Laserfiche WebLink
N <br />0 i <br />Page 2 <br />4. §118280(c) - A biohazard bag was observed attached to the outside of a solid <br />waste container in the Dialysis Clinic". This bag was being used to store other <br />biohazard bags and solid waste container bags. Ensure biohazard bags are being <br />used solely for the storage of biohazardous waste inside of a rigid container. <br />This violation was corrected on site. Housekeeping staff have received training on <br />proper use of biohazardous waste bag. <br />5. §118275(a)(6) — Pharmaceutical waste container in the "Dental Clinic" and in the <br />"Medication Room" of "NA" did not have a closed lid. Pharmaceutical waste must <br />be placed in a container or secondary container with labels on the lids and sides. <br />Inspect pharmaceutical containers for defective lids. Ensure all pharmaceutical <br />waste containers are equipped with functioning, closeable lids. <br />Pharmaceutical waste containers not having closeable lids were immediately <br />replaced with equipped, functioning and closeable lids according to this <br />requirement. <br />6. §118215(2)(6) — Autoclave thermometer has not been calibrated. Thermometers <br />thermocouples, or other monitoring devices shall be checked for calibration annually <br />and shall be maintained onsite for 2 years. Calibrate thermometer immediately. <br />Autoclave calibration occurred on 7/10/2015. Records of calibration result are kept <br />in a binder and maintained onsite for 2 years. <br />7. §118215(2)(D) — Monthly tests spore tests conducted to confirm attainment of <br />sterilization conditions were unclear. Several tests did not pass or failed to specify <br />test results. The dates on the spore test results did not correspond with dates on the <br />autoclave sterilization log. Conduct a spore test immediately. Autoclave must not be <br />used until a negative spore test result is achieved. Provide training for employees <br />who conduct spore testing. Inspect autoclave and spore testing equipment to <br />correct the date variation. <br />Immediate spore testing was conducted, which confirmed the attainment of <br />sterilization. Date variation between spore test results and the autoclave <br />sterilization log have been resolved. In service training has been conducted with <br />autoclave operator. <br />CALIFORNIA CORRECTIONAL <br />HEALTH CARE SERVICES <br />7707 South Austin Road <br />Stockton, CA 95215 <br />