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Observations and Corrective Actions: 19. For steam sterilization, the temperature does not reach 250 F for 30 minutes. Thermometer is not calibrated annually. - Recording or indicating thermometers shall be checked during each complete cycle to ensure the attainment of 250 F for at least 30 minutes. HSC118215(2)(B)-Submit evidence of the thermometers annual calibration within 30 days. 24. Pharmaceutical waste is not segregated for storage. - Pharmaceutical waste shall be segregated for storage in accordance with the facility's medical waste management plan. Shipping container shall be in compliance with DOT and DEA. HSC 118275(a)(6) - Nonradioactive and non-RCRA pharmaceutical wastes, that are regulated as medical waste, shall be placed in a container or secondary container labeled with the words "HIGH HEAT OR INCINERATION ONLY" on the lid and sides, so as to be visible from any lateral direction. HSC 118275(a)(6)(B)-The following areas had pharmaceutical containers without the label on top: 2 West Dirt Utility Room and SICU Dirty Utility Room. Materinity Dirty Utility Room had a sharps container with pharmaceutical waste. Submit photographic evidence of correction for the containers without the top label within 30 days. Notes: 1. Stericycle is the medical waste hauler. 2. Treatment and tracking records were available for review. 3. Some manifests did not indicate where the medical waste was going for treatment. Facility was instructed to ensure that subsequent manifests indicate where the waste is going for treatment. 4. Manifests were completed for the drop off of racks used to hold medical waste containers. Facility was informed that manifests are not required for this situation. Reinspecion onlabout: A reinspection fee of $130 per hour may be charged. Page 2 of 2 EH -08/2015 MEDICAL WASASPECTION REPORT Date: � i � ILA San Joaquin County Environmental Health Department Program 1868 E. Hazelton Ave., Stockton, CA 95205 Record: mo 145 dW �4<1Fa'�`'�P (209) 468-3420 www.sjogv.org/ehd Program Element: L 65ZL Observations and Corrective Actions: 19. For steam sterilization, the temperature does not reach 250 F for 30 minutes. Thermometer is not calibrated annually. - Recording or indicating thermometers shall be checked during each complete cycle to ensure the attainment of 250 F for at least 30 minutes. HSC118215(2)(B)-Submit evidence of the thermometers annual calibration within 30 days. 24. Pharmaceutical waste is not segregated for storage. - Pharmaceutical waste shall be segregated for storage in accordance with the facility's medical waste management plan. Shipping container shall be in compliance with DOT and DEA. HSC 118275(a)(6) - Nonradioactive and non-RCRA pharmaceutical wastes, that are regulated as medical waste, shall be placed in a container or secondary container labeled with the words "HIGH HEAT OR INCINERATION ONLY" on the lid and sides, so as to be visible from any lateral direction. HSC 118275(a)(6)(B)-The following areas had pharmaceutical containers without the label on top: 2 West Dirt Utility Room and SICU Dirty Utility Room. Materinity Dirty Utility Room had a sharps container with pharmaceutical waste. Submit photographic evidence of correction for the containers without the top label within 30 days. Notes: 1. Stericycle is the medical waste hauler. 2. Treatment and tracking records were available for review. 3. Some manifests did not indicate where the medical waste was going for treatment. Facility was instructed to ensure that subsequent manifests indicate where the waste is going for treatment. 4. Manifests were completed for the drop off of racks used to hold medical waste containers. Facility was informed that manifests are not required for this situation. Reinspecion onlabout: A reinspection fee of $130 per hour may be charged. Page 2 of 2 EH -08/2015