CABINET FOR HEALTH SERVICES DEPARTMENT FOR PUBLIC HEALTH HOTEL - MOTEL INSPECTION FORM Regular Follow-up Complaint Survey Other TIME (Rev. 1-91) County: San. Code: Permit No: Date: lFOllow-up: Yes Hotel-Motel Name Address: Arrival: Departure: Owner and/or OperatOr Name Address: Number of Rooms: NOTE: indicates critical item. GEN. SANITATION, CONSTRUCTION STORAGE WATER ICE SUPPLY 6( I Water ice from approved source. approved 16. 2( Interior and exterior of structure good repair treatment adfmuate Supply 17. 2( Lobby, hallways, public restrooms, etc., clean- 2. 4( Ice properly dispensed from approved good repair paCkaged' equ'pment 18. 2( Furniture clean, good repair 3. 4( in rooms; adequate,clean, good 19' 4( and so'led *20. 6( Rodents/insects under control SEWAGE 8? SOLID WASTE DISPOSAL *21. 6( Pesticides/toxic materials pro erIy stored, 6( Approved sewage disposal system--satisfactory Used- handled: Pr?teCt9d 3? labeled operation--approved plumbing-no cross SAFETY connections I 6( Refuse disposed in approved manner 22. 4( doors open outward; exit routes 6. 4( Outside trash storage areas roperly properly 'dentlf'ed"f're eXt'nQU'Shers constructed--dumpsters, bu kcontainers, 9'0?de . covered, clean, good repair 23. 4( Electrical distribution system/other Wiring 7. 2( Guest room waste receptacles approved I properly malnta'ned I construction-adequate, clean, good repair *24. 6( Safety and fire hazards eliminated . GUEST ROOM FACILITIES ACCESSORIES 25 4( provuded on all doors leading to 8. 4( Sgg?trr?opoarn t0ilet faCIIities-adequate, clean, MISCELLANEOUS 9. 2( Floors, walls, ceilings, clean, good repair 25- 4( Dlii'theS l? sobiraslrooms Properly 10. 2( Adequate towels, washcloths, soap, toilet tissue, eanEd' Stored' san't'ze drinking glasses-provided and properly stored 27- 2l EmP'QYees conform to 900d hyglemc 11. 4( Beds, bedding material, clean, adequate, good praa'ces repair 12. 4( Mattress pads or covers provided 13. 2( Drapes, furniture, carpet, shades, curtains-?clean, i good repair I 14. 2( Adequate lighting and ventilation provided in i\ rooms, hallways, stairways, etc. - 15. 2( Light fixtures, good repair RATING: Remarks: Items marked are considered to be in Violation of KRS 219 OI I to 219 081 and the State Hotel Code and must be c0rrected: days, Failure to correct Violations as listed result in further action as provided by the Hotel Code and KRS An tion or vvithin by next routine inspec- opportunity for an appeal from any notice or inspection findings be prOvided if you file a written request for a hearing With the department Within the period of time specmed by the applicable regulation Received by: inspected by: Kmart/Hey? uni-ma mun Health Authority Local State a? i NOISE ERN Inn [Nnru HEALIH DEPARTMENT 30mm"; Ih nunr. (.?Nyamn ?duty 3, 4 ?it-n: "rah. ?it an: hull'lrat?s'rlzl'ff h?l? .1 April 7, 2015 Florence Inn. 862 Hospitality Group LLC Attn: Sridhar Kadaba 8049 Dream Street Florence. KY 4 l042 Re: Inspection Results from April 2. 2015 Dear Mr. Kadaba. The Northern Kentucky Health Department is greatly concerned about the recent inspection conducted on April 2 at the Florence Inn, located at 8049 Dream Street This inspection was conducted in conjunction with representatives from the Florence Fire Department and Florence Public Services. The Northern Kentucky Health Department observed 20 conditions contrary to Kentucky?s Hotel Code (902 KAR 7:010), 14 of which are deemed as critical violations The following conditions were observed, with asterisks indicating critical violations. The violation number corresponds with Kentucky?s Hotel Inspection Form. Violation Observation *5 Large amount of trash and debris around dumpster area and several buildings. Ceiling and walls water stained throughout facility. Active leaks observed during inspection. 9 Drywall and spackle moist to the touch due to water leaks. 16 Roofs in disrepair in all buildings - canvas and plastic tarps used as repair material. Asphalt and concrete sidewalks in disrepair around buildings and parking lots. Exterior wood portions (trim) of buildings in disrepair observed outer holes and openings. *20 Crawl space access panels removed or in disrepair. Rodent droppings observed in unoccupied rooms. Bed bugs observed in room 205. 