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oAa"'" ` MEDICAL WASTEOSPECTION REPORT • ti ! 3 % 6 San Joaquin County Environmental Health Department Program z 1868 E. Hazelton Ave., Stockton, CA 95205 Recons: cQCTFoRa'�P (209) 468-3420 Program vwvw. siogv.org/ehd Element: Observations and Corrective Actions: 12. The medical waste management plan (MWMP) does not contain all information listed in HSC 117960. - MWMP shall contain all information listed in HSC 117960. HSC117960 - Review your MWMP and revise as needed. Submit by 2/13/2016. 24. Pharmaceutical waste is not segregated for storage. - Pharmaceutical waste shall be segregated for storage in accordance with the facility's medical waste management plan. Shipping container shall be in compliance with DOT and DEA. HSC 118275(a)(6) - Nonradioactive and non-RCRA pharmaceutical wastes, that are regulated as medical waste, shall be placed in a container or secondary container labeled with the words "HIGH HEAT" OR "INCINERATION ONLY" on the lid and sides, so as to be visible from any lateral direction. HSC 118275(a)(6)(B) - Pharmaceutical waste containers located on carts, in soiled utility rooms, and in the pharmacy were missing labels. Label containers and submit evidence of compliance by 2/13/2016. 24. Trace chemotherapy waste is not segregated for storage. The secondary container is not labeled appropriately. - Trace chemotherapy waste shall be segregated for storage, and the secondary container shall be labeled with the words "Chemotherapy Waste" or "CHEMO" on the lid and sides, so as to be visible from any lateral direction. HSC 118275(x)(4) - Chemotherapy waste containers located in soiled utility rooms were not properly labeled. Label containers and submit evidence of compliance by 2/13/2016. 25. Biohazard bag is not placed in a rigid container that is leak resistant, tightly lid, clean, in good repair and appropriately labeled. - Biohazardous waste shall be bagged and placed in a rigid container which is leak resistant, have tight -fitting cover, and be kept clean and in good repair. Container shall be labeled with the words "Biohazardun-U _rite" "BIOHAZARD" on the lid and on the sides so as to be visible from any lateral direction. HSC 118280(c 1- Biohazardous waste containers in the Conrad Building did not have lids. Sr.:kll ^� Used To 5:t3AlM WeAste, cut' `-a:'ere nra,'-,t p.1ac---!d fps :'-omaa'.�:;<-.e.m. u'.::: snarps `-cont amerce were� f3�s� us-e,'d cofleet iid'}ii-SLI'cir]E}5 W`aSiC and did ii€)!t nave r. 1-11 Ur- 1111-1h OF ri£Is. isionazardous waste conitaln'r s In .1-c colied f =-- _A U___ iz r eaua Waste observed on the -round outside a -natient room on the ;. t no -a -. ;t,ana11 ail COnt-al-refs aazd �.sV- ,.8.,.v_ - aaaar.aaaa.a.s _`�` the Conrad �aaust..".b. Provide :rc:.".iin6 to `3t:ai 5` rs�• Ute' :.�s<, rr.:'i.'3pdt'r€ €;'t i�ia.3i.`itz:.ra'1dz:a`� waste .a� sa;.i:`.. i re- aF meds.—te . iiTilits rfsGna arhirz Dionazartious waste i3 d=olicd°td :i whilic, Tr: ati : p° tire= ? 18 .Liiutiri)(1 i. 'iaii IRU cviUCM—c vs '1/1 T _ 1' _ _ _ _ 1 1 1 7. til rinei:4iaLe sLor b - reg: is, ii/st CGtsi�CE Ur tis rxCLl with proper it tics �. intermediate storage area shall De either m. KeG1 or lander direct sup rvision or surt-emanve and Masked wn the i' -O A ii"i'3i 1�� vas 9 n 7 :9a , .= 1i i.• iiI A FL Q'i3O%D A -' U I i ! d71,3 � Pry SON ^ 0' J � • !-'_ Y• _ t ___ _-S_ S____ _ A- _ 1_ AREA—UNAL.THOR�Z E e _ n _ >� ��P Ujuj , S 1 l�b�isl, w:1, �s u_ .4 r vii .g = .i,�i_.:�, ➢ e% �T appropriate by the infection control staur or Lrt'�. €1 Iii 3ti / --Nurses tiaaiv;` ruldb— did not nave a bionazardous "i s ss.:sc- i"_sa;i eaea iiea; caa ei• _ i�u ass:: i ss�ssa ss_a� .. as ztea:aa. s.x sar�el a.i ♦i1 i.asi ijatata sz. s, xis - - s—ii �:, as a -et. R-in-n._nn nninhnrrt A minnnar Linn f-- of !t"?^ n-.= hnsrr rrrav ha rhnmart ^anp ^ of 4 l=ei-uozu i 5