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COMPLIANCE INFO_1985-2020
Environmental Health - Public
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4500 - Medical Waste Program
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PR0450015
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COMPLIANCE INFO_1985-2020
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Last modified
6/6/2024 3:26:49 PM
Creation date
7/3/2020 10:18:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
1985-2020
RECORD_ID
PR0450015
PE
4524
FACILITY_ID
FA0001270
FACILITY_NAME
BROOKSIDE CARE, LLC
STREET_NUMBER
1221
STREET_NAME
ROSEMARIE
STREET_TYPE
LN
City
STOCKTON
Zip
95207
APN
11021012
CURRENT_STATUS
02
SITE_LOCATION
1221 ROSEMARIE LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4524_PR0450015_1221 ROSEMARIE_.tif
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EHD - Public
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Gi' MEDICAL WASTE INSPECTION REPORT r <br /> c'?� San Joaquin Countyenvironmental Health Department Date: u <br /> 1888 E.Haaelton Ave..Stockton,CA 35205 program [ Ci� <br /> Record: <br /> (209)4E8-3420 ---- <br /> Ff)R?. %vww.siogv.oraJehd Program r <br /> Eternsrd: { L <br /> Observations and Corrective Actions: <br /> 12. This registered large quantity generator does not file a medical waste management pian(MWMP)with San Joaquin County <br /> Environmental Health Department(EHD). <br /> -A large quantity generator required to register with the EHD shall file with the EHD a MWMP on forms prescribed by the EHD: <br /> HSC117960. <br /> The Medical Waste Management Plan requires updating with current facility information. Submit a revised copy of the <br /> Medical Waste Management Plan to the EHD by 315/2020. <br /> 1 1 <br /> ¢ 1 �t"�C� <br /> 13.This registered large medical waste generator does not maintain individual treatment records and shipping and tracking <br /> documents for 2 years. <br /> -A large medical waste generator required to register with the EHD shall maintain individual treatment operation records, and <br /> shipping and tracking documents for all untreated medical waste shipped offsite for treatment for 2 years. HSC117975(a) <br /> Shipping and tracking records not available for the following dates:211212020,11812020(provide white copy),11112020, <br /> 2/13/2019,5129/2019,71312019, 1111312019,11120/201g,11/2712019,12/181 1019,the week of 12/25&19. Submit copies of <br /> the shipping and trackiAg records"for medical waste picked-up from t1he facility on the listed dates to the EHD by <br /> 315!2020. <br /> -VT �:�ed <br /> 23. Biohazard bag does not meet the standard set forth in NSC 117630. <br /> -Ensure that the biohazard bag is a red disposable film bag that is impervious to moisture and tear-resistant.HSC 117630 <br /> The small biohazard bags in use in the facility do not meet D.O.T.standards ASTM D-1709 and ASTM D-1922. Discard <br /> the bags to prevent use in the facility. ---f ��, \ <br /> S M cl- C., S . <br /> 24. Pharmaceutical waste is not segregated for storage. c_) <br /> -Pharmaceutical waste shall be segregated for storage in accordance with thefacility's medical waste management plan. <br /> Shipping container shall be in compliance with DOT and DEA. HSC 118275(a)(6) <br /> Pharmaceutical waste was discarded in a sharps container on one of the med-pass carts. Submit evidence of in- <br /> service training on the segregation of pharmaceutical,sharps,and biohazard©us waste to the EHD by 3/5/`020. <br /> i k-Ck-C- U <br /> 24. Medical waste is not segregated at point of generation. <br /> -Medical waste shall be contained separately from other waste at the point of Origin.DISC 118275(a)(1) <br /> Paper was discarded in a sharps container in a med-pass cart. Submit evidence of an in-service training to the <br /> department by 3/5/2020. pp <br /> Relnspecion on/about A reinspection fee of$152 per hour maybe charged. Page 2 of 3 <br /> EH-11/17 <br />
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