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Received bv: Print: Teresa Mendoza <br />Print: Lor Xionq, REHS <br />Reinspecion on/about: A reinspection fee of $152 per hour may be charged. <br />EH -11 /17 <br />Phone: (209) 477-0271 <br />Phone: (209) 468-2807 <br />Page 1 of 2 <br />MEDICAL WASTEOSPECTION REPORT <br />Date: <br />2 <br />w <br />San Joaquin County Environmental Health Department <br />1' <br />HSC 117890 - No LQG shall generate medical waste unless <br />❑ <br />17' <br />Program <br />!� <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />Recons: <br />•`.c•.. K•P . <br />(209 ) 468-3420 <br />Program <br />2' <br />4�ija` <br />www.aggv/ehd .or <br />q <br />Element: <br />ClSjtl <br />Facility Name <br />Address <br />City <br />Zip Code <br />Golden Living Center-HyPana 4545 shelly court <br />Stockton <br />95207 <br />Facility Contact <br />Title Phone Number <br />Email <br />Inspection Type <br />Teresa Mendoza <br />Administrator (209)-477-0271 <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: Teresa Mendoza <br />Print: Lor Xionq, REHS <br />Reinspecion on/about: A reinspection fee of $152 per hour may be charged. <br />EH -11 /17 <br />Phone: (209) 477-0271 <br />Phone: (209) 468-2807 <br />Page 1 of 2 <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. <br />be permitted by the EA. <br />❑ <br />2' <br />HSC 117950 - LQG shall register with the EA prior to <br />❑ <br />18. <br />HSC 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 />El <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 />El <br />6' <br />HSC 117928 - Common Storage Facility shall have permit <br />❑ <br />22" <br />HSC 118225 - Sharps waste shall be treated pursuant to this <br />insured by the EA. <br />section. <br />❑ <br />7 <br />HSC 117890 - LQG shall notify EA 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 />El <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 />❑ <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 file MWMP with the EA. <br />❑ <br />28 <br />HSC 118305 - Reuseable drums or conainters used for medical <br />waste shall not be used for other storage. <br />® <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 />❑ <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: Teresa Mendoza <br />Print: Lor Xionq, REHS <br />Reinspecion on/about: A reinspection fee of $152 per hour may be charged. <br />EH -11 /17 <br />Phone: (209) 477-0271 <br />Phone: (209) 468-2807 <br />Page 1 of 2 <br />