HomeMy WebLinkAboutCamp Dogwood 010024 05 22 17Food Establishment Inspection Report
Establishment Name: CAMP DOGWOOD
Location Address: 7062 CAMP DOGWOOD DR
City: SHERMLLS FORD State: NC
Zip: 28673 County: 78 Catawba
Permittee: LIONSCLUBINT
Score: too
2018010024
IMInspection ❑Re -Inspection
Date: 05/ a 7/] 0 1 7 Status Code: A
Time In: 1 ] 1 a � Time Out: 1 0]. ®pm
Total Time: 1 hr 6 minutes
Telephone: (820)470-2155 Category#: IV
Wastewaters stem: ❑�Munici al/Communi FDA Establishment Type:
Y P ry ❑On -Site System No. of Risk FactorHntervention Violations: t
Water Supply: ❑Municipal/Community MOn-Site Supply No. of Repeat Risk Factor/Intervention Violations:
Foodborne Illness Risk Factors and Public Health Interventions
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Good Retail Practices
Good Phil Pracfaer. P rev dna ficureaon, dremlule
ane thyroid tete etlr into bad,.
a Compliance Status a7 7. me To
I a hinjulfCompliance Status
SUPerrisioa 3163
Sib Foodand Witter .31q..3111. 3166
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PmrPeitedln. Demonstationen`Gels° by
program an perform
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Paneurizee eggs used where required
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Water ane l<e lrom approved source
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msensment, employees knowledge.
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94
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Variance obtained fors specialized
methods pe processing
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Proper use of reparting.msNcuum&exclusion
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Gopd Hygienic
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310
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Paper coong methods ,ad,
egmpmanlfor rem erme ad .... Is
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Proper eating.tasting.erinking. ortobacco use
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food pfoparly cooked larbel ne%Ing
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31
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Approved heading meNetls used
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nano Conlanlnalbn by Hand. 3163, 3164, 3F66,3F6F
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Hanes <IeanBproperly washed
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14
in
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T hermemetere prevNed B accurate
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No batirere M1and cantadw RTEfaetls ar pre
veear fcedamr rfolbwed
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I Handwashmg sinks supplied&accessible
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Prarsnaon olFood Conbnlnaaon 3663,1653.26541
Approved Soured .2663. .2666
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aroma
Insectls& rodents not present no unauthorizedO(OdO
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Food obtained from approved sawce
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Comammatlon prevented during food
preparaLon. storage&dlsplay
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Food receive_ at Proper temperature
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Personal cleanliness
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11
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Food ingood candNen. sala&unadunenbd
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Wiping doths_prapedyusedflsnmd
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Required records available mal stacktis
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Washing lruits 8vegetables
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Probation from Contamination
.3164,3466
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Pro erVo of Ulan.
3654..3154
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Irouse utensils: prepetly stored
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u p Fooa-come i epst pinned a sanamad
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43
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Utensils. equipment line no Propeay scored
druid&handled
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15 ❑ Proper dispesM1ien of returned. previously served,
auditioned &unsaid load
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Sing —e&surgle-servke —a her prepetly
staretl&-end
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potentially Naeraa1rdmaFeed Tlealraepurrhow .3163
16 ❑ ❑ ❑ F Proper cooking time& temperatures +❑0❑ ❑❑
ii a
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chimersetl properly
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17 ❑ ❑ ❑ Proper rehealing Procedures for hot holding a ❑ ❑❑
U sells and Sentenced
.31163.. 2663
69171
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qu tome nt, food food contact surfaces
approved, cleanable, properly designed,
ndrucce,e used
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11 Q Q ❑ Proper cooling time&tempolummes ° Q
19 ❑ ❑ ❑ PmperolloAda,lem pentoms ° ❑
66
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We owes ling facilities: I notal eQ main mard,fl
sol test slaps
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30 ❑ ❑ ❑ Proper cold Wish, temperatures ° ❑
tEIE
61
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Nen-food conorct surfaces clean
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31 ❑ I# ❑ ❑ Proper date marling& disposition HE E]
PM1ysialFmilitn .3166.3 2660
69
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Hot& -Id mater available: adequate pressure
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33 ❑ ❑ til ❑ Tlmedasa a Pu Ing a heaah con ho l: procedure s8 ° ❑
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Conaunor Advisory .3163 3
69 ljh
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Plumbing Installed: proper backflow devices TEE
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33❑❑
uneercookeebods providedfor rawor s❑❑❑y
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Sewage& meso over properly disproved
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Hlph &uuapllbla Popobtlond .3653 I
51 tjI
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Toner facilities PropI'"onsvoaed. Supp bed
a leaned
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36 ❑
rt1
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Pasteurized foods used: prohibited foods not
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aHare
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53
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Garbage8 rabsa pfoparly disposed: bcilities
maintained
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Chemical .26531 r
35 ❑
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Food additives: approved& properly used
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Physical facilities member. maintained& clean TEE
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36
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Ic au a noxa rn a en 1 e hired uu
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96
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Meets kingdom 81gMing ,cqui emenrs.
designated a and
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Conbrn wtiF Appontl Pnaaduros.2663.2654•36/6
Total Deductions: 0
Compliance with variance, sPecmnzed es
37 ❑ ❑ reduced o In pa<km criteria or eA�CP plan
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Nora h Carotin a D epartmenI ofH -IIh I Human Services a Division of Public Heats a EnwmmzdaI H each Secon a Food Protection Program
DH HS Is an agual.'Paru my employer.
the
cre
Peer M_ ooefsY011samnM lnapaeeon Report.Ii
Comment Addendum to
Food
Establishment Inspection
Report
Establishment Name: CAMP DOGWOOD
38
Establishment ID: 2018010024
walk in cooler
Location Address: 7062 CAMP DOGWOOD DR
City: SHERRILLS FORD State. NC
County: 18 Catawba Zip: 28673
Wastewater System: ® khmeipglcommuhay O onsousystem
Water Supply: ❑ Munidpmrcommum, 00 on -see system
Permittee: LIONS CLUB INT.
Telephone: (828)478-2155
ffilirspection ❑Re -Inspection Date: 0512212017
Comment Addendum Attached? ❑ Status Code: A
Category #: IV
Email 1: dchard@ncltorg
Email 2:
Email 3:
I Temperature Observations I
peau
walk in cooler
37
hem
walk homier
38
lettuce
walk in cooler
38
lomelo
walk i molar
38
milk
roach in cooler
39
Observations and Corrective Actions
Violations cited in this report must be cooeded within the tine frames below or as stated in Sedpns 8-405.11 of the fmd code.
21 Foods being marked for 8 day shelf life. No foods actually out of date, so dates corrected.
3-501.17 Ready -To -Eat Potentially Hazardous Food (Time/Temperature Control for Safety Food), Date Marking - PF Saudi
First Last
Person in Charge (Print 8 Sign): Gail Ervin V0
First Last
Regulatory Authority(Pdnt& Sign): Paige Isom
RENS ID: 2031 - Levin, Paige —Verification Required Date:
REHS Contact Phone Number: ( ) -
Home cashless Depadment of Health BHuman$enriess 0 Duch of PublicHeaM a Environmemel Heath Section a Food Pwlection Program
DHHS rs an houses, ... on, employe,.
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