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c\ MEDICAL WASTOSPECTION REPORT • Date: <br /> San Joaquin County Environmental Health Department Program <br /> 1 1868 E. Hazelton Ave.,Stockton,CA 95205 <br /> Record: <br /> (209)468-3420 Program <br /> FOR/ www.s'ogv.org/ehd Element: <br /> Observations and Corrective Actions: <br /> 23. Biohazard bag does not meet the standard set forth in HSC 117630. <br /> - Ensure that the biohazard bag is a red disposable film bag that is impervious to moisture and tear-resistant. HSC <br /> 117630–Biohazardous waste bags used to collect waste that will be treated on site must meet ASTM standard <br /> D1709. Biohazardous waste that will be treated offsite must be contained in a bag that meets both ASTM <br /> D1709 and D1922. ASTM standards must be printed on the bag. Biohazardous waste bags used in the Dialysis <br /> clinic were not labeled with any ASTM standard. Implement use of correct bag in Dialysis clinic and ensure <br /> staff are equipped with the correct bags. Submit evidence of corrective action by 2/6/2017. <br /> 24. Pharmaceutical waste is not segregated for storage. <br /> - Pharmaceutical waste shall be segregated for storage in accordance with the facility's medical waste management <br /> plan. Shipping container shall be in compliance with DOT and DEA. HSC 118275(a)(6) <br /> -Nonradioactive and non-RCRA pharmaceutical wastes, that are regulated as medical waste, shall be placed in a <br /> container or secondary container labeled with the words "HIGH HEAT" or"INCINERATION ONLY" on the lid and <br /> sides, so as to be visible from any lateral direction. HSC 118275(a)(6)(B) - Corrected on site. <br /> 25. Biohazard bag is not placed in a rigid container that is leak resistant, tightly lid, clean, in good repair and <br /> appropriately labeled. <br /> - Biohazardous waste shall be bagged and placed in a rigid container which is leak resistant, have tight-fitting cover, <br /> and be kept clean and in good repair. Container shall be labeled with the words "Biohazardous Waste" or <br /> "BIOHAZARD" on the lid and on the sides so as to be visible from any lateral direction. HSC 118280(c)–Filled <br /> biohazardous waste bag was collected in a filled solid waste bag prior to placement in biohazardous waste <br /> container. Biohazardous waste was also contained in a container labeled both "hot trash" and "chemotherapy <br /> waste." Provide training to staff on proper containment and transport of biohazardous waste. Submit <br /> evidence of training by 2/6/2017. <br /> 29. Intermediate storage area is not secured or marked with proper signage. <br /> - Intermediate storage area shall be either locked or under direct supervision or surveillance and marked with the <br /> international biohazard symbol or the warning signs, "CAUTIONBIOHAZARDOUS WASTE STORAGE <br /> AREA—UNAUTHORIZED PERSONS KEEP OUT", in English and in another language determined to be <br /> appropriate by the infection control staff or LEA. HSC 118307–Corrected on site. <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 2 of 3 <br /> EH-08/2015 ' <br />