23 Extension cords observed through door openings, and used as part of the wiring system, *24 Pool fence in disrepair - metal wire and bands used to support fencing. Pool cover not properly secured. large gaps observed Exposed wiring throughout unoccupied rooms. Floors uneven and in disrepair throughout facility - sagging, and unable to support weight. Drywall missing in unoccupied spaces - ceilings and insulation collapsing. Debris and other material stored in unoccupied rooms. Rooms, occupied and unoccupied, observed without smoke detectors. Windows broken to multiple rooms. Mold observed on walls. ceilings. and behind wallpaper throughout facility. Water heater not properly installed (Bldg 300) - fire department required immediate action. 610 l?Jl'cedical Village DIIVH. Ethewooil KY 41017 - 859 34l .4151 - Fax . - 7.1..1- org A timetable must be submitted to the Northern Kentucky Health Department by April 20, 2015 detailing your plan of action to make all necessary repairs, with the goal to have all violations corrected by May 25, 2015. All repairs must comply and be approved by the appropriate regulatory agency. Please work directly with Florence Fire Department and Public Services as appropriate. Failure to correct these violations will result in the Northern Kentucky Health Department taking action against your facility that will result in the suspension or revocation of your permit to operate. Please call me directly with any questions or concerns. Your cooperation is greatly appreciated. Sincerely, 7 (wag/{K5 Rob Caudill, RS 1-91) County: Permit No: CABINET FOR HEALTH SERVICES DEPARTMENT FOR PUBLIC HEALTH HOTEL - MOTEL INSPECTION FORM San. Code: Date. Regular Follow-up Complaint Survey Other lFolIow-up' Yes Hotel-Motel Name Address: Cl NU TIME Arrival: Departure: Owner and/or Operator Name Address: Number of Rooms: NOTE: indicates critical item. GEN. SANITATION, CONSTRUCTION STORAGE WATER ICE SUPPLY 5( exteriOrbpf structure good repair 2. 4( Ice properly dispensed from approved I ggodygepiirvays' resuooms? etc" Clean' paCkaged' equ'pmem 18. 2( Furniture clean, good repair - - 19rooms; adequate,clean. good I I Iineg}?egaigg?gfpag?gsgi?ea? and *20. 6( Rodents/insects under control SEWAGE 8? SOLID WASTE DISPOSAL *21. 6( Pesticides/toxic materials pro erly stored, 6( Approved sewage disposal system-~satisfactory ?Sed' handIEdr p'OteCte?j 3? IabEIed- operation??approved plumbing-no cross SAFETY connections 6( Refuse disposed in approved manner 22. 4( Exit doors open outward; exit routes 6. 4( Outside trash storage areas roperly properly Identi?ed-?flre eXt'nQU'SherS constructed--dumpsters, bu containers, covered, clean, good repair 23. 4( Electrical distribution system/other wiring 7. 2( Guest room waste receptacles approved proper'y mai'ma'md . construction-adequate, clean, good repair *24. 6( I Safety and fire hazards GUEST ROOM FACILITIES ACCESSORIES 25. 4( prowded on all doors leading to . - 8 4( Sgg?trgopoarn t0i et facilities adequate, clean, MISCELLANEOUS 9. Floors, walls, ceilings, clean, good repair 26- 4( I In GUM/rooms properly 10. 2( Adequate towels, washcloths, soap, toilet tissue, deaned' Stored' san't'zed drinking glasses?~prowded and properly stored 27? 2l I EmpIdeeS comform t0 900d hyglenlc II. 4( Beds, bedding material, clean, adequate, good praCt'ces repair 12. 4( Mattress pads or covers provided 13. 2( Drapes, furniture, carpet, shades, curtains--c ean, good repair 14. 2( Adequate lighting and ventilation provided in rooms, hallways, Stairways, etc. 15. 