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The Sandbox-Klingspor 420084 06 30 17.JH.PDF
%.C. Department of Environment and Na tura I Re sources Division of Environmental Hea lth Dem eats: 4 Health Department Sanitation Standards Evaluation Date of Insp'Chg 0 6 1 3 0 f 0 1 7 Cufrent Facility ID Form for Child Care Centers - Status Code: A Old Facility ID Classification: Superior Approved Elprovisiowal LjDisappfoveci Water Supply: © M unicipallcommunity ❑ On -Site Supply Wastewater. Fel MunicipauCommunity non -Site System Licensing ID No: 1 8 0 0 0 1 9 7 M aximum Capacity 1 1 1 THE SANDBOX - KLINGSPOR N am a of F acility Street Addfess: 2555 TATE BLVD SE 18 2018420084 Water sample taken today? Utes * No Inspection Name Change Re -inspection HVerification of Closure visit ❑ Status Change Comment Sheet Attached E]Yes EJNo operaior. VONDA KRUEGER Cin-. HICKORY Slate: lC Zip: 28602 HANDWASHING:.2803, .2836 Dem exits Dem erits 1. Handwashing when required 05 30. Non -hazardous products properly stored 03 2 Proper handwashing procedure 05 31. Facilities provided for proper storage; used and kept dean 0 2 LJ FOOD: 2804, 2806, 2807, .2808, .2836 BEDS, COTS, MATS AND LINENS: ,2821, .2836 *3. From approved sources, no spoilage, ncadulteration 06 32. 1 ndividual linen provided, adequate Meds, cots, or mats provided, 03 *4. Potentially hazardousfoods meet storage and holding 06 in good repair, properly stored, labeled, spaced during use temperatures, bottles, lunches refrigerated at 450 F or below 33. Linen, bedding, wash ddhs, bibs, burping cloths laundered, and 03 5. Food properly stored, thawed, prepared, cocked, cooled, 05 in good repair handled, served, transported, packaged and identified; only TOYS, EQUIPMENT, FURNITURE:.2822, .2836 supervised children in ktch en 34 Clean and in good repair; water play centers cleaned, sanitized 04 6_ Nd reserved 03 and maintained 7_ Thermometers provided, accurate 02 35. Mouth-oontact surfaces deaned and sanitized in roans where 04 FOOD SERVICE EQUIPMENT& UTENSILS: 2809, 2810, 2812, .2814 children who are not toilet trained are caredfor *8- Meets spec3firationsfor reftigeration,sinks, lavatoriesand �j6 `-' PERSONNEL:.2808,.2823 36. Approved hygienic practices, dean dothes, hai re5"int5 where 02 dishwashing equipment 9. Meets spedficatiats for other equipment and utensils, required; no evidence of tobacco use where prohibited approved material and construction 4 FLOORS, WALLS $ CEILING3:.2824, .2825, .2832,.2836 * 4 14. Food contact surfaces property washed, rinsed, sanitized 37 Easily cleanable, dean, and in good repair; carpets vacuumed and air dried; single -service articles nd roused 5 as required and edraction cleaned, 11 Approved sanitizer provided; test kit available (D2 date cleaned _1 12. Equipment, non-food contact surfaces clean: in good repair � 4 LIGHTING AND THERMAL ENVIRONMENT:.2828 38 Room temperature between 65° F 85° F � 3 13. Proper storage and hticles f clean equipment, utensils 39eq arid � 39. Equipment clean and in good repair, maintained as r ulred O 2 WATER and singleseruice articles SUPPLY & DRINKING WATER FACILITIES:.2815, .2836 COMMUNICABLE DISEASE CONTROL: .2827,.2836 *14. Water supply meds 15A N CAC 18A .1700 and 15A NCAC 06 �r40. Persons with a oommunicable disease or condAon excluded in 06 18C ifapplicable; documentation provided accordancewilh 10ANCAC41A 0200 41. Persons caring for sick or mildly ill children e)duded from 04 *15. Hot water supplied and maintained