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L/seV:S ) <br /> u MEDICAL WASTSPECTIO ORT Date: <br /> 2/I0 /2®15 <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E. Hazelton Ave.,Stockton,CA 95205 Record: <br /> t (209)468-3420 Program <br /> www.siogv.orq/ehd Element: <br /> Observations and Corrective Actions: <br /> 12. The medical waste management pian(MWMP) does not contain all information listed in HSC 117960. <br /> - MWMP shall contain all information listed in HSC 117960. HSC117960–Review your MWMP and revise as <br /> needed. Submit by 1/10/2016. <br /> 13. This registered large medical waste generator does not maintain individual treatment records and tracking <br /> documents for 2 years. <br /> -A large medical waste generator required to register with the EHD shall maintain individual treatment operation <br /> records and tracking documents for all untreated medical waste shipped offsite for treatment for 2 years. <br /> HSC117975(a)– Facility was missing treatment records for medical waste picked up by Stericycle. Facility <br /> received improper treatment records from Stericycle in September 2014. Missing records were provided at the <br /> end of the inspection. Corrected onsite. <br /> 29. Intermediate storage area is not secured or marked with proper signage. <br /> - Intermediate storage area shall be either locked or under direct supervision or surveillance and marked with the <br /> international biohazard symbol or the warning signs, "CAUTION—BIOHAZARDOUS WASTE STORAGE <br /> AREA—UNAUTHORIZED PERSONS KEEP OUT", in English and in another language determined to be <br /> appropriate by the infection control staff or LEA. HSC11307–Soiled utility(intermediate storage) rooms in <br /> Oncology and OSPD were missing biohazard labels (corrected onsite). Intermediate storage rooms in <br /> Women's Health, and Oncology are not under direct supervision and therefore require locks. Submit evidence <br /> of compliance by 1/10/2016. <br /> Notes: <br /> 1.) Facility contracts with Stericycle for the removal of medical waste. <br /> 2.) Biohazardous waste bags meet new ASTM standard (D1709 +D1922). <br /> 3.) Pharmacy mails all expired medications to "I ar." <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 2 of 2 <br /> EH-08/2015 <br />