COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT -` TMENT 1.. 1868 East Hazelton Avenue, Stockton, CA 95202-6232 Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov oro/ehd HOTEL/MOTEL OFFICIAL INSPECTION REPORT Name of Facility: 7 Address: Inspection Date: Owner/Operator: L �� Phone: o o9 l� Annual Inspection ElcomplaintComplaint Inspection ❑ Consultation Ins ec #Units in Facilit P E] Re-InspectionY #Units Inspected: 111 Reinspection On or About: The items checked below are violations to be corrected. See Reverse Side of this Form for Detailed summary of violations and Code References. ❑ 1. BoomCleanliness: Lack of cleanliness&sanitation;Accumulation of debris,trash, Room(s): garbage,combustible items or similar materials. Room Maintenance: General lack of repair or improper maintenance; Broken or non- 2 functioning sink/toilet/bath; Lack of hot water. Floors: Not clean,properly covered or in o bP.;key. v/ �`d 0 good repair.Walls&Ceilings:Walls/ceilings in need of cleaning or repair: Holes,water damage,peeling or deteriorating paint; Dampness or excessive moisture in room. ❑ 3 Heating;Lack of approved heating in each unit;Approved heater not maintained in a safe, working condition;Lack of adequate heat(Standard:70°F at 3 feet from floor). Drinking Utensils&Ice Buckets:Not protected from contamination; Lack of or improper ❑ 4. washing&sanitizing after each usemulti-use , ( )�Lack of or improper protective bagging (multi-use)or individual protective wrapping(single-use). ❑ s Bedding: Mattress/linens infested with lice,bedbugs,or other insects; Not free from filth or foul matter; Unsafe; Linens not changed weekly or before new guest. ❑ 6 1 Garbage Receptacles: Inadequate number of garbage receptacles;Lack of or inadequate I close fitting covers;Garbage receptacles unclean or in disrepair. ❑ 7. Public Areas: Unsafe or unsanitary conditions in kitchen, hallways,stairways,exits,or other publicly shared spaces. ❑ 1 8. i Pest Control: Infestation of insects,vermin or rodents. ❑ 9. Other Nuisance:Any other condition which is hazardous to health. Other Substandard or Unsafe Conditions: Electrical,structural,or plumbing hazards; Lack ❑ 10. of or inadequate smoke detectors or fire extinguishers; Inadequate lighting; Inadequate protection from weather, Inadequate sewa pi water facilities. Pest trontrol Used? es ❑No Company Name: e Frequency: b ` Hotel/Motel Business License? rZYes ❑No Multi-Jurisdictional Violations to be Referred to:❑City Building/ ode Enforcement/Fire❑County Code Enforcement/Fire❑Other Rooms inspected: cOY O 2 3 ��- carn rnenrs. d K iet 1 nX 6 c./ i'%A -e All violations in rooms not inspected must also be corrected. All re-impections, 4y the Environmental Health Department will be billed at the current hourly rate. Received B Title: �l Environ ental a ecialist: C j, ( C 1i%Phone: r l,,-tt S fl Page 1 of EHD 24-01 4-30-12 HOTEUMOTEL OR