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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 a . is rac c.rlrc,'.c ki dwo raccomPe Qor. oc.,.aspmp too0unnewi.... P, mc H each n erven ane.C en m menu ver is oroves b00brM lineae 0, l ryury 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 1 ❑ ❑ PmrPeitedln. Demonstationen`Gels° by program an perform IrJ ❑ ❑ ❑ 3e ❑ ❑ 371 Paneurizee eggs used where required n ❑ ❑ ❑ EnpbyeeHUI1M1a Rp63 39�❑ Water ane l<e lrom approved source o❑❑❑ 3 ❑ msensment, employees knowledge. armlee &m tin ❑❑❑ 94 ❑ ❑ ,r• rLel Variance obtained fors specialized methods pe processing 00 o ❑ ❑ ❑ 9 �❑ im Proper use of reparting.msNcuum&exclusion ®❑❑❑ FOotl Tan paralnn Cental .31631 Gopd Hygienic Pn Ihd* .2662..2061 310 W E, Paper coong methods ,ad, egmpmanlfor rem erme ad .... Is °❑10 6 ❑ Proper eating.tasting.erinking. ortobacco use Q❑❑❑ 33trol ❑❑❑'PPUnr Iy food pfoparly cooked larbel ne%Ing °0010 s ❑ se or m Noelscharge from eyes.no oWM1 ❑ ❑ ❑ 31 ❑ ❑ ❑ Igl P Approved heading meNetls used ° 1-1110 Prer nano Conlanlnalbn by Hand. 3163, 3164, 3F66,3F6F 6 ❑ Hanes <IeanBproperly washed &e w o ❑❑❑ 14 in ❑ T hermemetere prevNed B accurate ° ❑❑❑ T ❑ ❑ ❑ No batirere M1and cantadw RTEfaetls ar pre veear fcedamr rfolbwed s ❑❑❑ Poe ldonll9*allon .3p63 ]sp❑ Fond propeevlabeled. original<nmainer n❑❑❑ 1 IfIE11 I I Handwashmg sinks supplied&accessible 0❑❑❑ Prarsnaon olFood Conbnlnaaon 3663,1653.26541 Approved Soured .2663. .2666 I6 j� ❑ aroma Insectls& rodents not present no unauthorizedO(OdO a ❑❑❑ 9 ❑ Food obtained from approved sawce s ❑ ❑ ❑ IT 1,I y' ❑ Comammatlon prevented during food preparaLon. storage&dlsplay EEEE 1g❑❑ Food receive_ at Proper temperature °❑❑❑ L ip ❑ Personal cleanliness o ❑ ❑ ❑ 11 ❑ Food ingood candNen. sala&unadunenbd °❑❑❑ 4909❑ Wiping doths_prapedyusedflsnmd o❑❑❑ 1: ❑ ❑ ❑ Required records available mal stacktis Parasns eenrn<uen ' E ❑ ❑ ❑ 40Ei ❑ ❑ Washing lruits 8vegetables o ❑❑❑ Probation from Contamination .3164,3466 1I ❑ ❑ ❑ F oo_separateda protected ❑❑ ❑❑ Pro erVo of Ulan. 3654..3154 <1 ❑ Irouse utensils: prepetly stored o ❑ ❑ ❑ u p Fooa-come i epst pinned a sanamad ,❑❑❑❑❑ ❑ ❑ ❑ ❑ 43 ❑ Utensils. equipment line no Propeay scored druid&handled °❑❑❑ 15 ❑ Proper dispesM1ien of returned. previously served, auditioned &unsaid load d3 ISI W ❑ Sing —e&surgle-servke —a her prepetly staretl&-end ° ❑❑❑ potentially Naeraa1rdmaFeed Tlealraepurrhow .3163 16 ❑ ❑ ❑ F Proper cooking time& temperatures +❑0❑ ❑❑ ii a ❑ chimersetl properly ° ❑❑❑ 17 ❑ ❑ ❑ Proper rehealing Procedures for hot holding a ❑ ❑❑ U sells and Sentenced .31163.. 2663 69171 i ❑ qu tome nt, food food contact surfaces approved, cleanable, properly designed, ndrucce,e used ul s ❑❑❑ 11 Q Q ❑ Proper cooling time&tempolummes ° Q 19 ❑ ❑ ❑ PmperolloAda,lem pentoms ° ❑ 66 ❑ We owes ling facilities: I notal eQ main mard,fl sol test slaps ° ❑❑O 30 ❑ ❑ ❑ Proper cold Wish, temperatures ° ❑ tEIE 61 ❑ Nen-food conorct surfaces clean ° ❑�� 31 ❑ I# ❑ ❑ Proper date marling& disposition HE E] PM1ysialFmilitn .3166.3 2660 69 ❑ ❑ Hot& -Id mater available: adequate pressure o ❑❑❑ 33 ❑ ❑ til ❑ Tlmedasa a Pu Ing a heaah con ho l: procedure s8 ° ❑ co Conaunor Advisory .3163 3 69 ljh ❑ Plumbing Installed: proper backflow devices TEE El El 33❑❑ uneercookeebods providedfor rawor s❑❑❑y ❑ Sewage& meso over properly disproved °❑❑❑ Hlph &uuapllbla Popobtlond .3653 I 51 tjI F ❑ ❑ Toner facilities PropI'"onsvoaed. Supp bed a leaned ° ❑ ❑ ❑ 36 ❑ rt1 ❑ rY Pasteurized foods used: prohibited foods not _ aHare e ