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144 KAISER PERMANENTEM <br />41 <br />Moses D. Elam, MD <br />Physician -in -Chief <br />-ro r -0—Y—Y, <br />/?//1,3 <br />Corwin N. Harper, MHA, FACHE <br />Senior Vice President/Area Manager <br />Central Valley Service Area <br />Corrective Action Statement and Supporting Documentation <br />Violation #1- <br />19) HSC Section 118275- MW red bags, path, chemo shall be labeled properly. <br />Finding: Biohazardous waste in the terms of chemo trace like gloves and disposable gowns, are not <br />being containerized / placed in a red biohazard bag. <br />118275(b) Biohazardous waste, except pharmaceutical waste, shall be placed into a red biohazard bag. <br />-Begin placing all biohazardous waste in red biohazard bags. <br />-Submit within 30 days a photo showing use of a red biohazard bag in a biohazard container labeled as <br />chemo waste. <br />Corrective Statement: We now line our existing No Sharps Trace Chemo container with a Red <br />Bag (see 3 photos below) for staff to dispose of their gloves and disposable gowns when <br />handling chemotherapy drugs. <br />Supporting Documentation: <br />Page 2 of 4 <br />Stockton Medical Office Manteca Medical Center Tracy Medical Offices Modesto Medical Offices <br />7373 West Lane, Stockton, CA 95210 1777 W. Yosemite Avenue, Manteca, CA 95337 2185 W. Grant Line Road, Tracy, CA 95377 Post Office Box 577680, Modesto, CA 95357 <br />