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MEDICAL WASTIOSPECTION REPORT • Date: /Z�1 S San Joaquin County Environmental Health Department Program 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: (209)468-3420 Program www.sgogv.org/ehd Element: Observations and Corrective Actions: 12. The medical waste management plan(MWMP)does not contain all information listed in HSC 117960. - MWMP shall contain all information listed in HSC 117960. HSC117960—Submit revised MWMP by 12/2/2015. 13. This registered large medical waste generator does not maintain individual treatment records and tracking documents for 2 years. - A large medical waste generator required to register with the EHD shall maintain individual treatment operation records and tracking documents for all untreated medical waste shipped offsite for treatment for 2 years. HSC117975(a)— Obtain records showing treatment of waste picked up in 2015 from hauler. Submit evidence of compliance by 12/2/2015. 24. Pharmaceutical waste is not segregated for storage. - Pharmaceutical waste shall be segregated for storage in accordance with the facility's medical waste management plan. Shipping container shall be in compliance with DOT and DEA. HSC 118275(a)(6) -Nonradioactive and non-RCRA pharmaceutical wastes,that are regulated as medical waste, shall be placed in a container or secondary container labeled with the words"HIGH HEAT OR INCINERATION ONLY"on the lid and sides, so as to be visible from any lateral direction. HSC 118275(a)(6)(B)—Pharmaceutical waste containers should not be placed in biohazardous waste bags prior to storage in the designated accumulation area. Provide training to staff and submit evidence of compliance by 12/2/2015. 25. Biohazard bag is not placed in a rigid container that is leak resistant,tightly lid, clean, in good repair and appropriately labeled. -Biohazardous waste shall be bagged and placed in a rigid container which is leak resistant,have tight-fitting cover, and be kept clean and in good repair. Container shall be labeled with the words`Biohazardous Waste"or "BIOHAZARD"on the lid and on the sides so as to be visible from any lateral direction. HSC 118280(c)—Label containers on carts in the east and west wing. Label container in room 22. Ensure lids on containers are closed after use. Submit evidence of compliance by 12/2/2015. 28. Reusable pails,drums, dumpsters, or bins used for medical waste are used for solid waste containment without being properly decontaminated. - A person shall not use reusable pails, drums, dumpsters, or bins used for medical waste for the containment of solid waste, or for other purposes, except after being decontaminated by the procedures specified in HSC 118295 and removal of all medical waste labels. HSC 118305—Remove partial biohazard symbol from soiled linen container in room 22. Submit evidence of compliance by 12/2/2015. Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 2 of 3 EH-08/2015