Inspection Detail

Inspection: 314474552 - Jamestown Family Practice And Urgent Care, P.A

Inspection Information - Office: Nc Department Of Labor - Winston-Salem

Inspection Nr: 314474552

Report ID: 0453720

Date Opened: 04/09/2010

Site Address:
Jamestown Family Practice And Urgent Care, P.A
700 W. Main Street
Jamestown, NC 27282

Mailing Address:
1720 Westchester Drive, High Point, NC 27262

Union Status: NonUnion

SIC:8011

NAICS: 621111/Offices of Physicians (except Mental Health Specialists)

Inspection Type: Planned

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 04/12/2010

Planning Guide: Health-Manufacturing

Emphasis: S:Program Improvements

Case Closed: 08/10/2010

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	5			2		7
Current Violations	5			2		7
Initial Penalty	$2,900	$0	$0	$0	$0	$2,900
Current Penalty	$1,900	$0	$0	$0	$0	$1,900
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
1.	01001	Serious	19100133 A01	04/29/2010	05/04/2010	$200	$300	$0	I - Informal Settlement
2.	01002	Serious	19100151 C	04/29/2010	05/04/2010	$200	$300	$0	I - Informal Settlement
3.	01003	Serious	19101030 C01 I	04/29/2010	05/25/2010	$650	$1,000	$0	I - Informal Settlement
4.	01004A	Serious	19101030 G02 I	04/29/2010	05/25/2010	$650	$1,000	$0	I - Informal Settlement
5.	01004B	Serious	19101030 G02 IIB	04/29/2010	05/25/2010	$0	$0	$0	-
6.	01005	Serious	19101200 H01	04/29/2010	05/25/2010	$200	$300	$0	I - Informal Settlement
7.	02001	Other	19100132 D02	04/29/2010	05/04/2010	$0	$0	$0	-
8.	02002	Other	19101200 E01	04/29/2010	05/25/2010	$0	$0	$0	-

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