HomeMy WebLinkAbout8th Av 430093 05 10 16.LS.PDFN,C, Deparneint ofEnkironniett and Nat Resources
ErMsten of En%ion=enul Hoa[M Demerit Score:
Inspection of Date of InspChg- o 5 / 1 0
Residen tial Care Facil ity-
(for, facilities, as defined, vith S In tus, Code-, A
not trioris than 12 residents)
Health Department 18 Catawba
0 1 6 Current Facility iD 2018,430093
101d Facility D)
E] Name Change
F2]Transient Non -Community [j]Nsin-Pubhc Water Suppb, E:]Yes ff] No MlReAnspection Verification of Closure
Wastewater System, Mcommunity [k]On-Site System [:] Vj sit HStatus Change
Name of Establiqlmient, 8TH AV Permittee- UNKNOWN
Location Address. 212 8TH AV N W Number of Residents, -
city: MICIMRT state NC zip: 28601 Nbiling AddfM
Classification
City`;
State: Zip,:
[j]Approved (20 or less demerits, and no6-pcuntdemeMs) 0 Disapproved (more than 40 demerits or failure to improve provisional classification)
F-1 Provisional (more than 20, but 40 or less demerits, or &odnt demerit) Demerits Comments
1, YATESUPPLY. Public suppb-; private supply approved 6 (J611)
it '' 11 I'll! 1211 iiiiiiii�iiiiiilll
3, FO,OD SUPPLIE SXND PROTE CT10.X:
Supplies: All food clean., wholesome, no spoilage 6 (.1619)
Protection, Adequate during storage, preparation a_nTsersing, potenualby hazardous food 45'T
or belovr,, or 140'F or abm;e 5" all refrigerators N&ith thermometers 2', pork, -ground treef products,
poultry and stuffings, etc,, thoroughly cooked, meat and poultry salad, potato salad, etc,, handled
as required, no re-sming of portions once ;;as-ed to an individual 4" fraud containers stored above
floor and protected from contamination 2-1 pets and other animals not allovired c%bere food i s
prepared or stored, nor in rsing area (unle ss caged or oth im.,Me restricted) 4 (1620) ..........
4, FOOIDS VICE UTENSIS AND EQUIPMENT, Food senice utensils and equiptrent in good
repair and kept dean 4; eating and drinking utensils clean to sight and touch, dearred after each
use, approved facilities 4, cl can utensils property stored 2 - substances containing poisonous
maie;lal not used for cl;aiting or polishing eating or coo ldrig utensils 6; disposable iterns
property stored and handled, used only once 2 (16 18) ----------------------------
5, FOOD SERN710E PERSONS, Clean clothes, hands, and ixosk habits 4 (.1621) -------------------------
6, DRL'sXING WATER FACILMESI- ICE HA\DLNG: Common drinking cups not used 4; ice, if
provided, handled and dispensed in a sanitary manner 2 (-1(512) .......
7. HOT AND COLD WATER: Adequate hot and cold Nvater piped to points of use 4 (.1611) -------
S. TOIT ET: HA.\7DXVASHD;& LAUNDRY A,\7D BATHIN'G FACILITIES: Toilet, lavatory and
badiing facilities adequate, 4 -1 fixtures in good repair and kept clean 2-1 soap and towels Provided
2(.1610) ------------------ ---------- ---- ----------- ------------------------------------- -------------------- . B ED& LINEN. FURN=RE. All furniture., mattresses, linen, drapes, blinds and similar iterns in
good repair and clean 2; bed linen changed as required 2; dean and soiled linens properly stored
andhandled 2 (.1617) ........... ........ .............. _.__ ........ _._ .......................
10 STORAGE ` MISCELLANEOU & Rooms or areas provided for storage of clothes,, pe sonal effects,
lugg
age., and equipment kept clean 2; inedicatrons, cleaning supphes, pesticides and other
hazardous products pro perlystored as required 4 (1616) ........
11, FLOOR& In good repair I; kept clean 2 (1607)
12, WALLS AND CEILLNG& In good repair 1, kept clean 2
13, LIGHTING AN0VE'N7M,.ATION: Windovos and fixtures ingoodrepair I,' kept dean 2 (1609)
14. VER-MIN PREMISE& Outside openings effectiwly screened orothemise, protected
against entrance of tying insects, and flying , insects absent 4, efjktive control of rodents and
other vermin 4., approved pesticides properly used 4•, premises near, clean, drained and free of litter
and se, in harborages and breeding areas 2 (.1615) ___ ....... ........................
15, SOLID AVASTE S: Garbage in standard containers, property covered and stored, approved disposal Comment Sheet Attached
4'. containers-, storage. area kept clean 2l dry, rubbish in suitable, receptacles, approved storage and
0 YeS R N 0
disposal 2 (.1614*%,.�� ... .......
Rept Received
In sp ection by:
TO,,Eon or So ORT
EMS LD.4 1896 - Sears, Luke
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(Co,xL r 3'-Oi -0-0)
EHS 2094(Re6sed 0705), Erniro=erdal HtifthSftgicft Secfion)R4vitcr 07,09)
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Street' 212 8TH AV NW
MIMMMs��
Time its: IN a m
1 1 4 0 [:]Pm
Time Out� 1 a 1 0 Flam
- -[NPM
Total Time, 30 minutes
N -C- Department of Envwc,nment and Natural Resourses, Ndfrl�'- 8TH, AV
Duman of Enwonmental Heath ID- 2018430,093
Street: 212 8TH AV NIN
City l HICKORY