COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

a�l±y SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95202-6232 ' Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd HOTEL/MOTEL OFFICIAL INSPECTION REPORT Name of Facility: Inspection Date: Address: �', �"' /'o G,f;or-. V�oa7 PEZC,4/7 PRAZK70Qri Owner/Operator: ��< <� Phone: [:]Annual Inspection ❑ Complaint Inspection LWconsuitation Inspection ❑ Re-Inspection # Units in Facility # 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): ❑ 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- lj� AeAcee'vo 2 functioning sink/toilet/bath; 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. ❑ 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. ❑ ti 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. j Other Substandard or Unsafe Conditions: Electrical, structural,or plumbing hazards; Lack ❑ 10. of or inadequate smoke detectors or fire extinguishers; Inadequate lighting; Inadequate protection from weather: Inadequate sewage or water facilities. Pest control Used? X Yes ❑ No Company Name: requency: Hotel/Motel Business License? Yes ❑ No Multi-Jurisdictional Violations to be Referred to: ❑City Building/Code Enforcement/Fire❑County Code Enforcement/Fire❑ Other Rooms inspect"ZZ 3 7-7 ;,f Comments: Zk-W os/ Are., r Igo r 0+.166Ve-<- All violations in rooms not inspected must also be corrected. All ns ections by th nvironmental Health Department will be billed at the current hourly rate. Received By: � Title: Environmental Health Specialist. Phone: 4f EHD 24.01 4-30-12 u i HOTEUMOTEL OR