COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

PqV„V SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT tN; ►' 1868 East Hazelton Avenue, Stockton, CA 95202-6232 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:wwvv.sigov.org/ehd �14i HOTEL/MOTEL OFFICIAL INSPECTION REPORT Name of Facility: Inspection Date:/o Z 7/1 S Address: �u ,� C�� r `k - P� PR#: O / Owner/Operator: �, << Phone: O-Annual Inspection ❑ Complaint Inspection ❑ Consultation Inspection ❑ Re-Inspection #Units in Facility: 7e. # Units Inspected: I Reinspection On or About: The items checked below are violations to be corrected. See Reverse Side of this Form for Detailed Summary of Violations and Code References. Room(s): ❑ 1 Room Cleanliness: Lack of cleanliness&sanitation;Accumulation of debris,trash, garbage,combustible items or similar materials. Room Maintenance: General lack of repair or improper maintenance; Broken or non- ❑ 2 functioning sink/toileUbath; Lack of hot water. Floors: Not clean,properly covered or in good repair.Walls&Ceilings:Walls/ceilings in need of cleaning or repair: Holes,water damage, peeling or deteriorating paint; Dampness or excessive moisture in room. 0 3 Heating: Lack of approved heating in each unit;Approved heater not maintained in a safe, working condition; Lack of adequate heat(Standard: 70°F at 3 feet from floor). Drinking Utensils& Ice Buckets: Not protected from contamination; Lack of or improper ❑ 4. washing &sanitizing after each use(multi-use); Lack of or improper protective bagging (multi-use)or individual protective wrapping(single-use). ❑ 5 Bedding: Mattress/linens infested with lice, bedbugs, or other insects; Not free from filth or foul matter; Unsafe; Linens not changed weekly or before new guest. 6 Garbage Receptacles: Inadequate number of garbage receptacles; Lack of or inadequate close fitting covers;Garbage receptacles unclean or in disrepair. 7.❑ Public Areas: Unsafe or unsanitary conditions in kitchen, hallways,stairways, exits,or other publicly shared spaces. ❑ 8. Pest Control: Infestation of insects,vermin or rodents. ❑ 9. Other Nuisance:Any other condition which is hazardous to health. Other Substandard or Unsafe Conditions: Electrical,structural,or plumbing hazards; Lack re.• v-A rv. r t,4 10. of or inadequate smoke detectors or fire extinguishers; Inadequate lighting; Inadequate Y C( :.e.'i ” � protection from weather; Inadequate sewage or water facilities. Pest control Used? Yes ❑ No Company Name: ,(�, Frequency: 5 Hotel/Motel Business License? N Yes [] No Multi-Jurisdictional Violations to be Referred to: ❑ City Building/Code Enforcement/Fire❑County Code Enforcement/Fire❑ Other Rooms inspected: 7 o 4PZ , 31+, Comments: !0 Ia •MJtN t� CA) 0( t 6 D � All violations in rooms not inspected must also be corrected. All re-inspections by the Environmental Health De artment will be billed at the current hourly rate. Received By: Title: Environmental Health Special-6e Phone: Page 1 of , EHD 24-01 4-30-12 HOTEUMOTEL OR