HomeMy WebLinkAboutBalls Creek Elementary School 440001 04 04 11py.pdfN C, Department of Eruhro=ent and IUturat Re curses
Division of Enviruranental Health Score 90
Inspection of School Date of Insp/Chg" 0 it / 0 4
status cocie A
H ealth D epartrnent 18
2 CmTent Facility ID2018440001
Old Facility ID
Water IECornmumy MNon-Transient Non -Community
0
Tran$IeAl N0u-0rnR1Un3tV Non-Put)ft Waler Supply , El
Wastewater System: omrnunjn, Fl-fltin-sae Syslern
Water sam pie taken today Inspedion Name Change
Eles R] No Re-inspe(fvin Verfficaflon of Closwe
I visit Status Change
LocirdirnAddre,sv 2620 BALLS CREEK Rid MatlingAddr.
City: NEWTON state: W zip: 28658 city: Stag Zip:
Score Comments
I - WATER SUPPLY: Approved water supply properly located,
constructed, and operated, adequate for all requirements 130*1 well 175
Moue: clean, no storage 15*, no cross corinections 30* (Z40,5) 1 1 11 11 1
2SAdTITARY SEWAGE DISPOSAL, Sewage collected, treated, aind
disposed of by an appmvod method' 150*1 system properly operated 205
an d ma iritain ed 55 * ( 2407)
3, DRINKING FOUNTAIN& Clean and in good repair 40#, adequate 80 20,
pressure, properly regulated 40# (2406),
,4. TOILET FACILITIES " Walls and cellinp clean, nonabsorbent,
washable, and in goodrepair 30#, fixtures clean, and in good repair 100
40,9; floors trap ions, keptclean 30# (2408)
5. LAVATORY FACILITIES: Fixtures clean and m good repair 30-*,, soap
and individual towels or approved hand-dr ying devices provided 40# 70 '15
(2409)__., .......... ...... .... ___ .... .. _ _ ...... __." _'
6 FLOORS: WALLAND CEILINGS, Floors, walls, and ceilings clean 30 15
and in goo drepair 30#(241Q)... _ ...... ....... 40 20
7, STORAGE SPACES: Clean 20#, storage offfloor 20# (2411)
8LIGHTING AND VENTILATION, Fixtures, grills, veits, blinds, drapes,
etc., clean and in good repair 40#(,2412) 40
9. DRESSING ROOMS AND SHOWERS, Floors, walls, and ceilings
clean, in good repair, washable, non -absorbent 30#, fmtures clean, In
good repair 4041, facilities for storage of clothes provided, kept clean 100
yap and towel 10* (241�) ..........
10, S OLID WAS TE DI SRO Imp ery iou s, cl ea n ab I e containers wide
lids, approved type 20*Clean and in good repair 20#; empties, as 80
n eed ed, p rop erly disposed o f 40# ( 2414) _ , ...........
11 IS CELLA!qEO US -1 Prerm ses neat, clean 3 0#, no vector
breeding or harborage 20#; pesticides and other toxic matffials
30
properly Dandled aud stored 3 t 2415) ..... .. .... .
TOTAL 1000 100
Additional C ornmen t Sheet, Atta steed
y es Pr N o
lns�peckon by-
EHS 2031 - Yflgoyen,Page
MTRUCTIONS Purpose: General Statute 130A-236 requires the Commission for Health Services to adopt rules governing the sanitation ofpubhc,
private, and religious schools This fonn has been developed to record the results of such inspKtions. Preparation- Local envirorimpmA health
specialists shall c4iniplete the form every tirne they conduct at inspectionPrepare an original and two copies for L origilaal to be left VAth principal.
2. Copy for the local health department, 3. Copy for the Environmental Health'Services Section, Division of Enviroranental Health, Disposition:
Please refer to Reds- Retention and aspc�sifion Schechile &B,6_ hispecti cn Records for Count,Thsth Lt Healfil Departments which is publi shed by
the North Car*haa Division of -Axchives History. Additional forms atay be ordered from: Division of Environmental Health, 132 mail Strvice
Center . Raleigh, NC 27699-1632, (Courier 52-01 -00)
DENR 1163 (Revised 7/05)
Environmental Health Serwces Section (Review T08)
N.C, Department of Environmentand Natural Resourres Name- MLS CREEK ELENA SCH
Division of Environmental Health 0; 2018440001
Street-, 2620 BALLS CREEK RD
COMMENT ADDENDUM CAY: NEWTON
Cannot, have drinking fountains hooked up to handsinks, Must have disconnected. Room 506
5 Replace/ repPr any broken faucets on handsinks.
6 Replace any broken or stained ceiling files.
7' All storage interns must be off the floor to facilitate cleaning.
Time In- 0 1 a, 9
Time Out: 12 a 0
Total Time 51 minutes
il All chemicals must be stored• according to manufacturers instruction (keep out of reach of children).
x
N.C, Deparlment of EInvironment and Natura� Resourses
DMsion of Envininmental Health
Name, BALLS CREEK ELEM SCH
ID, 2018440001
AA4Mjnl4klk`l"jl 910410191116
ATI =-. K477107-TITU
city'
� -REM-0—