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Wellington Place 500046 08 09 17.pdf
18 CatawbaN.C. DepartmentofEnvironmentandNaturalResources DemeritScore: HealthDepartmentDivisionofEnvironmentalHealth 2018500046DateofInsp/Chg:// 08092017 CurrentFacilityIDInspectionofSwimmingPool StatusCode: Old FacilityID Watersampletakentoday? WaterSupply:InspectionMunicipal/CommunityOn-SiteSupply Name Change NoYes Re-inspection VerificationofClosureWastewater: Municipal/CommunityOn-SiteSystem Visit StatusChange RICKYWELLINGTONPLACENameofEstablishment: PoolOperator: F, L) BOWMAN 62822NDAVNEPOBOX2365LocationAddress: MailingAddr. HICKORY HICKORYNC28603-236528601State: NC State: City:Zip:City:Zip: Points Indicates criticalitem (6-point demerit) Deducted Comments: Check) WATER QUALITY: (.2535) 1. Water clearenoughtoclearlyseebottom ofpoolandpooldrain ……….. SEECOMMENTSHEET ATTACHED ** 2. Disinfectant residual provided by: 20freechlorine = (atleast1.0ppmor2.0ppmwhererequired); bromine = (atleast2.0 ppm); or biguanide = (30to50ppm………………………………….. 3. PoolwaterpH = (7.2to7.8)…………...………………………… 74 4. Watertemperature ofheatedpool °F; doesnotexceed 90°F swimming pool) or 104°F (spa) …………………………………………… 5. Dailywrittenrecords ofwaterqualityandtestkitkeptonsite ...…………… POOLMAINTENANCE: 6. Maindraincovers securedandingoodrepair, nosuctionhazard. Single drainsprotectedbyApril1, 2006 (.2537, .2539)…………………………… 7. Pool wallsandfloor keptclean, freeofdebrisandingoodrepair (.2537)… 8. Surfaceskimmers (withweirs, basketsandcovers) orguttersclean, ingood repair, andfunctioning properly, nofloatingdebris (.2518, .2537) ………….. 9. Depthmarkingsandnodivingmarkersorsignsvisibleandproperlylocated 2523, .2537)…………………………………………………………………… 10. Safetyropes withfloatsandcontrastingcolorbandsprovided atshallow area breakpoints (.2515, .2523)……………………………………………………... 11. Divingequipment, ladders, stepsandhandrailsproperlyplaced, ingoodrepair 2517, .2521)…………………………………………………………………. 12. Inletsandotherfittingsin placeandingoodrepair (.2537)…………………… 13. Contrasting bandonstepsandbenches (.2521, .2516, .2532)…………………. 14. Spatimerworkingproperly (.2537)……………………………………………. PREMISES: 15. Bodyhookandringbuoywith throwrope orlifeguardwithrescuetube providedand properlylocated (.2530, .2537) ………………………………. 16. Fenceorbarrierwithself-closing, self-latchinggatesproperlyconstructed and maintained (.2528, .2537) …………………………………………………….. 17. Decksunobstructed, properly drained, freeoftriphazards (.2522, .2537……… 18. Lifeguardspresentor warning signs posted (.2530) …………………………… 19. Signsprohibit glasscontainersorpetsin poolarea(.2530) ……………………. 20. Cautionsignsposted athotwater spas (.2532) ………………………………… 21. Pool anddecklightingprovidedatpoolsthatoperate atnight (.2524, .2537) … 22. Emergencytelephone provided (.2530) ………………………………………. EQUIPMENTROOM: 23. Chlorineorbromine automaticfeeders thatmeet NSFStandard50 (.2535) ….. 24. Approved pump, filter, andflow meteroperatingproperly (2518, .2519) …….. 25. Equipment andchemicalskeptin adry, well-ventilated enclosure (.2533, .2534, 2537) ……………………………………………………………………………. 26. Valvesand pipesidentified bycolorcodes or labels (.2518) …………………… 27. Filterbackwash discharged through an airgap (.2513) ……………………….… DRESSING ANDSANITARYFACILITIES: CommentSheetAttached28. Bathhouseorrestrooms accessible; showersignposted (.2526) ………………. 29. Required fixtures provided, clean, andingoodrepair (.2526) …………………. YesNo30. Approved watersource, nocrossconnections (.2512) …………………………. ReportReceivedby: 31. Sewage disposedof inaproperly operatingsewagesystem (.2513) ………….… 32. Floorssmooth, slip-resistant, kept clean(.2526) ………………………………… 33. Hosebibbs andfloor drainsprovided (.2526) ………………………………….. Inspection 1655 - Kain, GregEHSI.D. # Conductedby: Purpose: GeneralStatute130A-282requirestheCommission forHealthServicestoadoptrulesgoverningPublic SwimmingPools. 15ANCAC 18A .2511specifiesthecontentsofaninspectionformtorecordtheresultsof inspections. Thisformisdeveloped tobeusedinmakinginspectionsofpublicswimming pools, spas, wadingpools andwater recreationattractions. Preparation: Localenvironmentalhealthspecialistsshallcompletetheform every timetheyconduct aninspection. Prepareanoriginalandtwocopiesfor: 1. Originaltobeleftwiththeresponsibleperson. 2. Copyforthelocalhealthdepartment. 3. CopyfortheEnvironmental HealthServicesSection, DivisionofEnvironmentalHealth. Disposition: Thisformmaybedestroyed inaccordancewithStandard-8.B.6., Inspection Records, ofthe RecordsDisposition Schedule publishedbytheN.C. DivisionofArchivesand History. Additionalformsmaybeordered from: Division ofEnvironmental Health, 1632MailServiceCenter, Raleigh, NC27699-1630. EHS3960 (Revised07/05) EnvironmentalHealthServicesSection (Review07/08) amWELLINGTONPLACEN.C. Department ofEnvironmentandNaturalResources Name: TimeIn: 1012 pm Division ofEnvironmental Health amID: 2018500046 TimeOut: 1130 pm Street: 62822NDAVNE 1hr18minutesTotalTime: COMMENT ADDENDUM City: HICKORY KEEPDECKSCLEARFORWALKINGSPACE. KEEPCHAIRSPULLEDBACKPLEASE17 N.C. DepartmentofEnvironmentandNaturalResourses Name: WELLINGTONPLACE Division ofEnvironmental Health ID: 2018500046 Street: 62822NDAVNE COMMENT ADDENDUM City: HICKORY N.C. DepartmentofEnvironmentandNaturalResourses Name: WELLINGTONPLACE Division ofEnvironmental Health ID: 2018500046 Street: 62822NDAVNE COMMENT ADDENDUM City: HICKORY GeneralComments: