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COMPLIANCE INFO_2011-2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4454 - Kennel Program
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PR0536168
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COMPLIANCE INFO_2011-2019
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Entry Properties
Last modified
7/15/2025 9:30:51 AM
Creation date
7/3/2020 10:19:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4454 - Kennel Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2019
RECORD_ID
PR0536168
PE
4524 - SKILLED NURSING FACILITY
FACILITY_ID
FA0011262
FACILITY_NAME
WINDSOR ELMHAVEN CARE CENTER
STREET_NUMBER
6940
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
08126030
CURRENT_STATUS
Active, billable
SITE_LOCATION
6940 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4524_PR0536168_6940 PACIFIC_.tif
Site Address
6940 PACIFIC AVE STOCKTON 95207
Tags
EHD - Public
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1915 'ON A*01 6102 lZ -u n r ;w an I anal <br /> YA <br /> MEDICAL WASTE INSPECTION REPORT <br /> San Joaquin County Environmental Health Department Date: <br /> Program <br /> 1868 E.Hazelton Ave.,SloCktan,CA 95206 oil <br /> Ptzo S3 <br /> Record., <br /> (209)46d.34RO Program <br /> Eta.mant, q 2V <br /> Observatienj and Corrective Actl2ns: <br /> 12. The medical waste management plan(MWMP)does not contain all information listed in'HSC <br /> 117960. <br /> -MWIVIP shall contain all information listed In HSC 1179.60. HSCI 17960. The Medical Walote Management Plan was <br /> unavailable,ancl the copy filed with the EHD Is not currant Submit an uP0atpd Medical Waste Management Plan to the <br /> EHD by 2121/19, <br /> 13. This registered large medical waste generator does not maintain individual treatment records and <br /> shipping and tracking documents for 2 years. <br /> -A large medical waste generator required to register with the EHD shall maintain Individual treatment operation records, and <br /> shipping and tracking documents for all untreated medical waste shipped offsite for treatment for 2 years. HSC1 1 7975(p). Only <br /> one year of shipping and tracking records were available.(This violation was corrected during the inspection). <br /> 24. Pharmaceutical waste is not segregated for storage. <br /> -Pharmaceutical waste*hall be segregated for storage in accordance with the facility's medical waste management plan. <br /> Shipping container shall be in compliance with DOT and DEA HSC 1,18275(a)(6). Pharmaceutical waste was discarded In <br /> three of the*harps containers. Sharpe containers containing sharps to were stored in one of the medical supply <br /> rooms. Submit evidence of an In-service on the segregation of pharmaceutical waste from sharps and blobazardous <br /> waste and on proper storage of each cisas of waste to the EHD by 2121,M9. <br /> -Nonradioactive and non-RCRA pharmaceutical wastes, thatare regulated as medical waste, shall be placed in a container or <br /> secondary container labeled with the words"HIGH HEAT OR INCINERATION ONLY"on the lid and sides, so as to be visible <br /> from any lateral direction. HSC 11 a275(a)(0)(B). The pharmaceutical waste containers were not labeled with the date In <br /> which they were put In use. Submit evidence of correction to the EHD by 2121119. <br /> 32. Employee has a b1ohazardous waste sticker on'her badge. The sticker has to be removed. Submit evidence of <br /> correction to the EHD,by 2121119. <br /> Mi 119 <br /> All corrections are due bv 2M. <br /> ReInspeclon onlab": A relospec4on fee of$152 per hour may be charged. Page 2 of 3 <br /> EH-11117 <br />
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