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Holiday Inn Express 200028 05 25 17
N'. C. Depumteat or"5aciroamem ,taNatural Resaurm 98.5 nim=edE vvoaa nulHerrn Score: Health Department 18 Catawba Inspection of Date ofinsp;chg: 0 5 1 a 5 1 a 0 1 7 Current Facility 2018200028 Lodging Establishment Status Code_ A Old Facility ID Water Supply: © m unicipaUCommunity ❑ on -Site Supply Water sampie taken today? Arinspection ❑ Name Change Ely es ❑e No 713e -inspection ❑Verification ofClosure Wastewater. ©M unicipairCornmunfty ❑On -Site System [7]Visit ❑ Status Change Name of Establishment: HOLIDAY INN EXPRESS OwnedOperalor. PIEDIAONT CENTER ASSOCIATES Location Address: 104 10TH ST PL NW mailing Addr. City: CONOVER stag NC zip 28613 City; St Zip: Deduction COMM.ENrS LOBBY, HALLS ANID STAIRS (.1848) Full half 1. Ventilation clean and in good repair .............................. -...................................... 1:11 ❑.rj " SEE COMMENT SHEE T ATTACHED " 2. Lighting meets requirements.........••••••••••••••••••••••-•••••••••--......................... ........... --- ❑ 1 ❑ .5 3. Floors, walls and ceilings clean and in good repair . .... ......................................... ❑ 1 [�i , 5 4_ Furniture and accessories clean and in good repair ---- .......... -- .......... ................... ❑ 1 ❑ LAVATORIES, TOILETS, Alrt-D BATHS (1809) 5. Sewage and other liquid waste disposed of by approved methods ........................ ❑ 2 ❑ 1 6. Properly operating sewage systems..........................................................•-........_.• ❑ 3 ❑ 1 .5 r . Fixtures clean and in good repair, provided in each room if required ...................... ❑ 3 71.5 8. Lavatory and vanity sanitized testing method available and used ........ ---__......... -- ❑2 ❑ 1 9_ Towel s pr avi ded clean andin good repair, soap .............................. ❑2 [-11 10- Floors, walls and ceilings deanable, dean and in good repair ................................ [12 [C 1 WATER SUPPLY (.1809; .1810) 11. Meets requirements in 15A NCAC 1SA. 1700 or 15A NCAC 18C ......................... ❑5 E-13 12- Cross-cannectionsprohibited----------------------------------------------------------------------------------- ❑3 ❑ 1.5 13. Hot and cold running water provided; (116"-128' F) in guestrooms ..-.-__.......... _...... ❑ 3 ❑ 1.5 DFWZ XLNG'"-ATERFACl LEMS (1311) 14- Nater cooler, fountain or dispenser approved -.................................... ...................... ❑4 ❑ 2 15- \•fulti-use utensils washed, rinsed, sanitized, properly stared and handled; apprm ed facilities if required ........................................ •......................... --..........-................. ❑4 ❑2 16. Ice buckets with liners, ice bucket lids washed, rinsed and sanitized in an approved manna -.••...•.........• ............................ ...- ...... ----------- ....-........❑4 F12IT Ice machines clean and in goodrepair; ice machines meet requirements ---------------- 3 1.5 18. Ice stored and handled to prevent contamination; scoops provided ........ ............ -- ❑ 3 ❑ 1.5 19. Single service articles properly stored and handled ....................... -........................ ❑ 3 ❑ 1.5 BEDROQIIIS(.1812) 20- Ventilation dean and in good repair .. ............. ••........... ........................................... . ❑ 1 F-1.5 21- Outside openings screened unless air conditi oned_......»