51     patients are secluded in inadequate areas, without proper structure and hygiene; food storage is inadequate, which causes food to decay; inadequate use of refrigerator; tables in the dining room are covered with plastic screwed onto them, [making] proper cleaning difficult.  fuse box is damaged, which can cause accidents;  poor hygienic conditions (ceiling, walls and floor need cleaning) [, and]  poor sanitary conditions (bathrooms [are] in bad conditions [, and] with no showers, washbasins, waste baskets, and toilets [are] dirty and without seat covers. [Therefore,] these findings […] suggest the need [to adopt] maintenance and other measures […] for the promotion of health and quality of life […] at Casa de Reposo Guararapes98 112(64) On November 4, 1999, the Secretaría de Salud y Asistencia Social (Health and Social Services Bureau) sent an official letter to the Administrative Department of Casa de Reposo Guararapes (Guararapes Rest Home), in reference to a visit conducted by the Control, Evaluation and Audit Coordinator and the Physician of the Audit Municipal System, during which the following irregularities were identified: a) absence of ward doctor; b) no oxygen, “secretion aspirator,” vaporizer, and other medical instruments in the emergency room; c) no treatment room or “medication cart;” d) the areas allocated for the equipment in b and c are in poor hygienic conditions, and e) medical records do not include progress and detailed follow-up reports to be prepared by social services, psychology, occupational therapy and (senior) nursing staff, “which are of paramount importance in mental health care.” Based on these findings, the Health and Social Services Bureau gave Casa de Reposo Guararapes (Guararapes Rest Home) a period of 15 days to cure such irregularities, and advised that failure to do so would result in cancellation of authorizations for hospital admissions.99 112(65) On November 5, 1999, divisions of the Health and Social Services Bureau conducted a joint inspection at Casa de Reposo Guararapes (Guararapes Rest Home), and reported the following findings: a) according to the interviews conducted with patients, there is maltreatment, especially against male patients, and such treatment begins when patients are taken to Casa de Reposo Guararapes by the police; b) It seems strange that the Control, Evaluation and Audit Municipal Coordinator for the Health and Social Services Bureau did not deactivate 98 Cf. inspection conducted by the Vigilancia Sanitaria de la Secretaría de Salud y Asistencia Social (Sanitary Surveillance Department of the Health and Social Services Bureau) on October 21, 1999 (record of appendixes to the answer to the application, appendix I, volume I, pages 1551 to 1553). 99 Cf. official letter No. 1024/99 issued by the Secretaría de Salud y Asistencia Social (Health and Social Services Bureau) on November 4, 1999 to the Administrative Department of Casa de Reposo Guararapes (Guararapes Rest Home) (record of appendixes to the answer to the application, appendix I, volume I, page 1549).