Objectives: This study was conducted to determine the status of the awareness of “school environmental sanitation and cleanup zone system” and to identify the level of harmful perception by shops. Methods: The survey was conducted using a self-administered questionnaire method online via the homepage of the education ministry’s student health information center. A total of 293 schools (126 primary schools, 62 middle schools, and 45 high schools) was selected by using a stratified probability sampling. Results: Some 32.1% of all subjects knew the law of school environmental sanitation and cleanup zone system. The mean of harmful perception was 3.01 (very harmful: 4, harmful: 3, little harmful: 2, no harmful: 1). Regarding the types of high level of harmful perception of shops, adult good shops (3.53), hostess bar (3.52), karaoke bar (3.47), Cigarette vending machines (3.47), Adult only theater (3.47) and Phone sex room (3.37) were high. Singing room (2.29), dance school (2.45), tourist hotel (2.58), comic room (2.59), mini game console (2.66), hotel (2.77), billiard hall (2.81), PC room (2.83) were relatively low in the level of harmful perception. Conclusions: National government-level management and supervision will be necessary to prevent adolescent access to harmful shops.