COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

U I o SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95202-6232 Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s4gov.org/ehd HOTEL/MOTEL OFFICIAL INSPECTION REPORT Namnp of Facility:, Inspect' n ate" r. u arty- 9 %; Address: PE: PR#: 2717 !,✓ Gsv, iyN + W.D u//S Owner/Operator: Phone: CW('SGw Annual Inspection ❑ Complaint Inspection ❑ Consultation Inspection ❑ Re-Inspection #Units in Facility: #Units Inspected: L6Reinspection On or About: N 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- E] 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. ❑ Garbage Receptacles: Inadequate number of garbage receptacles; Lack of or inadequate 6" 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 ❑ 10. of or inadequate smoke detectors or fire extinguishers; Inadequate lighting; Inadequate protection from weather; Inadequate sewage or water facilities. Pest control Used? E'Yes ❑ No Company Name: " M�v:� Frequency: mo , Ly Hotel/Motel Business License? Yes ❑ No Multi-Jurisdictional Violations to be Referred to: ❑City Building/Code Enforcement/Fire❑County Code Enforcement/Fire❑ Other Rooms inspected: '1�1!o ( 3 #rt /S 2LM 075 j'73 `Z Comments: tsto All violations in rooms not inspected must also be corrected. A -ll n ections b t nvironmental Health De artment will be illed at the current hourlyrate. Received By:, Title: b k Environmental Fledlth S ecialist: Phone: �\r� ` Page 1 of EHD 24-01 4-30-12 /'�1' HOT11(MOTEL OR