HomeMy WebLinkAboutBlackburn Elementary School 110004 12 01 09 KM.pdfDivision of Environmental Healith
Establishment Name: BLACKBURN ELEMENTARY SCHOOL
Location Address. 4377 W NC 10 HWY
City- NEWTON State- NC Zlpr. 28658
Per mittee: CATS A, COUNTY SCHOOLS
Mailing Address
am
Score + 1#r [.2606(b)j= 100
Date-, 1.7/01/2009Tlate. l 4: 1 5
Status Code- A
Risk[]l [311 [:]fll [EIV
County: 18
Current Establishment lD1 201118110004
Previous Establishment 113-
Emaill Address; Lat, Long,
MspecUon E] Flame ctiange CV visit 0 Seating: Waste ^ater Systems., []tA, unicipaktCommunity R] on —Site aystem
Re -inspection 0 Stair, HCV Follow-up — Water Supply: [Ept unoc!pajCommunifyE]0n-Sjte System
E] Water sample taken today)
CRITICAL VIOLATION RISK FACTORS
Crilical V irriation is Factors -_ Conlripulog factors that OlCrease the Chance of developing foodborne fliness
NA - Not Applicatite NO - Not Observed 6 C - Gen erat Comment C D1, - Corrected During Inspection R - Repeat Violation,
'IVY7P_tsT_G CTCDI
Fersonnef with Infectious or communicable diseases restricted
Proper employee beverage or totacco use
Hands clean and properly washed 4 2
M Wmal bar@ hand contact with foods 3 15
Handwashing facilities provisled 3 115
Food obtauied from an approved source 4 2
Food racpw ed at proper temporature --T-1,5
Food in good condition, safe and unadulterated 3 15
Shellstack tags relMned 2 1
FOOd PrOl*eted dUring 910rade, handling, display, service & fransporialkmWritten notice for 0ean pialies
Food co- aiCt SudaCeS deaned & Sanfted� approved methods and sarlifizers
Proper handling of returned, previously served, and adu. Iterated food
13
14
Proper cooking time and temperature 4 2
Proper cooling 4 2
15
Prop reheahn g procedures 3 1 5
16
Proper hot holding tempetalures 4 2
17
Proper cold holding temperatures 4 2
is
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. ........ . ..... - — ---- --- . ... . . .....................
Time as a pub4c health control, procedures & records 3 15
DENR 4007 (revised 0 1108) Page I at 2
Food Service Establishment Inspection NC Department of Environment & Natural Resources
Division of Environmental Health
-------- - ---------
Establishment Name; BLACKBU N ELEMENTARY Date.- 12IOlQO09 Cuffent Establishmerit ID,--ZO-181,10004
00010 RETAIL PRACTICES
NAIN01 I Pis [GC I R
Toxic substances properly identified, stored, used 1 3 1-5
Consumer advlsorr provided 1 2 1
Source In accordance with 15A NCAC 18A .170()i hot & coild water availatte, under pressure 1 3 1.5
Reffigeralran and freezer capacity suflicient 1 5
Proper cooling methods used 2 1
Proper thawing methods used 1 5
Thermometers provided and accurate 1 5
Dry food stored property & latrCed accordingly 1 5
0 figinal coritaNner torstorage of mdk & shertfish I 5
Insects, rodents, and, animals not oresent
2 1
Clean clothes, haU restraints
Lirriens, cloths. & aprons properly used & stored
Washkirn; fruits & vegetables
Not used lot domestic puffroses
33 In -use ut n0s property stored
34 Ulenstlis & equipment property stored, V-driea, stored
'5
3 - F 77 Siin gle-use)Mngle-serylice articles pro perry, stored, handfed. used 1
36
Food & non-food contact SUrface s easily cleariable & in good repair
371
1
1 Approved mare asking facilities of suMcient size 1 '5
38
1
Warewashing faedtfies, maintalned: test strips used 1 5
39
Food service equipment and utensils appiov ed 1 5
40
Mien -food contact surfaces clean 1 5
Wastewaler discharged iinto approved, properly operating wastewater treatment & disposal system otrijer
dy�Products disposed of property
No cross-connedions
Tatter and Iavatrriy fainrities� supplied, properly constructed, clean, good repair, signs Inievided ...................
0 arbage property handled iflsposecl� conlainers properly maintained
F r cars, we Ks, ce ifln as p raic any c o in atru cle d. d ea n, In go ad rep a Ir
fit eats Illumination requirements, Shielde rf� Ughfing & ventilatiGn clean & In good repav
Doors serfckrarng where requireM all windows screencid
COMMENTS: ATTACHMENTS: 1:3
Inspection by: ENS $.D. N: 2259-Michaud, Kenneth
Report Received by: Page 2 oft
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N,C. Department of Environment and Natural Resources Name: BLACKBURN ELEMENTARY Time In, 1 0 1 5
I Zrw?171� -[]pm
Oivision of Environmental Heafth 1[): 2018110004 Time Out Dam
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Street' 4377 W NC 10 HWY- Total T=e:
COMMENT ADDENDUM City, NEWTON
Sniolkrng Establishment? Heart Heafth Survey
[:]Yes No OYes L]No
Saw
THOROUGHLY CLEAN SLICER AFTER USE DRIED DEBRIS ON BLADE GUARD - CLEANED WITH RAG SPRAYED WITH
SANITIZER
GC SS REBECCA M WHITTINGTON 81812008 #60,42205
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