......................... ........... - ❑ 1 ❑ .5 22. Lighting meets requirements ......................................._........................._................ 0 1 5 23.14'j ndow awerings clean and in good repair ......................................... . ❑ 2 ❑ 1 24. Two clean sheets on each bed, folded under mattress and over cover 6 inches ..... ❑ 3 ❑ 1.5 25. Sheets, pillow cases, blankets and bed spreads clean and in good repair ............. Floors, walls, and ceilings dean and in good repair 4 E1226. H ,-.............................................. 4 02 27- Furniture, fixtures and accessories clean and in good repair ----------------------------------- ❑4 ❑2 28. No roaches: flies or other pests......•••••••---••••••••••••--•••••••••-•-•-•••......---...................... ❑4 ❑ 2 29. Coffee and tea makers kept clean••••••••-••••••••••••••••••••••••-............................. ....... ---• Ll 3 Ll 1.5 STORAGE (-1813) 30. Storage pravidedfor supplies, linen and equipment; kept dean ................. ....... -_ 1:13 ❑ 1.5 31. Linen properly handled and stored ...... -- ........ --- ........ .. ❑ 3 ❑ 1.5 32. Supplies on cats properly stored, casts clean and stored properly ..•_•.-........__.... 0301.5 TRASH; DISPOSAL OF GARBAGE ANDPRENIISES (.1814) 33. Garbage containers covered kept clean; facilities for cleaning... ............................. ❑4 ❑2 34- Rubbish, litter and other items not permitted to accumulate on the premises ....... 04 ❑2 35 -Ido undrained areas, no fly or mosquito breeding places or rodent harborages ...... ❑ 3 L-11.5 36. Premises kept neat and dean -- .................... ......................... .............. --............ E-12 ❑ 1 Comment Sheet Attached TOTAL DED7;:CTIO\S 1.5 ❑ Yes ® No on b,,-EHS I.D. Inspzceivedbyi:Q-'O�Z� A 189; - Sears, Luke Rept 0►Fner Operator Rept Purpose G esxrat Statute 130A-240 requires the Commssion:or Healdt Services m adopt mks ger ening the uatimdono: emblishr*an a• here lod=irg is prm ided for Fay. 13A NC AC 1a A .1309 speciates the contents of an inspection fo>.m to nateard the ras>la ofimpec tionr nude of such ntiblvhme=- This form is de•.eloped tobe wed in .ma`s 9 inspections of hutch, motel, unriat homea and xmilw establishrnerm - Prepmatio Local mliro sal health specialists shall complete the form a wy none they-cm&ct an impection. Prepare a wiyiral and hco copies For: L khi" to be left cc -i th the respo Ue pen m. 2. Copy for cit local health depa.WU.*- 3. Copy for the Mwir�ti Haalth Ser+ices Seculars, Division of Enviromaental Health- Liapoikioa This fawn may tie dea&o} d in scud aace with Standard -S -B .6-, Inspection Records, cf the Rarordn Dispvridrae &hnkdo pub 6lad by- dIk v u N.C. im of . mhirm and History. Add itimul foam maybe ordered from: IXiaim of laaimauts bl Health, 1632's•U SW ice rp Ralo S", ti[_ 27499.1432, (Cm -i" 52.01-M ERS 3977 T"ised 7-105) Enciwumeatal11alth Services Sectkm (Review 7,M) .3 N.C. Der artment of Environment and Natural Resources Name: HCI IDAY INN FX�RFSS Division of Environmental health ID: 2018200028 Street: 104 1 DTH ST PL NW COMMENT ADDENDUM Ut CONOVER REPAIR WALLS AND CEILINGS IN HALLWAYS AS NEEDED THRCUGHDUT. 10 REPAIR WALLS WHERE WALL VINYL IS PULLING AWAY FROM WALL. ■ Time In: 1 0 3 0 Time Out: 1 1 3 0 Total Time: 1 hr D min.Ates Snal I N.C. Do parIment ofEnvironlnant and Natural Rasoursas Division of Environmental Health COMMENT ADDENDUM Name: HOLIDAY INN EXPRESS Id: 2418200028 St•eet: 104 10TH ST PL NW City. GONOVER 8pol I