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° MEDICAL WASTSSPECTION REPORT Date: l a�� 19 San Joaquin County Environmental Health Department Program 1868 E. Hazelton Ave.,Stockton,CA 95205 Record: -Pgo q,5 0005 (209)468-3420 Program ,.._ www.siogv.org/ehd Element: X502 Z 25. Biohazard bag is not placed in a rigid container that is leak resistant, tightly-fitting 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 "Biohazardous Waste" or"BIOHAZARD" on the lid and on the sides so as to be visible from any lateral direction. HSC 118280(c)–Biohazardous bag containing waste was observed in a large sharps container located in the Soiled Utility Room (H2764) of 2D Med-Surg (see attachment, PHOTO 9). Ensure biohazardous bags are placed in a rigid container specifically for biohazardous waste. Train employees on proper disposal of biohazardous waste, provide training record to the EHD. 25. Biohazard bag is not placed in a rigid container that is leak resistant, tightly-fitting 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"Biohazardous Waste" or"BIOHAZARD" on the lid and on the sides so as to be visible from any lateral direction. HSC 118280(c)–The biohazard waste container in the Ambulance Sali-port(Sheriff's Jail) has a hole in the bottom of the container(see attachment, PHOTO 21). Replace the container with an appropriately labeled, leak resistant container with a tightly-fitting lid. Submit evidence of correction to the EHD. 26. Sharps waste is not placed in sharp container. Sharps container is not handled and/or labeled appropriately. - Sharps waste shall be placed in a sharps container. Full sharps container ready for disposal shall be taped closed or tightly lid and stored onsite not more than 30 days. Sharps container shall be labeled with the words"Sharps Waste" or BIOHAZARD". HSC 118285–The sharps container in the clean room of the Outpatient Pharmacy did not have a lid (see attachment, PHOTO 1). Ensure the sharps container has a tight fitting lid, provide photographic evidence to the EHD. 26. Sharps waste is not placed in sharp container. Sharps container is not handled and/or labeled appropriately. -Sharps waste shall be placed in a sharps container. Full sharps container ready for disposal shall be taped closed or tightly lid and stored onsite not more than 30 days. Sharps container shall be labeled with the words"Sharps Waste" or BIOHAZARD". HSC 118285–The sharps container located in the Emergency Room (outside of Triage Consultation Room) (see attachment, PHOTO 7), Cubicle B in the Pit Exam Room,the Medical Room of Med-Surg (Room H2772), 2C Medication Room (H2658), Family Maternity Center(A3407), and the Main Lab(see attachment, PHOTO 13) contained solid waste.Train staff in proper waste segregation,submit a copy of the training documentation to the EHD. 29. Intermediate storage area is not secured or marked with proper signage. - Intermediate storage area shall be either locked or under direct supervision or surveillance and marked with the international biohazard symbol or the warning signs, "CAUTION—BIOHAZARDOUS WASTE STORAGE AREA—UNAUTHORIZED PERSONS KEEP OUT', in English and in another language determined to be appropriate by the infection control staff or LEA. HSC118307–The warning sign on the door of the outside biohazardous waste storage at the Dialysis Clinic has faded. Replace faded sign(s). Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 3 of 4 EH-11/17