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Feb. 25. 2016 11:48AM No. 8337 P. 1/56 <br />..: ®-so... MEDICAL WASTI&SPECTION REPORT Date: .2— /:5A <br />San Joaquin County environmental Health Department pro <br />gram <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: <br />(209) 468-3420 Program <br />www.siogv.org/ehd Element: <br />Facility Name Address City Zip Code <br />Wine Country Care Center 321 w. turner rd. Lodi 95240 <br />Facility Contact Title Phone Number Email Inspection Type <br />Paul G. Gross Administrator (209) 334-3760 Routine <br />The above facility is inspected for compliance with Division 104, Part 14 of Callfornla Health and Safety Code (NSC). <br />Received by: Print: Paul G. Grass Stgraturro:IP6- � Phone: (209) 33A-3760 <br />fteciallst: Print: Harodi Pviatiu. Sr REH3 Sionature: .FlA Phone: (209) 4138.3284 <br />Rc: specion on/about. A reinspection fee of $133 per hour may be cha.-Vd. Page 1 of 2 <br />EH -08/2015 <br />Received Time Feb.25. 2016 11:52AM No,1498 <br />Registration <br />Treatment <br />El1' <br />HSC 117890 - No LOG shall generate medical waste unless <br />❑ <br />17" <br />HSC 118130 -All onsite medical waste treatment facilities shall <br />registered with the EA. <br />be permitted by the EA. <br />❑ <br />2 <br />HSC 117950 - LQG shall register with the EA prior to <br />❑ <br />18. <br />HSC 118166 - Ail treatment records shall be kept for 3 years. <br />generating medical waste. <br />3' <br />HSC 117903 - Permit from the EA is required prior to treating <br />El <br />9' <br />HSC 118216 -All medical waste shall be treated pursuant to <br />medical waste. <br />this section. <br />El <br />HSC 117925 - SQG that treats medical waste onsite shall <br />❑ <br />20. <br />HSC 118220 - Pathology waste of a human nature shall be <br />disposed by interment, Incineration, <br />4' <br />register with the EA. <br />of or an approved <br />alternative. <br />HSC 117900 - Shall not haul medical waste unless registered, <br />HSC 118222 - Contaminated pathology waste, trace chemo <br />❑ <br />5. <br />common carrier, trauma scene practitioner, or exempted <br />❑ <br />21. <br />waste, or pharm waste from health care settings shall be treated <br />under the MOT exam tion. <br />by Incineration or an approved alternative, <br />El <br />6' <br />HSC 117928 - Common Storage Facility shall have permit <br />❑ <br />22. <br />NSC 118225 - Sharps waste shall be treated pursuant to this <br />issured by the EA. <br />section. <br />❑ <br />7. <br />HSC 117690 - LQG shall notify EA 72 hours prior to <br />Cohtainment7Sforage.:. <br />participating in temporary event. <br />❑ <br />®' <br />HSC 117895 - SQG shall notify EA 72 hours -prior to <br />❑ <br />23' <br />HSC 117630 - Biohazard bag shall meet the standards set forth <br />articl atin In temporary event. <br />in this section. <br />HSC 118275 Medical, Mce - cal, biohazaous, sharps, tram chemo, <br />Records/DocUmetatat10i1 : <br />❑ <br />24' <br />pathology, or pharmaceutical waste shall be segregated and <br />,' ,... <br />contained pursuant to this section. The container shall be <br />properly labeled. <br />❑ <br />9. <br />HSC 117935 = Registered SQG shall file MWMP with the EA. <br />® <br />25. <br />HSC 118280 - Biohazard bags shall be containerized and <br />stored pursuant to this section. <br />El <br />10. <br />NSC 117943 - SQG required to register shall maintain <br />El <br />26' <br />HSC 118288 - Sharps waste shall be contalnerixed and stored <br />treatment and shipping and tracking records for 3 years. <br />pursuant to this section. <br />❑ <br />11. <br />HSC 117945 - SQG not required to register shall malntaln <br />❑ <br />27 <br />HSC 118295 - Containers shall be washed and decontaminated <br />information document and transportation records for 3 years. <br />' <br />pursuant to this section. <br />® <br />12. <br />HSC 117960 - LQG shall file MWMP with the EA. <br />28 <br />HSC 118305 - Reuseable drums or conainters used for medical <br />waste shall not be used for other storage. <br />13. <br />HSC 117976 - LQG shall maintain treatment and shipping and <br />❑ <br />29 <br />' <br />HSC 118307- Intermediate storage area shall be secured and <br />tracking documents for 2 years. <br />marked with proper signage. <br />Ti"8t1Sp4ftd�ECiP! <br />El <br />30. <br />HSG 118310 - Designated accumulation area shall be secured <br />and marked with proper signage. <br />❑ <br />14.HSC <br />117946 - MOT exemption requirements for SQG. <br />Qtt:er. <br />El <br />15. <br />HSC 117976 - MOT exemption requirements for LQG. <br />❑ <br />31. <br />❑ <br />16. <br />HSC 118032- Pharmaceutical Waste hauling exemption. <br />�❑ <br />32. <br />Received by: Print: Paul G. Grass Stgraturro:IP6- � Phone: (209) 33A-3760 <br />fteciallst: Print: Harodi Pviatiu. Sr REH3 Sionature: .FlA Phone: (209) 4138.3284 <br />Rc: specion on/about. A reinspection fee of $133 per hour may be cha.-Vd. Page 1 of 2 <br />EH -08/2015 <br />Received Time Feb.25. 2016 11:52AM No,1498 <br />