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The above facility is inspected for compliance with Division 104, Part 14 of California Health and Safety Code (HSC). <br />MEDICAL WASTOSPECTION R'=PORT is <br />Date: <br />4'Z&) <br />Treatment <br />San Joaquin County Environmental Heath Department <br />1 <br />HSC 117890 - No LQG shall generate medical waste unless <br />❑ <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />Program <br />Record: <br />o_.. <br />(209) 468-3420 <br />Program <br />a<%FpRt'� <br />www.siogv.org/ehd <br />Element: <br />t/ <br />Facility Name <br />Address <br />City <br />Zip Code <br />Golden Living Center-Hypana 4545 shelby court <br />Stockton <br />95207 <br />Facility Contact <br />Title Phone Number <br />Email <br />Inspection Type <br />Grant Garrison <br />Facility Administrator 209-477-0271 <br />HSC 117903 - Permit from the EA is required prior to treating <br />Routine <br />The above facility is inspected for compliance with Division 104, Part 14 of California Health and Safety Code (HSC). <br />Received bv: Print: Grant Garrison <br />ist: Print: J. Easter <br />Phone: 209-477-0271 <br />Phone: 209-953-7310 <br />Reinspecion on/about: A reinspection fee of $152 per hour may be charged. Page 1 of 3 <br />EH -11/17 <br />Registration <br />Treatment <br />❑ <br />1 <br />HSC 117890 - No LQG shall generate medical waste unless <br />❑ <br />17. <br />HSC 118130 - All onsite medical waste treatment facilities shall <br />registered with the EA.be <br />permitted by the EA. <br />❑ <br />2 <br />HSC 117950 - LQG shall register with the EA prior to <br />❑ <br />18. <br />HSG 118165 -All treatment records shall be kept for 3 years. <br />generating medical waste. <br />❑ <br />3 <br />HSC 117903 - Permit from the EA is required prior to treating <br />❑ <br />19 <br />HSC 118215 - All medical waste shall be treated pursuant to <br />medical waste. <br />this section. <br />❑ <br />4. <br />HSC 117925 - SQG that treats medical waste onsite shall <br />❑ <br />20. <br />HSC 118220 - Pathology waste of a human nature shall be <br />disposed by interment, <br />register with the EA. <br />of incineration, or an approved <br />alternative. <br />HSC 117900 - Shall not haul medical waste unless registered, <br />HSC 118222 - Contaminated pathology waste, trace chemo <br />❑ <br />5. <br />common carrier, trauma scene practitioner, or exempted <br />❑ <br />21. <br />waste, or pharm waste from health care settings shall be treated <br />under the MOT exemption. <br />by incineration or an approved alternative. <br />❑ <br />6 <br />HSC 117928 - Common Storage Facility shall have permit <br />El <br />22 <br />HSC 118225 - Sharps waste shall be treated pursuant to this <br />fissured by the EA. <br />section. <br />❑ <br />7 <br />HSC 117890 - LQG shall notify Fro 72 hours prior to <br />Containment/Storage <br />participating in temporary event. <br />❑ <br />8 <br />HSC 117895 - SQG shall notify EA 72 hours prior to <br />® <br />23 <br />HSC 117630 - Biohazard bag shall meet the standards set forth <br />participating in temporary event. <br />in this section. <br />HSC 118275 - Medical, biohazardous, sharps, trace chemo, <br />Records/Documentation <br />® <br />24 <br />pathology, or pharmaceutical waste shall be segregated and <br />contained pursuant to this section. The container shall be <br />properly labeled. <br />❑ <br />9. <br />HSC 117935 - Registered SQG shall file MWMP with the EA. <br />® <br />25 <br />HSC 118280 - Biohazard bags shall be containerized and <br />stored pursuant to this section. <br />❑ <br />10 <br />HSC 117943 - SQG required to register shall maintain <br />❑ <br />26 <br />HSC 118285 - Sharps waste shall be containerized and stored <br />treatment and shipping and tracking records for 3 years. <br />pursuant to this section. <br />❑ <br />11. <br />HSC 117945 - SQG not required to register shall maintain <br />El <br />27. <br />HSC 118295 - Containers shall be washed and decontaminated <br />information document and transportation records for 3 years. <br />pursuant to this section. <br />® <br />12. <br />HSC 117960 -LQG shall fife MWMP with the Fro. <br />El <br />28. <br />HSC 118305 - Reuseable drums or conainters used for medical <br />waste shall not be used for other storage. <br />13. <br />HSC 117975 - LQG shall maintain treatment and shipping and® <br />® <br />29. <br />HSC 118307- Intermediate storage area shall be secured and <br />tracking documents for 2 years. <br />marked with proper signage. <br />Transportation <br />El <br />30. <br />HSC 118310 - Designated accumulation area shall be secured <br />and marked with proper signage. <br />❑ <br />14. <br />HSC 117946 - MOT exemption requirements for SQG. <br />Other <br />❑ <br />15. <br />HSC 117976 - MOT exemption requirements for LQG. <br />❑ <br />31. <br />❑ <br />16. <br />HSC 118032 - Pharmaceutical waste hauling exemption. <br />❑ <br />32. <br />Received bv: Print: Grant Garrison <br />ist: Print: J. Easter <br />Phone: 209-477-0271 <br />Phone: 209-953-7310 <br />Reinspecion on/about: A reinspection fee of $152 per hour may be charged. Page 1 of 3 <br />EH -11/17 <br />