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KAISER PERMANENTE® <br />RECEEVEI0 <br />Moses D. Elam, MD <br />';f`Physician-in-Chief <br />J 19 2011 <br />Corwin N. Harper, MHA, FACHE <br />ENVIRONMENTAL HEALTH Senior Vice President/Area Manager <br />PERMIT/SERVICES Central Valley Service Area <br />Corrective Action Statements and Supporting Documentation <br />Violation: HSC Section 18222 (b) — Incineration Required — In the closet near the ICU and <br />CDA, there was a pharmaceutical sharps container in a red bag biohazard container. <br />Pharmaceutical waste containers need to be stored outside of biohazard containers. <br />Violation: HSC Section 118222 (b) — Incineration Required — In the designated accumulation <br />area there was a pharm sharps container in a red bag biohazard container. Pharmaceutical waste <br />containers need to be stored outside of biohazard containers. <br />Corrective Statement: Submit documentation showing corrective action that will prevent <br />future incidences by 5/20/11. <br />Supporting Photo Documentation: The sign in the photo below was created and added to <br />every biohazard closet storage location in the Manteca Hospital and Manteca Medical Office <br />Building, including the outside Medical Waste Accumulation areas in Manteca and the Tracy <br />Medical Office Building. Environmental Services staff for both Manteca and Tracy was trained <br />and the sign in sheet from that training is attached below. For those employees that are on a <br />Leave of Absence (LOA), vacation or medical leave, they will be trained within 30 days of their <br />return back to work. <br />PHARMACEUTICAL WASTE <br />Stockton Medical Office <br />7373 West Lane, Stockton, CA 95210 <br />Page I of 5 <br />Manteca Medical Center Tracy Medical Offices Modesto Medical Offices <br />1777 W. Yosemite Avenue, Manteca, CA 95337 2185 W. Grant Line Road, Tracy, CA 95377 Post Office Box 577680, Modesto, CA 95357 <br />