| Deducted | Remarks |
| 1 | 10.A Label stacked cots to identify the user’s name. |
| 1 | 6.A.2.a Provide self-closing doors equipped with sounding devices that alert the staff that a door has been opened for all doors leading to the outside. Sounding device leading on the side door leading to the outside disabled. |
| 4 | 11.A.2 Dispense disinfectants from clean spray containers that are clearly identified, or dispense from the original container. Unlabeled spray bottle in the sanitization room. Spray bottle properly labeled prior to the end of the inspection |