HomeMy WebLinkAboutBalls Creek Kid Connection 420107 06 02 11pm.pdfKC, Depwvmt of Environment and 1,41t" R murcos Demerit, 2 Health
Division offnvironm-ntal Health,
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Sanitation Standards Evaluation Date of Insp/chg 0 6 ----- / 0 1 1 Current Facility ID 2018420107
Form for Child Care Centers
Starld)$ Code. A Old Facility I D
classinva,0011 MSuperior ElApproved 0 P-r-o-v-i-si-o-n-aT-EJDis—appro ved WAer sample, taken toda-P, [:]Yes [E No
water SUPP ly: Rc 0 MM U My IzNorr-Transierit Non -Community lnSp'_':1i0n Name Change
sl DTranonl Non-Commumly ,Non -Public Water Supple Re-ffi P1ytion Verification of Closure
Wastewater Systemcommunity on-s�te system
.E lv�$it Slatus Change
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Licensiiig ID Nod - - ----- I Maximurn Capaclt'yj 01 Comment Sheet Affached []Yes SINO
Nat-ne of Facifit., BALLS CREEK, KID CONNECTIM
StreetAddrem 2620 BALLS CREEK RD
CATAWBA COUNTY COMM
Operator !qr.Hnnl R
city, NEWTON swe� NC zip, 28658
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*M Medications properly sWed '6
*29. Hazardous pToduds prcper� stored and locked QO 6 2031
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Pvqism TNS form is Used to irnoevert GS. 110-33 requirng 6M sae oerters to, sAfflit e4dence of "Wetirv) sanitali'm -Aan4s`dS in Or& 110-91
Theoribrolaseatolhe Dr�kionolWdDowlopmenr NC. DHHS, one copy is oven to the 6i Id care oper*N; and 1h @ dhor copyis, ke pt hy the, lo W healc dep'VIrnm
Cut 5&A*W swwfor- 0 -15 rhmients, no 6 -point riewtill; Awowd -1 -30 *rmdi, no 6-p oud dement; Movbko,11 - 31-45 d wvrd&, or any 6-p *4 dwe rit" Ob Vproved. 46
chsslkafim Dispaiklim, This fotm raaV6 destroyed 6 acconlance vkh Standvd-8 B.6., Inspedion RKordt, of the Rec-ords-RetrAbonard NSW'260n IN;" IrVAStr t+ailh DI -Pa rt'MMS Mh kha S PUMShed by 111w NrC
AMitional foms my be ordered frm: Dimuon *I ErvomnnvrntoJ t* alth, 16 Wil Strw* C*Mer, Fattish, NC27694632, (Cowfor 52.01 M1
DENR 1617 ONiftst 7W
N.C. Department of Environment and NaturM Peso
Name: BALLS CREEK KID Time In: E] a rn
r1f 11MM"r-1 V)M L-� L-� * PM
Division of Environmental Health
7 Need a thermometer in the refrigerator,
[D: tt1 1r Tirne Out:
Street' 26,20 BALLS CREEK RD Total Time- 3.1 minutes -- - EEPM
IMMEMEM
General Comment? E]Yes
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Department o f Environm ent and N atural P asourses
Division of Environmental Health
ID: 2018420,107
M614031"' 004011
Street: 2620 BALLS CREEK. RD,
City, NEWTON
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N.C. Department of Environment and Natural Resourses
Division of Environmental Heafth
Name BALLSCREEK KID
U: 2018420107
Street: 2620 BALLS CREEK RD
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N.C, Department of Environment and Natural Resourses
Division of Environmental Health
Name: BALLS CREEK KID
iD, 2018420107
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