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MEDICAL WAST&SPECTION REPORT • Date: Ito a San Joaquin County Environmental Health Department Program p/► / r 1868 E. Hazelton Ave., Stockton,CA 95205 Record: T IILL -!�1 (209)468-3420 Program 95M z - www.siogv.org/ehd Element: l Facility Name Address City Zip Code Golden Living Center-Chateau 1221 rosemarie lane Stockton 95207 Facility Contact Title Phone Number Email Inspection Type Judy Treloar Facility Administrator 209-477-2664 Routine The above facility is inspected for compliance with Division 104,Part 14 of California Health and Safety Code(HSC). e - i iIIIt w _ jiTreamn HSC 117890-No LQG shall generate medical waste unless HSC 118130-All onsite medical waste treatment facilities shall 1' registered with the EA. El 17' be permitted by the EA. HSC 117950-LQG shall register with the EA prior to ❑ 2. El18. HSC 118165 All treatment records shall be kept for 3 years. generating medical waste. ❑ HSC 117903-Permit from the EA is required prior to treating EI 19. HSC 118215-All medical waste shall be treated pursuant to 3. medical waste. this section. HSC 117925-SQG that treats medical waste onsite shall HSC 118220-Pathology waste of a human nature shall be ❑ 4' register with the EA. ❑ 20. disposed of by interment, incineration,or an approved alternative. HSC 117900-Shall not haul medical waste unless registered, HSC 118222-Contaminated pathology waste,trace chemo ❑ 5. common carrier,trauma scene practitioner,or exempted ❑ 21. waste,or pharm waste from health care settings shall be treated under the MOT exemption. by incineration or an approved alternative. HSC 117928-Common Storage Facility shall have permit HSC 118225-Sharps waste shall be treated pursuant to this El 6. 22 issured by the EA. ❑ . section. TV QW HSC 117890-LQG shall notify EA 72 hours prior to �, - ` El7 participating in temporary event �� ,� ` � tra $ ��I � HSC 117895-SQG shall notify EA 72 hours prior to HSC 117630-Biohazard bag shall meet the standards set forth ❑ 8' participating in temporary event. ® 23. in this section. �tP� � _ HSC 118275-Medical, biohazardous,sharps,trace chemo, l be z BOrdsUttleltiOi �� ° �' �� ' ® 24. contained pursuanpathology,or t this section.on�eThelconta containergated shallbe r ion �e 'hili Iil� 4 � � `r0 erl labeled. ❑ 9. HSC 117935-Registered SQG shall file MWMP with the EA. ® 25 HSC 118280- Biohazard bags shall be containerized and stored pursuant to this section. HSC 117943-SQG required to register shall maintain HSC 118285-Sharps waste shall be containerized and stored ❑ 10. treatment and shipping and tracking records for 3 years. E] 26. pursuant to this section. HSC 117945-SQG not required to register shall maintain HSC 118295-Containers shall be washed and decontaminated El information document and transportation records for 3 years. ❑ 27. pursuant to this section. HSC 118305- Reuseable drums or conainters used for medical ® 12. HSC 117960-LQG shall file MWMP with the EA. ❑ 28. waste shall not be used for other storage. HSC 117975-LQG shall maintain treatment and shipping and HSC 118307- Intermediate storage area shall be secured and ® 13. tracking documents for 2 years. El 29. marked with proper signage. HSC 118310-Designated accumulation area shall be secured Oil �,, �� ,� ��r ,A';; �, ® 30 and marked with proper signage. �. . ❑ IN 14. HSC 117946-MOT exemption requirements for SQG. o. ❑ 15. HSC 117976-MOT exemption requirements for LQG. ❑ 31. ❑ 16. HSC 118032-Pharmaceutical waste hauling exemption. ❑ 32. Z�- Received by: Print: Judy Treloar Signature: , Phone: Specialist: Print J. Easter Signature: Z:i7l— Phone: 209-953-7310 Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 1 of 3 EH-11/17