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Received by: Print: Lewis Galvan Signature:� I, Phone: (209) 957-4539 <br />i <br />Reinspecion on/about: A reinspection fee of $130 per hour may be charged. Page 1 of 2 <br />EH -08/2015 <br />MEDICAL WASANSPECTION REPORT <br />Date: <br />S <br />Treatment <br />San Joaquin County Environmental Health Department <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />Program <br />Record: <br />p � <br />�-V53� L <br />(209) 468-3420 <br />Program <br />Ll 5 <br />q<%Foam <br />www.siogv.org/ehd <br />Element: <br />Facility Name <br />Address <br />City <br />Zip Code <br />Valley Gardens Healthcare and Rehabilitation 1517 knickerbocker dr. <br />Stockton <br />95210 <br />Facility Contact <br />Title Phone Number <br />Email <br />Inspection Type <br />Lewis Galvan <br />Maintenance Supervisor (209) 957-4539 <br />Routine <br />The above facility is inspected for compliance with Division 104, Part 14 of California Health and Safety Code (HSC). <br />Received by: Print: Lewis Galvan Signature:� I, Phone: (209) 957-4539 <br />i <br />Reinspecion on/about: A reinspection fee of $130 per hour may be charged. Page 1 of 2 <br />EH -08/2015 <br />Registration <br />Treatment <br />1' <br />HSC 117890 - No LOG shall generate medical waste unless <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 - LOG shall register with the EA prior to <br />❑ <br />18. <br />HSC 118165 -All treatment records shall be kept for 3 years. <br />generating medical waste. <br />❑ <br />3' <br />HSC 117903 - Permit from the EA is required prior to treating <br />El <br />19' <br />HSC 118215 -All medical waste shall be treated pursuant to <br />medical waste. <br />this section. <br />❑ <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, an approved <br />4' <br />register with the EA. <br />of or <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 exemption. <br />by incineration or an approved alternative. <br />❑ <br />6' <br />HSC 117928 - Common Storage Facility shall have permitHSC <br />E] <br />22' <br />118225 - Sharps waste shall be treated pursuant to this <br />issured by the EA. <br />section. <br />❑ <br />7 <br />HSC 117890 - LOG shall notify EA 72 hours prior to <br />Containment/Storage <br />participating in temporary event. <br />❑ <br />8' <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 />participating in temporary event. <br />in this section. <br />HSC 118275 - Medical, biohazardous, sharps, trace chemo, <br />Records/Documentation <br />® <br />24 <br />pathology, or pharmaceutical waste shall be segregated and <br />contained pursuant to this section. The container shall be <br />properlylabeled. <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 />HSC 117943 - SQG required to register shall maintain <br />26 <br />' <br />HSC 118285 - Sharps waste shall be containerized 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 maintain <br />❑ <br />27. <br />HSC 118295 - Containers shall be washed and decontaminated <br />information document and transportation records for 3 years. <br />pursuant to this section. <br />® <br />12. <br />HSC 117960 - LOG shall file MWMP with the EA. <br />❑ <br />28 <br />HSC 118305 - Reuseable drums or conainters used for medical <br />waste shall not be used for other storage. <br />F1 <br />13. <br />HSC 117975 - LOG shall maintain treatment and shipping and <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 />Transportation <br />❑ <br />30. <br />HSC 118310 - Designated accumulation area shall be secured <br />and marked with proper signage. <br />❑ <br />14. <br />HSC 117946 - MOT exemption requirements for SQG. <br />Other <br />❑ <br />15. <br />HSC 117976 - MOT exemption requirements for LOG. <br />❑ <br />31. <br />❑ <br />16. <br />HSC 118032 - Pharmaceutical waste hauling exemption. <br />❑ <br />32. <br />Received by: Print: Lewis Galvan Signature:� I, Phone: (209) 957-4539 <br />i <br />Reinspecion on/about: A reinspection fee of $130 per hour may be charged. Page 1 of 2 <br />EH -08/2015 <br />