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HomeMy WebLinkAboutConnections 480002 10 16 17.pdfN.C. DepartmentofEnvironmentandNaturalResources 18Score: HealthDepartmentDivisionofEnvironmentalHealth DateofInsp/Chg: 201848000210162017InspectionofAdultCurrentFacilityID DayServiceFacility StatusCode: Old FacilityID Classification: SuperiorApprovedProvisional Disapproved Maximum InspectionNameChangeWatersampletakentoday? Municipal/CommunityOn-SiteSupplyWaterSupply: Capacity NoYes Re-inspection VerificationofClosure Municipal/CommunityOn-SiteSystemWastewater: VisitStatus Change SARAH PARHAMCONNECTIONSNameofFacilityOperator: 286581679SOUTHWESTBLVDNEWTONAddress (City, ZipCode): DemeritsDemeritsFOOD: (.3304, .3305, .3306, .3307, .3308, .3310) STORAGE: (.3317, .3320) 1. Fromapproved sources, free fromspoilageand 30. Medicationsandhazardousproducts properlystored adulteration ..................................................................... andlocked ........................................................................ 2. Potentially hazardousfoodtemperatures ......................... 31. Facilities providedforproperstorage, keptclean ............. 3. Properlyprepared, handled, packaged, andidentified ...... BEDS, LINENS, FURNITUREANDEQUIPMENT: (.3321, .3322) 4. Notre-served ..................................................................... 32. Beds, chairs, cots, ormatscleanandingoodrepair, stored 5. Protected atalltimes accordingtotheserules ................... properly ............................................................................ 6. Refrigerators withthermometers, productthermometers 33. Mattress covers, individuallinenprovided ....................... provided ........................................................................... 34. Linenclean, ingoodrepair; properlyhandledandstored .... FOODSERVICEEQUIPMENT ANDUTENSILS: 35. Otherfurnitureandequipmenteasilycleanable, goodrepair 3304, .3306, .3307, .3309, .3310, .3311, .3312, .3313, .3314, .3316)clean ................................................................................... 7. Meetsspecificationsforrefrigeration, sinks, anddishwashing PERSONNEL: (.3323) equipmentaccording totypeofservice ........................ 36. Approvedhygienic practices, cleanclothes, hairrestraints 8. Meetsrequirements forhandwashlavatories .................... where required ................................................................... 9. Meetsspecifications forotherequipmentandutensils, 37. Tobacco notusedinfoodprepareasor areasoccupiedby approvedmaterialandconstruction, ingood repair .......... non-smokers ...................................................................... 10. Foodcontactsurfaces, includingmulti-useutensils, 38. Personswithcommunicable diseaseora properly washed, rinsedandsanitized ......................... communicableconditionexcluded fromsituations 11. Single-servicearticles notreused ................................ inwhichtransmissioncan reasonablebe expectedto 12. Single-usearticlesnot reused ............................................. occur, inaccordance with15A NCAC 19A.0200 .......... 13. Non-foodcontactsurfaces clean ....................................... 39. Wounds orlesions properlybandaged.......................... 14. Equipment andutensils, includingsingle-servicearticles, FLOORS, WALLS & CEILINGS: (.3324, .3325) protected fromcontamination ........................................... 40. Easilycleanable, durable, goodrepair, clean ...................... 15. Approved testingequipmentforsanitizers, sanitizing LIGHTINGANDTHERMAL ENVIRONMENT: (.3326) solutionprovided .............................................................. 41. Maintainedasrequired ..................................................... WATER SUPPLY: DRINKING WATERFACILITIES: (.3315, .3316) 42. Equipment cleanandingoodrepair .................................. 16. Supplymeets15ANCAC 18A .1700or 15ANCAC COMMUNICABLEDISEASE CONTROL: (.3327) 18C .................................................................................... 43. Designatedareaforsickparticipants ................................ 17. Hotwatersuppliedandmaintainedinaccordancewith 44. Treatment roomprovided fordayhealthfacilities ............ thissection. ...................................................................... HANDWASHING: (.3308, .3319, .3328) 18. Nocrossconnections, backflow preventiondevice 45. Properhandwashing .......................................................... provided ............................................................................ WASTEWATER: (.3329) 19. Drinkingfountainsordrinking utensilsofapprovedtype, 46. Wastewater disposed ofbyapproved methods ............. regulated, clean .................................................................. SOLID WASTES: (.3330) TOILETANDLAVATORY FACILITIES: (.3310, .3317, .3318, .3319) 47. Solidwasteproperlyhandled ............................................ 20. Toiletsandlavatoriesprovided, properlylocated ............ 48. Cancleaningfacilitiesadequateandcontainers keptclean.. 21. Fixturesproperly sized, cleaned, sanitized, cleaningand ANIMAL & VERMINCONTROL: PREMISES; andsanitizing solutionsprovided ...................................... OUTDOORACTIVITYAREA: (.3331, .3332) 22. Pottychairs, bedpans, urinals properlylocated, cleaned 49. Approved pesticides, properlyused ............................... andsanitized ...................................................................... 50. Effective controlofrodents, insects, andothervermin ....... 23. Soap, disposable towelsorapproved hand-drying device; 51. Noanimalsinfoodprepareasandnounrestrained animals lavatoriesfreeofstorage .................................................... exceptasnoted .................................................................. 24. Approved clothingchanging facilities ............................... 52. Premisesclean, drained, andfreeofhazards, vermin 25. Clothingchangeandbathing surfacescleanedandsanitized harboragesandbreeding areas ............................................ after eachuse; cleaningandsanitizingsolutionsprovided SWIMMING & WADING POOLS: (.3833) andlabeled.. ....................................................................... 53. Designed, constructed, operatedandmaintainedinaccordance 26. Approvedclothingchangingmethods bycaregivers ......... with15A NCAC 18A .2500 ............................................. 27. Testkitsprovided; sanitizerlabeled ................................. 28. Clothingchanging surfaces cleanandfreeofstorage ......... 29. Handwashing signsposted ................................................ Indicates criticalitem (6-point demerit). YesNoCommentSheetAttached 1655 - Kain, GregSigned _______________________________________________AGENT EHSI.D.# DivisionofEnvironmentalHealth Purpose: GeneralStatute130A-235requirestheCommissionforHealthServicestoadoptstandardsgoverningthesanitationofchildday carefacilities. G.S. 130A-235requiresthefacilitytosubmitevidencetotheDivisionof FacilityServicesorDivisionofAgingthatitconformstothe standards. Thisformistoprovidesuch evidence. Preparation: Localenvironmental healthspecialistsshallcompletetheform everytimeaninspectionisconductedand prepareanoriginalandtwocopiestobesubmitted: 1. Original forDivision ofChildDevelopment, N.C. Departmentof Health andHumanServices. 2. Facility operator. 3. Localhealthdepartment. Classification: Superior - 0-15 demerits, no6-pointdemerit Approved - 16-30demerits, no6-pointdemerit Provisional - 31-45, or6-pointdemerit Disapproved - 46ormoredemerits, orfailuretoimprove Provisionalclassification Disposition: Pleasereferto RecordsRetentionandDisposition Schedule8.B.6., for County/DistrictHealthDepartmentswhichis publishedbytheNorthCarolinaDivisionofArchives & History. Additionalformsmaybeorderedfrom: DivisionofEnvironmental Health, 1632MailServiceCenter, Raleigh, NC27699-1632, (Courier52-01-00) EHS4054 (7/05) EnvironmentalHealthServicesSection (Review7/08) amName:TimeIn: N.C. Department ofEnvironment andNaturalResourses CONNECTIONS 0215 pmDivisionofEnvironmentalHealthID:am2018480002TimeOut: 350 pm Street: 1679SOUTHWESTBLVD TotalTime: 1hr35minutes COMMENT ADDENDUM City: NEWTON cleanbottomofrefrigeration andshelve, 42 Name: N.C. Department ofEnvironment andNaturalResourses CONNECTIONS Division ofEnvironmental Health ID: 2018480002 Street: 1679SOUTHWESTBLVD COMMENT ADDENDUM City: NEWTON Name: N.C. Department ofEnvironment andNaturalResourses CONNECTIONS Division ofEnvironmental Health ID: 2018480002 Street: 1679SOUTHWESTBLVD COMMENT ADDENDUM City: NEWTON Name: N.C. Department ofEnvironment andNaturalResourses CONNECTIONS Division ofEnvironmental Health ID: 2018480002 Street: 1679SOUTHWESTBLVD COMMENT ADDENDUM City: NEWTON GeneralComments: