| Deducted | Remarks |
| 3 | 420-3-11-.06(6) Test each smoke detector device at least once each quarter of each calendar year to determine if each detector is in working order, and maintain test records readily available for inspection./// PIC could not provide documentation of quarterly tests. |
| 2 | 420-3-11-.09(4) Provide protection of the clean linens from contamination on the maid or housekeeping carts.///Personal bags were stored on top of clean linen on maid carts.
420-3-11-.09(4) Clearly mark or otherwise identify separate laundry carts used for clean and dirty linen./// Laundry carts are not marked or color coded to differentiate between dirty and clean linen. |