C. difficile Enhanced Environmental Cleaning Verification

Inspection template for verifying enhanced room and equipment cleaning for residents on C. difficile precautions, including bleach-based disinfection and ATP or fluorescent marker verification.

Inspection Details

• Resident or room identified for C. difficile precautions
  Record the room number, unit, or resident identifier used by the facility.
• Inspection type
  Select the type of enhanced cleaning verification performed.
• Date and time of verification
• Inspector name and role

PPE and Worker Protection

• Appropriate PPE worn during cleaning verification
  Verify gloves and gown were used as required by facility precautions and task exposure.
• Hand hygiene performed before and after room entry
• Cleaning staff trained on C. difficile enhanced cleaning procedure
  Confirm the assigned staff member is trained on bleach-based disinfection and verification process.

Bleach-Based Disinfectant Preparation and Contact Time

• EPA-registered bleach-based disinfectant used for C. difficile surfaces
  Confirm the product used is approved by facility policy for C. difficile environmental disinfection.
• Disinfectant prepared according to label or facility SOP
• Required wet contact time achieved on treated surfaces
  Verify surfaces remained visibly wet for the full required dwell time.
• High-touch surfaces treated with bleach-based disinfectant
  Examples include bed rails, call bell, overbed table, bedside cabinet handles, light switches, door handles, and bathroom fixtures.

Room and Bathroom Cleaning Verification

• Bed area cleaned and disinfected
• Bathroom surfaces cleaned and disinfected
  Verify toilet, sink, faucet handles, grab bars, flush handle, and nearby touch points were disinfected.
• Frequently touched room surfaces free of visible soil after cleaning
• Waste and linen removed and handled per infection control procedure
• Room ready for re-occupancy

Shared Equipment and Transport Items

• Shared equipment cleaned and disinfected before removal from room
  Includes blood pressure cuff, thermometer, pulse oximeter, walker, commode, or other reusable equipment.
• Equipment surfaces free of visible soil and residue
• Dedicated or disposable items disposed of or returned per policy

Objective Verification and Documentation

• ATP or fluorescent marker verification performed
  Select the objective verification method used to assess cleaning quality.
• Verification result meets facility acceptance criteria
  Document whether the ATP reading or fluorescent marker removal passed the facility threshold.
• Deficiencies documented and corrected before sign-off
• Inspector signature