediately and submit evidence of <br /> compliance by 4/10/2014. <br /> 9. 118215 (a)(2)(E)— Some records of steam sterilization were available, but were not current. <br /> Spore tests results were unavailable for review. Records must be maintained onsite, for <br /> review, for no less than three years. Submit evidence of compliance by 4/10/2014. <br /> 2 <br />