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Some places don't have a accessible public restroom.
Large amounts of stairs are always a problem for me.
A lot of situations I see make it so there may be an accessible option but you have to go some crazy extra long route to get somewhere without using the stairs
The vast majority have restroom accessibility issues. But just getting in is also a huge issue here. Many places still have that one or twe step entrance. Most have difficult doors to open, especially when you are already precariously placed on a slope. Those two things are most prevalent, but there are also sidewalk issues and of course the ever present crap on the isle or on the sidewalk.
A lot of businesses in Cville have steps to gain access into the establishment, or as others have said, you have to use a secondary entrance that is designated as the ADA entrance, which is either at the end of a circuitous route or at the rear of the building