The Forsyth County Division of Environmental Health Section supports many programs for the protection of children’s health. These programs include the inspection of daycares, school buildings, school cafeterias and childhood lead investigations.

Child Care Centers

Child care centers are inspected twice per year. These inspections ensure that proper procedures are followed for everything ranging from diaper changing to food service as well as general sanitation. Child care centers are graded on a demerit system in which a classification of superior, approved, provisional or disapproved.

• To receive a superior, a demerit score of less than 15 must be achieved with no 6 demerit items deducted.
• An approved is received if the demerit score is more than 15 but less than 30.
• A provisional classification is assigned if any 6 demerit item is violated or if the total demerit score is more than 30 but not more than 45.
• If the demerit score is 46 or more or, if the conditions which resulted in a provisional classification have not been corrected in the time period specified by the Environmental Health Specialist, then the establishment will be placed in a disapproved status.

If the provisional status exceeds 7 days, or the child care center is disapproved, the Division of child Development shall be notified immediately for further action. At the end of the inspection, a classification card is posted in a conspicuous place designated by the Environmental Health Specialist.

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School Buildings

School buildings are graded on an annual basis. The purpose of these inspections is to ensure that proper sanitation is maintained in all Winston-Salem/Forsyth schools as well as in all private schools in Forsyth County. The inspection process covers everything from proper maintenance of the school facilities to correctly controlling chemicals used within the school building. Schools are graded on a 100 point scale and given number grade; however, no letter grade is posted for the school building.

School cafeterias within the school systems are graded on a quarterly basis and are regulated in accordance with the Rules Governing the Sanitation of Foodservice Establishments. The grading scale is on a 100 point scale and a letter grade is assigned and posted. A score of 90 to 100 is awarded an A, a score of 80 to 89.5 is awarded a B and a score of 79 to 79.5 is awarded a C. A score below 70 results in an immediate suspension of the operating permit. The purpose of the cafeteria inspection is to ensure the proper storage, preparation and serving of food as well as the proper cleaning and sanitation of all facilities and equipment.

• NC Childcare
• Sanitation Rules Form
• Inspection Forms

Food & Lodging

• New and remodeled establishment plan review
• Permitting of food and lodging establishments that serve the public
• Routine inspection of a wide range of establishments that serve the public including but not limited to foodservice establishments, day cares, schools, institutions, tattoo parlors and lodging establishments
• Complaint investigations
• Winston Salem FOG Compliance Tracking System Letter
• Stormwater Oil and Grease Disposal Sign

Temporary Food Events

• Carolina Classic Vendor Application
• Employee Health and Hygiene Handbook
• TFE Food Safety Education Packet
• Cooling Food for Food Safety
• Preventing Cross Contamination
• Temperature Guide
• Handwashing Guide
• Temporary Handwash Station Setup
• Cleaning Water Tanks
• Washing Dishes in 2-Compartment Sinks
• Cleaning Water Hoses
• NC Food Code Manual

Tattoo Parlors

• Rules Governing Tattooing
• Application for Tattooing Permit
• Risks Associated with Tattooing and Permanent Make-up
• Black Henna Warning about PPD
• FDA Restrictions on Temporary Tattoos with Henna/Mehndi
• Tattooing & Body Piercing - Laws Concerning Minors

Hospitals, Nursing Homes, and Adult Care Homes
Residential Care Facilities
Adult Daycares
Local Confinements

• Rules Governing the Sanitation of Hospitals, Nursing Homes, Adult Care Homes and Other Institutions
• Rules Governing the Sanitation of Residential Care Facilities
• Rules Governing the Sanitation of Adult Daycare Facilities
• Rules Governing the Sanitation of Local Confinements
• N.C. Division of Health Service Regulation
• Adult Care Licensure
• Licensure and Certification
• Division of Health Service Forms and Applications

2017 Food Code Forms

• 2017 Food Code Adoption Summary of Changes
• Food Establishment Inspection Reports
• Food Employee Reporting Agreement
• Demonstration of Knowledge
• Vomit & Diarrhea Clean Up
• Vomit & Diarrhea Poster - English

Submit a Request or Complaint

View Inspection Reports

• Learn About Lead
• Keeping Your Family Lead Safe
• Especially for Parents
• Lead Safe Work Practices
• Board of Health Childhood Lead Poisoning Prevention Rules
• Resources
• Brochures and Videos

• General Information
• Helpful Websites & Brochures
• Virginia Graeme Baker Pool & Spa Safety Act

• American Safety Services
• North Carolina Restaurant and Lodging Association
• Proactive Food Safety Training
• Raise the Grade
• RODERPACH Training and Development
• Forsyth County Restaurant Inspection
• Point of Contact Consulting

For additional information or to book an appointment contact 33-703-3225.

• Submit a Request or Complaint
• Mosquito Control

For additional information or to book an appointment contact 336-703-3225.

• General Information
• On-Site Water and Wastewater Application Wait Times
• New Construction
• System Problems & Repairs
• Additions to Existing Property
• Laws & Rules for Sewage Treatment & Disposal Systems
• Frequently Asked Questions

For additional information or to book an appointment contact 336-703-3225.

On-Site Water and Wastewater Application Wait Times On-Site Water and Wastewater Service Invoice

• Rules, Permitting & Inspecting
• Well Abandonment
• Water Sampling
• Disinfecting Your Well
• Well Related Information

For additional information or to book an appointment contact 336-703-3225.