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MEDICAL WASTEPECTION REPORT Date: 'L jQ a San Joaquin County Environmental Health Department Program P� Q S3� &2 ` 1868 E. Hazelton Ave., Stockton, CA 95205 Record: (209) 4683420 - Program s gyp% Element zq `� T c%F ' www.sioqv.org/ehd The above facility is inspected for compliance with Division 104, Part 14 of California Health and Safety Code (HSC). Registration ❑ 1 HSC 117890 - No LOG shall generate medical waste unless registered with the EA. ❑ 2' HSC 117950 - LOG shall register with the EA prior to generating medical waste. HSC 117903 - Permit from the EA is required prior to treating E] 3' medical waste. ❑ 4" HSC 117925 - SQG that treats medical waste onsite shall register with the EA. HSC 117900 - Shall not haul medical waste unless registered, ❑ 5. common carrier, trauma scene practitioner, or exempted under the MOT exemption. HSC 117928 - Common Storage Facility shall have permit ❑ 6' fissured by the EA. ❑ 7' HSC 117890 - LOG shall notify EA 72 hours prior to participating in temporary event. F1 8, HSC 117895 - SQG shall notify EA 72 hours prior to .... ;-;—c— in tcmnnrnry PVPnt_ Records/Documentation ❑ 19. I HSC 117935 - Registered SQG shall file MWMP with the EA. ❑ 10. HSC 117943 - SQG required to register shall maintain treatment and shipping and tracking records for 3 years. ❑ 11. HSC 117945 - SQG not required to register shall maintain information document and transportation records for 3 years. E 112. I HSC 117960 - LOG shall file MWMP with the EA. ❑ 13. HSC 117975 - LOG shall maintain treatment and shipping and tracking documents for 2 years. Transportation ❑ 114. I HSC 117946 - MOT exemption requirements for SQG. ❑ 115. I HSC 117976 - MOT exemption requirements for LOG ❑ 116. 1 HSC 118032 - Pharmaceutical waste hauling exemption. Print- John Chandar DA -f- I Fnctar Reinspecion on/about: A reinspection fee of 3' EH -11/17 Treatment HSC 118130 - All onsite medical waste treatment facilities shall El 17. be permitted by the EA. ❑ 18. HSC 118165 - All treatment records shall be kept for 3 years. El 19. HSC 118215 - All medical waste shall be treated pursuant to tZs section. HSC 118220 - Pathology waste of a human nature shall be ❑ 20. disposed of by interment, incineration, or an approved HSC 118222 - Contaminated pathology waste, trace chemo ❑ 21. waste, or pharm waste from health care settings shall be treated b incineration or an approved alternative. HSC 118225 - Sharps waste shall be treated pursuant to this ❑ 22' section. Containment/Storage ® HSC 117630 - Biohazard bag shall meet the standards set forth 23. in this section. HSC 118275 - Medical, biohazardous, sharps, trace chemo, ® 24 pathology, or pharmaceutical waste shall be segregated and contained pursuant to this section. The container shall be properly labeled. ❑ 25 HSC 118280 - Biohazard bags shall be containerized and stored pursuant to this section. F1 26 HSC 118285 - Sharps waste shall be containerized and stored pursuant to this section. ❑ HSC 118295 - Containers shall be washed and decontaminated 27' pursuant to this section. ❑ 28 HSC 118305 - Reuseable drums or conainters used for medical waste shall not be used for other storage. ❑ 29. HSC 118307- Intermediate storage area shall be secured and marked with proper signage. ❑ 30. HSC 118310 - Designated accumulation area shall be secured and marked with proper signage. A -4539 7310 Page 1 of 2 City Zip Code Facility Name Address 95210 Health Center (Kindred Trans. Care & Rehab.) 1517 knickerbocker dr. Stockton Clearwater Phone Number Email Inspection Type Facility Contact Title 209-957-4539 john.chandar@lin Routine John Chandar Facility Administrator kshealth.com The above facility is inspected for compliance with Division 104, Part 14 of California Health and Safety Code (HSC). Registration ❑ 1 HSC 117890 - No LOG shall generate medical waste unless registered with the EA. ❑ 2' HSC 117950 - LOG shall register with the EA prior to generating medical waste. HSC 117903 - Permit from the EA is required prior to treating E] 3' medical waste. ❑ 4" HSC 117925 - SQG that treats medical waste onsite shall register with the EA. HSC 117900 - Shall not haul medical waste unless registered, ❑ 5. common carrier, trauma scene practitioner, or exempted under the MOT exemption. HSC 117928 - Common Storage Facility shall have permit ❑ 6' fissured by the EA. ❑ 7' HSC 117890 - LOG shall notify EA 72 hours prior to participating in temporary event. F1 8, HSC 117895 - SQG shall notify EA 72 hours prior to .... ;-;—c— in tcmnnrnry PVPnt_ Records/Documentation ❑ 19. I HSC 117935 - Registered SQG shall file MWMP with the EA. ❑ 10. HSC 117943 - SQG required to register shall maintain treatment and shipping and tracking records for 3 years. ❑ 11. HSC 117945 - SQG not required to register shall maintain information document and transportation records for 3 years. E 112. I HSC 117960 - LOG shall file MWMP with the EA. ❑ 13. HSC 117975 - LOG shall maintain treatment and shipping and tracking documents for 2 years. Transportation ❑ 114. I HSC 117946 - MOT exemption requirements for SQG. ❑ 115. I HSC 117976 - MOT exemption requirements for LOG ❑ 116. 1 HSC 118032 - Pharmaceutical waste hauling exemption. Print- John Chandar DA -f- I Fnctar Reinspecion on/about: A reinspection fee of 3' EH -11/17 Treatment HSC 118130 - All onsite medical waste treatment facilities shall El 17. be permitted by the EA. ❑ 18. HSC 118165 - All treatment records shall be kept for 3 years. El 19. HSC 118215 - All medical waste shall be treated pursuant to tZs section. HSC 118220 - Pathology waste of a human nature shall be ❑ 20. disposed of by interment, incineration, or an approved HSC 118222 - Contaminated pathology waste, trace chemo ❑ 21. waste, or pharm waste from health care settings shall be treated b incineration or an approved alternative. HSC 118225 - Sharps waste shall be treated pursuant to this ❑ 22' section. Containment/Storage ® HSC 117630 - Biohazard bag shall meet the standards set forth 23. in this section. HSC 118275 - Medical, biohazardous, sharps, trace chemo, ® 24 pathology, or pharmaceutical waste shall be segregated and contained pursuant to this section. The container shall be properly labeled. ❑ 25 HSC 118280 - Biohazard bags shall be containerized and stored pursuant to this section. F1 26 HSC 118285 - Sharps waste shall be containerized and stored pursuant to this section. ❑ HSC 118295 - Containers shall be washed and decontaminated 27' pursuant to this section. ❑ 28 HSC 118305 - Reuseable drums or conainters used for medical waste shall not be used for other storage. ❑ 29. HSC 118307- Intermediate storage area shall be secured and marked with proper signage. ❑ 30. HSC 118310 - Designated accumulation area shall be secured and marked with proper signage. A -4539 7310 Page 1 of 2