Inspection Report: Hale Mohalu Inspection Report: Hale Mohalu Step 1 of 8 12% IntroductionInfo on the form/InstructionPassword(Required) Men's BathroomMen's Bathroom(Required)PoorFairGoodExcellentToilets / urinals cleaned and disinfectedSinks / counters cleaned and disinfectedMirrors cleanedFloors swept and moppedPaper and soap stockedTrash cans emptied and wiped downDoor handles / light switches disinfectedDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Women's BathroomWomen's Bathroom(Required)PoorFairGoodExcellentToilets cleaned and disinfectedSinks / counters cleaned and disinfectedMirrors cleanedFloors swept and moppedPaper and soap stockedTrash cans emptied and wiped downDoor handles / light switches disinfectedDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Common AreaCommon Area(Required)PoorFairGoodExcellentFloors swept / dust mopedFloors moppedDoor handles / light switches disinfectedTables tops cleaned and disinfectedCounters cleaned (under and around appliances)Sink and faucet cleaned and wiped dryTrash cans emptied and wiped downRefrigerator / microwave / toaster handles disinfectedDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Office /Lunch RoomOffice /Lunch Room(Required)PoorFairGoodExcellentFloors swept / dust mopedFloors moppedDoor handles / light switches disinfectedTables tops cleaned and disinfectedCounters cleaned (under and around appliances)Sink and faucet cleaned and wiped dryTrash cans emptied and wiped downRefrigerator / microwave / toaster handles disinfectedDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Patient RoomPatient Room(Required)PoorFairGoodExcellentFloors moppedDoor handles / light switches disinfectedTables tops cleaned and disinfectedTrash cans emptied and wiped downPatient Bathroom(Required)PoorFairGoodExcellentToilets / urinals cleaned and disinfectedSinks / counters cleaned and disinfectedMirrors cleanedFloors swept and moppedPaper and soap stockedTrash cans emptied and wiped downDoor handles / light switches disinfectedDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Treatment RoomTreatment Room(Required)PoorFairGoodExcellentFloors moppedDoor handles / light switches disinfectedTrash cans emptied and wiped downToilets / urinals cleaned and disinfectedSinks / counters cleaned and disinfectedMirrors cleanedFloors swept and moppedPaper and soap stockedDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. SummaryQuality Control Inspector Notes(Required)Date(Required) MM slash DD slash YYYY Time(Required) Hours : Minutes AM PM AM/PM Signature(Required) Δ Skip back to main navigation
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