HomeMy WebLinkAbout120314.BLEVINS.2018430004.JH 12 03 14.jh.pdfN,.0 Department of Emisonmeatatid'NaWrA Rem ut.es
Nisi �= of EnNiromrenul H"Itt Demerit Score -
Inspection of
Resideu fial Care Facility
or facilities, as defined trith
not more than 12 residents)
Date of Insptbg: 1 ;2 / o 3
Status Code: A
Health Department
.1 0 1 4 Cuff entFacitier ED
Oldfacility lD,
I
2018430004
VMW ncommunity La]NIon-TranslentNon-Commundy Water sample taken today'? Inspection Nam& Change
MTransient NwCommunity 91tion—Punlic Water Supply []Y es M No Re-inspechon Verification of Closure
Wastewater Systern. Moommundy RIOn-Site System Visit Status; Change
Location Address. 1114 RADIO STATION RD Nunrlaer of Residents:
City: NEWTON stateA�� zip-. 28758 Mailing Ad,dr. PO BOX 1118
Classification city: N EWTO N state: NC zip: 28658
A pproVed (20 or l eSS dernefift, and no 6,point demerits) [] Disapffawd (More than 40 dernerits or ladure to Improve provisional ctassftalhon)
Provislonal (piere than 20, W 4:0 or less demerits. or a 6-Doi rd dernerfl) Demerits Comments
I. WATER SUPPLY: Public suppt,; prime supply approved 6
3, FOOD SUPPLIE SXND PROTE MON �
Supplies: All food clean, wholesome, no spoilage 6 (.1619)
Prlatectlon: Ade(plats, dUnng StOrsgt., preparation a_nTsm,,ntg, pot eutially hazardous food 4551E
or below, or 140'F or abriNer 5- all reffirrators, vvith thertranneters 2; pork, ground beefprodud, a,
poultry and stuffings, e.tc,, t1nnoughly cooked; meat and poultry, salad, poutto salad, etc,,, handled
as required, no re- sei ng of portions once. serred to an indisi dual 4, food containers stored ab ave
fl oor and protected tent contarni na p on .1; pets and other anj mats nalbs: ovsfood is
prepared or stored, nor in sening area (uriless caged or othemi se restri cted) 4 (1620)
5- FOOD V'ICE PERSON`& Clean clothes, hands, and Nvoldi habits 4 ........ _
6, DRY K1N'GWA=FAC1LTM& ICE HANMLLNG, Coumnara dunking cups not used 4. ice., if
provided, handled and dispensed in a satutary, martuer 2 (1612) , .........
T HOT AND COLD WATER Adequate hot and cold water piped to points ofuse 4 (.1611)
8, TOILEM HANDNVASHrG' LAUNIDRY AN7DBFA 3. Toilet, lavatory, and
badring facilities adequate 4, fixtures in good repair and kW dean 2, soap and tovvels provided,
2 (.161) , , .......
4, BED& LL\TN: FURNMR_E. All furniture, mattresses, linen, drapes, blinds and similaritems in
good repair and clean 2. bed litaft, than as requited 2-1 derat and sailed hotas propedy stored
an d handled 2 ( 1617), .... ...
10- STORAGE: MISCELLAN',EOUS- Rooms or artaspro,,ided for storage, of clothes, personal effects,
luggage, supplies and equipmentkept dean 2; rnedications, cleaning supplies, pesticides and other
hazardous products property stored as required 4
I I., FLOOD & In good repair 1; kept clean 2 (1607)
12, NVALLS AND CEILLNGS"In good repair 1; kept dean 2 (.[608),___
13, LIGHTLNG AND VENMATIONN, Windows and fixtures in good repair I„ kept dean 2 (1609)
against enhance of 4y* insects, and flying insem abww,4,efkcfive control afrothents and
other mmin 4-, approved pesfid&s property used 4; piennses new, clean, drained and ftft of h
and vermin hartmages arydbtteding areas 2 ( 1615) ......
15, SOLID IKA & e in sta Wtaingli r n( a rove
Wj iN, gijN �,d I stored tOW"
Itcpt Received NL
Inspection by:
T OT .0 of %M RIT SCORt 2
Comment SheefAttacited
El Yes E N o
EHS I.D.# 1654 - Huffman, Jason
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EMS 2094 (Rniwd 07 ',05)1 Emimwmeal u atrts 5 ices Section (Rwim 07'09)
Name: BLEVfNS COTTAGE Time In: 0 4 0 6 L-jam
[Epm
ID" 2018430004 Time Out: 0 4 0 7 Elam
— Street'. 1114 RADIO STATION RD Total Time', 1 minut
RPM
wuvna��
11.19012.1
N.G- Department of Environment and Naturat Re,sours,e,5
Narne: LE IN COTTAGE
WMIL
1[)-- 2018430004
Street 1114 RADIO STATION RCS
CitY: -NEWTQN
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MWI
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ID- 2018430004
Street. -1114 RADIO STATION RD
City: -NIEWTON