COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

paa�!►r. SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT `A 1868 East Hazelton Avenue, Stockton, CA 95202-6232 Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s'gov.org/ehd P 'F-, HOTEL/MOTEL OFFICIAL INSPECTION REPORT Name of Facility: _V-1 Inspection �� S Inspection Date:G� Address: 1 6 ac 5 S ,-LA.*vx � J cl 5o"ZA�i P��(`Li C� PR#: p I � Owner/Operatorl: \.!- X_ ,_ 1 LAIPhone: Annual inspection ❑ Complaint inspection ❑ Consultation Inspection ❑ Re-Inspection #Units in Facility: # Units Inspected: , Li 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): rEl 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- (!r+6a — 5rnA 11 CN-Acu— ivy 2 functioning sink/toilet/bath; Lack of hot water. Floors: Not clean, properly covered or in lit l AwAr IO�� good repair.Walls&Ceilings:Walls/ceilings in need of cleaning or repair: Holes,water I), "41v, 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). I 5 Bedding: Mattress/linens infested with lice, bedbugs,or other insects; Not free from filth or a 0t — bt"n Ivo! c— foul matter; Unsafe; Linens not changed weekly or before new guest. ►I%- becid-i vi 1 ❑ 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 0�10 lo lo. of or inadequate smoke detectors or fire extinguishers; Inadequate lighting; Inadequate Iv\S Vwov-C 4-}-- protection from weather: Inadequate sewage or water facilities. Pest control Used? Yes ❑ No Company Name: Frequency: Hotel/Motel Business License?Xes ❑ No Multi-Jurisdictional Violations to be Referred to:❑ City Building/Code Enforcement/Fire❑County Code Enforcement/Fire❑Other Rooms inspected: yom 146�50 5 1)g 9 2<gq ass. 3 3� Comments: - L 'fi a4A4 1 vvN C 'v, All violations in roo s not inspected must also be corrected. All re-inspections by the EnvirpnWntal Health Department will be billed at the current hourly rate. Received By: Title: Environment ealth Specialist: q Y\ alt'NM IVXa' Phone: �0! _u /�� 5a Page 1 of EHD 24-01 4-30-12 "L HOTEUMOTEL OR