HomeMy WebLinkAboutWM H Johnston Elementary School 440061 10 11 17.pdfN.C. Department of Environment and Natural Resources Score 95.5
Health Department 18
Division of Environmental Health
Date of Insp/Chg: 1 0/ 1 1/ a 0 1 7
Current Facility ID 2018440061
Inspection of School
Status Code: A
Old Facility ID
Water Supply: ❑X Municipal/Community ❑ On -Site Supply Water sample taken today? XX Inspection ❑ Name Change
[:]Yes
X No ❑ Re -inspection [:]Verification of Closure
Wastewater: XMunicipal/Community ❑ On -Site System
❑ Visit [:]Status Change
Name of School: WM H JOHNSTON ELEM SCH
Location Address: 172 23RD ST NW Mailing
Addr.
City: H I C KO RY state: NC zip: 28601 City:
state: zip:
Score Comments
1. WATER SUPPLY: Approved water supply properly located,
SEE COMMENT SHEET ATTACHED
constructed, and operated, adequate for all requirements 130*; well
house clean, no storage 15*; no cross connections 30* (.2405) ...........
175
2. SANITARY SEWAGE DISPOSAL: Sewage collected, treated, and
disposed of by an approved method 150*; system properly operated
205
and maintained 55* (.2407)..................................................................
3. DRINKING FOUNTAINS: Clean and in good repair 40#; adequate
80
pressure, properly regulated 40# (.2406) ..............................................
4. TOILET FACILITIES: Walls and ceilings clean, nonabsorbent,
washable, and in good repair 30#; fixtures clean and in good repair
100
40#; floors impervious, kept clean 30# (.2408) .................................
5. LAVATORY FACILITIES: Fixtures clean and in good repair 30#; soap
and individual towels or approved hand -drying devices provided 40#
70
(.2409)...............................................................................................
6. FLOORS: WALLS: AND CEILINGS: Floors, walls, and ceilings clean
30 15
and in good repair 30# (.2410)............................................................
7. STORAGE SPACES: Clean 20#; storage off floor 20# 2411
40
8. LIGHTING AND VENTILATION: Fixtures, grills, vents, blinds, drapes,
40
etc., clean and in good repair 40# (.2412) ...............
9. DRESSING ROOMS AND SHOWERS: Floors, walls, and ceilings
clean, in good repair, washable, non-absorbent 30#; fixtures clean, in
good repair 40#; facilities for storage of clothes provided, kept clean
20#; soap and towel 10* (.2413) .....................................................
100
10. SOLID WASTE DISPOSAL: Impervious, cleanable containers with
lids, approved type 20*; clean and in good repair 20#; empties as
80
needed, properly disposed of 40# (.2414) ..............................
11. PREMISES: MISCELLANEOUS: Premises neat, clean 30#; no vector
breeding or harborage 20#; pesticides and other toxic materials
80 30
properly handled and stored 30* (.2415) ......................................
TOTAL 1000
45
Additional Comment Sheet Attached
❑ Yes XX No
Inspection by: EHS 2031 - Levin, Paige
INSTRUCTIONS Purpose: Ge er 1 Statute 1 A-236 requires the Commission for Health Services to adopt rules governing the sanitation of public, private, and
religious schools. This form h een develop d to record the results of such inspections. Preparation: Local environmental health specialists shall complete the form
every time they conduct an inspection. Prepare an original and two copies for: 1. Original to be left with principal. 2. Copy for the local health department. 3. Copy for
the Environmental Health Services Section, Division of Environmental Health. Disposition: Please refer to Records Retention and Disposition Schedule 8.13.6.,
Inspection Records for County/District Health Departments which is published by the North Carolina Division of Archives & History. Additional forms maybe ordered
from: Division of Environmental Health, 1632 Mail Service Center, Raleigh, NC 27699-1632, (Courier 52-01-00)
EHS 1163 (Revised 7/05)
Environmental Health Services Section (Review 7/08)
N.C. Department of Environment and Natural Resources Name: WM H JOHNSTON ELEM SCH
Division of Environmental Health ID: 2018440061
Street: 172 23RD ST NW
COMMENT ADDENDUM City: HICKORY
Time In: 1 1 3
3 ,0
Time Out: 1 a 3
0 ❑
0
Total Time: 57 minutes
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6 Need to sand and paint stall wall and paint wall at urinal in boys' restroom.
11 Store chemicals according to manufacturer's instructions. Storage for hazardous chemicals should be locked, and wipes that say
"keep out of reach of children" should be stored out of reach.
N.C. Department of Environment and Natural Resourses
Division of Environmental Health
COMMENT ADDENDUM
General Comments:
Name: WM H JOHNSTON ELEM SCH
ID: 2018440061
Street: 172 23RD ST NW
City: HICKORY
I/
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