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Facilities: Stockton 7373 West Lane <br />RED <br />San Joaquin County Medical Waste Inspection EN 2409 <br />R iTuElvry"T� <br />Date of Audit: Ja/nS* (�d09 <br />Submittal Date of Plan of Action: February 20, 2009 <br />finding # <br />Finding Description <br />Open) Closed <br />Action Ptar1-(lrtdicate all Steps) <br />Resp. Person <br />Target <br />Deft <br />Progress Notes <br />Completion ` <br />Closed <br />Date <br />1 <br />Medical Waste <br />OPEN <br />• Revise Spore Test policy, to <br />Anna Mosher <br />Draft Policy <br />Revised Spore Test policy on <br />Treatment Policies <br />specify the temperature the <br />by 2/20/09 <br />2/10/09 to include temperature <br />varies from policy <br />machine is run by. <br />Ed Rocha / Jay <br />the waste loads are run. <br />binder to policy <br />. Upon revision of the policy <br />Betz <br />Provided to SJC EHD on Feb <br />binder in each <br />send through the <br />20, 2009. <br />department. <br />appropriate committee <br />Dorris <br />. Revised Medical Waste <br />process. <br />McCafferty/ <br />Management Plan on 2/11/09. <br />® Upon approval of policy, <br />Jessica Cavan <br />Provided to SJC EHD on Feb <br />review and organize all <br />20, 2009. <br />record books. <br />e Revise Medical Waste <br />Management Plan. <br />e Update documentation <br />binders with the new <br />Medical Waste <br />Management Plan. <br />2 <br />Medical <br />OPEN <br />. The labels were placed on <br />Dorris <br />3.31.09 <br />. Provide training for EVS staff <br />biohazardous <br />the 90 gallon storage <br />McCafferty/ <br />regarding hazardous waste <br />waste labels are <br />container & the 32 Gallon <br />Jessica Cavan <br />including labeling, transport, <br />lacking on <br />barrel during the inspection <br />and other requirements also <br />containers in <br />on January 21, 2009. <br />reiterate the oversight <br />autoclave area: <br />responsibilities to the EVS <br />■ 90 gallon storage <br />Supervisors (Currently in the <br />container. <br />process of being scheduled.) <br />• Red 32 Gallon <br />barrel with no <br />lid/label. <br />3 <br />Sharp containers <br />CLOSED <br />. Place labels on sharps <br />Anna Mosher <br />01.21.09 <br />01.21.09 <br />Sharps containers were labeled <br />need to be properly <br />containers within view of <br />at the time of inspection. <br />labeled with the <br />users. <br />Dorris <br />words "Sharps <br />McCafferty/ <br />Waste" or the <br />Jessica Cavan <br />W <br />