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MEDICAL WASTOSPECTION REPORT40 Date: It/ZZ/)S x San Joaquin County Environmental Health Department Program 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: Pry Q 361 7 (209)468-3420%F Program v.ora/ehd � 9 www.sioay.ora/ehd Element: 152-1 Facility Name Address City Zip Code New Hope Post Acute Care 2586 buthmann avenue Tracy 95376 Facility Contact Title Phone Number Email Inspection Type Malcolm Burke Administrator 209-832-2273 Routine The above facility is inspected for compliance with Division 104,Part 14 of California Health and Safety Code(HSC). Registration Treatment HSC 117890-No LOG shall generate medical waste unless❑ HSC 118130-All onsite medical waste treatment facilities shall 1. registered with the EA. ❑ 17' be permitted by the EA. ❑ 2 HSC 117950-LOG shall register with the EA prior to generating medical waste. F118. HSC 118165-All treatment records shall be kept for 3 years. ❑ 3 HSC 117903-Permit from the EA is required prior to treating ❑ 19 HSC 118215-All medical waste shall be treated pursuant to medical waste. this section. HSC 117925-SQG that treats medical waste onsite shall HSC 118220-Pathology waste of a human nature shall be ❑ 4. register with the EA. ❑ 20. disposed of by interment,incineration,or an approved alternative. HSC 117900-Shall not haul medical waste unless registered, HSC 118222-Contaminated pathology waste,trace chemo ❑ 5. common carrier,trauma scene practitioner,or exempted ❑ 21. waste,or pharm waste from health care settings shall be treated under the MOT exemption. by incineration or an approved alternative. HSC 117928-Common Storage Facility shall have permit HSC 118225-Sharps waste shall be treated pursuant to this ❑ 6. issured by the EA. ❑ 22' section. ❑ 7 HSC 117890-LOG shall notify EA 72 hours prior to Containment/Storage participating in temporary event. ❑ HSC 117895-SQG shall notify EA 72 hours prior to HSC 117630-Biohazard bag shall meet the standards set forth 8. participating in temporary event. ❑ 23. in this section. HSC 118275-Medical,biohazardous,sharps,trace chemo, Records/Documentation ® 24 pathology,or pharmaceutical waste shall be segregated and contained pursuant to this section. The container shall be properly labeled. ❑ 9. HSC 117935-Registered SQG shall file MWMP with the EA. ® 25 HSC 118280- Biohazard bags shall be containerized and stored pursuant to this section. ❑ 10. HSC 117943-SQG required to register shall maintain ❑ 26 HSC 118285-Sharps waste shall be containerized and stored treatment and shipping and tracking records for 3 years. pursuant to this section. HSC 117946-SQG not required to register shall maintain HSC 118295-Containers shall be washed and decontaminated ❑ 11. information document and transportation records for 3 years. El 27' pursuant to this section. ® 12. HSC 117960-LOG shall file MWMP with the EA. ❑ 28 HSC 118305- Reuseable drums or conainters used for medical waste shall not be used for other storage. ® HSC 117975-LOG shall maintain treatment and shipping and HSC 118307- Intermediate storage area shall be secured and 13. tracking documents for 2 years. El 29. marked with proper signage. Transportation ❑ 30. HSC 118310-Designated accumulation area shall be secured and marked with proper signage. ❑ 14. HSC 117946-MOT exemption requirements for SQG. Other ❑ 15. HSC 117976-MOT exemption requirements for LOG. E] 1- El 16. HSC 118032-Pharmaceutical waste hauling exemption. ❑ :32. Received by: Print: Malcolm Burke Signat�7 y Phone:(209)832-2273 Specialist: Print: Harprit Mattu,Sr REHS Signature: Phone:(209)468-3284 Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 1 of 2 EH-08/2015