From observations and from talking to the children, the NPM ascertained a blatant disregard for classroom activities on the part of both students and teachers. Children would walk in and out of their classrooms as they wished. The children have the option to participate and are actively involved in various extracurricular activities, such as sports events. The inspection team observed that the gym equipment and that of the outside playgrounds is outdated, worn out, and insufficient to meet the real needs of the children. The use of the computer room was scheduled and the students had a certain amount of individual computer time. Internet access was monitored and controlled by a teacher. Five of the children had special educational needs. A visiting specialist resource teacher assisted their classroom teachers. 1.3. Medical Care The boarding school has a health room. It was not fully equipped in accordance with MoH Ordinance No. 3 on health rooms in childcare facilities and schools. The emergency medicine cabinet was stocked in accordance with the said Ordinance. The health room was staffed by a part-time nurse. She attended the health room four hours a day, three days a week. Her duties included provision of emergency medical assistance, referrals of students to medical specialists, storing and dispensing prescription medicines, drawing up, keeping and storing the students’ personal medical records. The inspection found out that the medical records were not adequately kept. The nurse was involved also in drawing up the weekly menus at the refectory in accordance with Ordinance No. 37 on wholesome student nutrition. The NPM inspection found out that the school health room had been inspected for the current year by the Razgrad RHI. All students were registered with a GP practice in the town of Zavet. They were also on the patient list of a dentist who sees patients in his town office twice a week. The GP had not performed complete health screening assessments of all students. Anthropometric measurements had been performed, but no urine screening tests had been performed. Dental examinations had been performed on most students. A previous inspection finding was identified again, i.e. six students had been admitted to the boarding school without any medical documents or any record of their immunization history. In order to obtain the information, the nurse had sent out information requests to the RHIF at the children’s’ domicile. Her efforts, however, did not bear fruit. Three of the boarding school inmates suffer from a chronic mental illness and require continued medication therapy. K.M. is epileptic. He had been at the boarding school over a year and a half, and had not had any epileptic seizures over that period. He has been assessed and certified by a Work Capability Assessment Board (WCAB). N.S. suffers from paranoid schizophrenia. His release from the boarding school was impending as he would reach the age of majority. N.R. has bipolar affective disorder. According to his medical record, D.M. was, on arrival to the boarding school, HIV-positive and had also hepatitis C. He had not, however, been medically treated, and at the time of the inspection was an escapee. In 2014, almost all students were tested for HIV. Only one boy refused to get tested. The previous inspection had found that the students’ medical documents were stored in different places – at the GP’s office, at the dentist’s office, at the health room, and in the 51