in the kitchen 06 16. Hot water supplied and tempered water maintained assituations 04 inwhich disease transmiss ion likelytooccur 42 Designated area for sick ch ildren; rna stained as required 0 2 required in all other areas *17. Hct water in excess d 120°F not allowed in areas 6 WASTEWATER: 2829 *43 Approved wastewater dco disposal in acrdance with 15A NCAC 06 accessibleto children 18A .19{10 18. Becldlow prevention provided, no crass connections 03 SOLID WASTE: .2830, M3619. Approved drinking fountains, pressureregulated, clean (D2 44. Solid waste properly handled; containers and cleaning 0 2 LEAD POISONING HAZARDS: .2816 equipment kept dean; can leaning facilities adequate *20. No identified lead poisoning hazards in accordance with 06 ANIMAL& VERMIN CONTROL, OUTDOOR LEARNING ENVIRONMENT TOILET NCGS 130A-131.7(7) AND LAVATORY FAC ILITI ES: .2817, .2817,1818_2836 8t PREMISES:.48311, .4832 *45. Pesticides properly used; no new CCA pressure -treated wood 06 21. Properly sized, located, accessible, and in good repair, 04 46. CCA pressure -treated wood sealed; date sealed2 sinks, toilets and potty chairs cleaned and disinfected soil covered a inaccessible_ 1 _ 1 22. Soap, approved hand drying devices, toilet tissue available (D3 47. No animals in food preparation areas and no unrestrained 03 23. Approved storage in toilet roams, lavatories ireeaf storage, 02 animals except as allowed, no prohibited animals, required hand wash signs posted veterinaryrecords available and current DIAPER CHANGING FACILITIES: 2817, 2818, 2819; .2820, .2836 *24. Approved facilities 06 48. Effedive oontrol of rodents, insects, and other vermin; premises 03 *25 as heeded Diapering surfaces cleaned and disinfected after each use �6 free vermin harborage and breeding areas 26. Approved deaningand dlsinfeding solutions prcvAded, test 49. Premises dean and drained; equipment in good repair; 0 2 idavailable when required 2 sandboxes properly oonstrudedand clean; adherenceto ori 27. Fr Free of storage and in good repair; cleaning and � 4 quality forecast outdoor activity restrictions when applicable solutions labeled; approved diapering methods. used-, diaper SWIMMING &WADING POOL5:.2833 *50 Des gned, constructed, operated and maintained in accordance 06 changing and handwash signs pasted STORAGE:.2820 with 1 CAG 18A 5 *2$. Medications property stared 06 EHS Signature. 1654 *29. Hazardous products property stored and locked 06 EHS NWA Twsbwt sysedt7taplemenGS 110-%"j:.Mchidcaecewt9s t]s Ahwrel%Wcedintm a i 4 • bp.ms)B_t1e 110mp1eled tTj'�OC7�f:AV�Onm9'ta�Ft�ah Specots6 dlM�eaCh rWectOn4Z D`GiS, Oaf ooPY 6gi+'M O Vin dWd carr opraax; ttnd va otMrC apy 4 til t+yshe Wcai e" ons S�W'Qr' al5 dpnirtt, tq 6 pea cion KS A�rOnDd • 14 30 dtmtrrwa, no rrpo�t demerS PAys;owal-31�Sdeme.b, °. an1 d -Purr drne•a 0sappwed-�6o.moedtm e.�,o.1aMebrnp,ore P,ar sow�classdcarn 05posmn Ths town may .a)ed"ecce+dmewjih Swrdr"B6,kapecto Recods.oitle Reoanb RaatntmamdDispeseWS&S1**brC*A*00ret"With neymnmereswhichispWigW4 the N.AddI65 tfarmsmay Neath,1632WWSaweaCaovw,Rafngl)HG23699.1632([ewie ENS isroa ad - Pt) Ca.iveo®od Ef.da esniw Yee:on (!w-e.e' dS) N.G. Department of Environment and Natural Resourses.IName: 7 H SANDBOX -KLINGSPOR Time In: Division of Environmental Health ID: 2018420084 Time Out: Street: 2555 TATE BLVD SE Total Time COMMENT ADDENDUM ICity: HICKORY 37 REPAIRIREFINISH FLOORS. RUGS AS NEEDED Elam I I �0a��00pm X013 0 a Flam 1 hr 2 minutes wpm General Comment? ❑Yes Y Soel I