2( Light fixtures, shades--clean good repair RATING: Remarks: Items marked are cOnSidered to be in violation of KRS 219 011 to 219 081 and the State Hotel Code and must be c0rrected: by next routine inspec- days. Failure to c0rrect violations as listed result in further action as provided by the Hotel Code and KRS 219.991 (1), An opportunity for an appeal from any notice or Inspection findings Will be provided if you file a written request for a hearing With the department Within the period of time speCified by the applicable regulation. tion 0r Within Recewed by: Inspected by: Rested}? Health Authority Local [3 State 4.0 ?can? 06. . o? 19 a NORTHERN ENTUCK I INDEPENDENT DISTRICT If 2 V. HEALTH DEPARTMENT PB .9 nifiifhruzih 1 Promoting and protecting the health of Northem Kentucky by providing (64:31 ?9 public health services essential for a safe and healthy community June 1,2015 Florence Inn, .1 Hospitality Group LLC Attn: Sridhar Kadaba 8049 Dream Street Florence, KY 41042 Re: Follow?up Inspection Results from May 26, 2015 Dear Mr. Kadaba, The Northern Kentucky Health Department, in conjunction with a representative from the Florence Fire Department, conducted a follow-up inspection on May 26, 2015 of the Florence Inn, located at 8049 Dream Street in Florence. This follow-up inspection was based upon our ?ndings of a regular inspection, conducted on April 2, 2015, that resulted in 20 observed violations contrary to Kentucky?s Hotel Code (902 KAR 7:010), 14 of which were deemed as critical violations. During the follow-up inspection, The Northern Kentucky Health Department observed 12 violations previously debited during the April 2, 2015 inspection that have not been corrected, 7 of which are deemed as critical violations. The following conditions were observed, with asterisks indicating critical violations. The violation number corresponds with Kentucky?s Hotel Inspection Form. Violation Observation Ceiling and walls water stained throughout facility. 9 Drywall and spackle moist to the touch due to water leaks. 16 Roofs in disrepair in all buildings - plastic tarps used as repair material. Asphalt and concrete sidewalks in disrepair around buildings and parking lots. Exterior wood portions (trim) of buildings in disrepair observed outer holes and openings. Pool not covered - state pool engineer concluded extensive repairs needed for reopening. Exposed wiring throughout unoccupied rooms. *24 Floors uneven and in disrepair throughout facility - sagging, and unable to support weight. Drywall missing in unoccupied spaces - ceilings and insulation collapsing. Debris and other material stored in unoccupied rooms. Mold observed on walls, ceilings, and behind wallpaper throughout facility. Water heater not properly installed (Bldg 300) temporary ?x currently inoplace. 10 Medical Village Drive. Edgewood. KY 41017 - 859.341.4151 - Fax: 859.578.7871 - TTY: 7-1-1- The following details the violations from the April 2, 2015 inspection that have been addressed and corrected: Violation Observation *5 Large amount of trash and debris around dumpster area and several buildings. Crawl space access panels removed or in disrepair. *20 Rodent droppings observed in unoccupied rooms. Bed bugs observed in room 205. 23 Extension cords observed through door openings, and used as part of wiring system. Pool fence in disrepair metal wire and bands used to support fencing. *24 Rooms, occupied and unoccupied, observed without smoke detectors. Windows broken to multiple rooms. As stated in the April 2, 2015 inspection and corresponding letter, all critical and non?critical violations were to be corrected by May 25, 2015. Additionally, all repairs must comply and be approved by the appropriate regulatory agency. Currently, the Florence Fire Department has you under notice for several violations, including not having all buildings evaluated by a structural engineer. Based upon inspection results, the Northern Kentucky Health Department has issued you an Enforcement Notice, dated June 1, 2015, with the Intent to Suspend the facility?s operating permit. The operating permit shall be suspended 10 days from the date of receipt of the notice unless a written request for a conference, pursuant to 902 KAR 1:400, is ?led with this of?ce. The enclosed form may be used to request the conference. Please call me directly with any questions or concerns. Your cooperation is greatly appreciated. Sincerely, Lat/1% Rob Caudill, RS