My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
K
>
KNICKERBOCKER
>
1517
>
4500 - Medical Waste Program
>
PR0536182
>
COMPLIANCE INFO
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
7/15/2025 3:48:44 PM
Creation date
7/3/2020 10:19:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0536182
PE
4524 - SKILLED NURSING FACILITY
FACILITY_ID
FA0009746
FACILITY_NAME
Kindred Transitional Care and Rehabilitation Valley Gardens
STREET_NUMBER
1517
STREET_NAME
KNICKERBOCKER
STREET_TYPE
DR
City
STOCKTON
Zip
95210
APN
09056004
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4524_PR0536182_1517 KNICKERBOCKER_.tif
Site Address
1517 KNICKERBOCKER DR STOCKTON 95210
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
164
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
2015-10-30 10:28 <br />0"a":;iw� <br />2094688392 P 2/7 <br />MEDICAL WASIIINSPECTION REPORT <br />ur; ?San Joaquin County Environmental Health Department <br />Date: <br />' O Z. P S <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />�• . ;, - . .: (209) 458-3420 <br />Program <br />Record: <br />n ,. <br />P f S j <br />Lo <br />www.so v.o /ehd <br />Program <br />Il <br />Element: <br />Facility Name Address <br />Valley Gardens Healthcare and Rehabilitation 1517 knickerbocker dr. <br />City <br />Zip Code <br />Facility Contact <br />Stockton <br />95210 <br />Title Phone Number <br />Lewis Galvan <br />Email <br />Inspection Type <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 SaNty Code (H8C). <br />Registration <br />❑ 1 HSC 117890 - No LOG shall generate medical waste unless <br />registered with the EA. <br />❑ 2 HSC 117950 - LOG shall register with the EA prior to <br />generating medical waste. <br />3 HSC 117903 - Permit from the EA is required prior to treating <br />medical waste, <br />4 HSC 117925. SOG that treats medical waste onsite shall <br />register with the EA. <br />HSC 117900 - Shalf not haul medical waste unless registered, <br />❑ 5. common carrier, trauma scene practitioner, or exempted <br />-11 <br />6' HSC 117928 - Common Storage Facility shall have permit <br />assured by the EA, <br />❑ 7 HSC 117890 - LOG shall notify EA 72 hours prior to <br />participating in temporary event. <br />8. HSC 117895 - SQG shall notify EA 72 hours prior to <br />artiei atij no in tem ora event. <br />ReCords/DOClumentation <br />❑ 9. HSC 117935 - Registered SQG shall file MWMP with the EA. <br />❑ 10 HSC 117943 - SOG required to register shall maintain <br />treatment and shipping and tracking records for 3 years, <br />❑ 11. HSC 117945 - SQG not required to register shall maintain <br />information document and transportation records for 3 years, <br />ED 112. I HSC 117960 - LOG shall file MWMP with the EA <br />❑ 13 HSC 117976 - LOG shall maintain treatment and shipping and <br />tracking documents for 2 years. <br />Trantyportation <br />❑ 14, T HSC 117946 - MOT exemption requirements for SQG. <br />❑ t5. HSC 117976 -MOT exemption requirements for LOG, <br />❑ 15. NSC 118032 - Pharmaceutical waste hauling exemption, <br />Lewis Galvan <br />Print: <br />Treatment ` <br />ITSC 118130 -All onsite medical waste treatment facilities shall <br />e permitted by the F�4. <br />SC 118165 - All treatment records shall be kept for 3 years. <br />SC 118215 - All medical waste shall be treated pursuant to <br />is section. <br />SC 118220 - Pathology waste of ahuman nature shall be <br />sposed of by interment, incineration, or an approved <br />HSC 118222 - Contaminated pathology waste, trace chemo <br />❑ 21. waste, or Pharm waste from health care settings shall be treated <br />b incineration or an a roved alternative. <br />❑ 22 HSC 118225 - Sharps waste shall be treated pursuant to this <br />section. <br />Containment/Storage <br />❑ 23. HSC 117630 -Biohazard bag shalt meet the standards set forth <br />in this section. <br />HSC 118275 - Med Cal, biohazardous, sharps, trace chemo, <br />24. pathology, or pharmaceutical waste shall be segregated and <br />contained pursuant to this section. The container shall be <br />❑ 25 HSC 118280 - Biohazard bags shall be containerized and <br />stored pursuant to this section, <br />❑ 26 HSC 118285 - Sharps waste shall be containerized and stored <br />pursuant to this section. <br />❑ 27 HSC 118295 -Containers shall be washed and decontaminated <br />pursuant to this section, <br />❑ 28 HSC 118305 - Reuseable drums or conainters used for medical <br />waste shall not be used for other storage. <br />❑ 29 HSC 118307- Intermediate storage area shah be secured and <br />marked with proper signage. <br />❑ 30. HSC 118310 - Designated accumulation area shall be secured <br />and marked with proper si nage. <br />Other <br />W <br />teinspecion on/about: A reinspection fee of $130 per hour may be charged. <br />!H-08/2015 Page 1 01`2 <br />Received Time Oct, 30. 2015 10:44AM No. 1401 <br />
The URL can be used to link to this page
Your browser does not support the video tag.