CO0035760 - Laserfiche WebLink

Home Browse Search

oPg"`"..o SAN aJOAQUIN COUNTY z 'G ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95202-6232 Telephone:(209) 468-3420 Fax. �q.•..�,••.iP (209) 464-038 Web:www.s ov.or /ehd L`ib HOTEL/MOTEL OFFICIAL INSPECTION REPORT i f Name of Facility Inspection Dat =. t Address: u: QL.i,'priW PE- PR - Owner/Operator: / Annual inspection ❑ Complaint Inspection ❑ Consultation Inspection ❑ Re-Inspection # Units in Facility: 11 1 # Units inspected: Reinspection on or About: l�� The items checked bellow 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- F-1 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: Mattressllinens 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 ❑ 10. of or inadequate smoke detectors or fire extinguishers; Inadequate lighting; Inadequate protection from weather; Inadequate sewage or water.facilities. Pest control Used? Yes ❑ No Company Name: ' t j44 moi Z Frequency: 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: 4k Zed A22 A Z17 # 7 j6�-f" Comments: All violations in rooms not inspected must also be corrected. All reins ections Oy the Environmental Health Department will be billed at the current hourly rate. Received 8y: Title: Environmental Health pecialist: / Phone: fn E ; J e' C r J (� J c TD / > Page 1 of I EHD 24-01 4-30-12 HOTEL/MOTEL OR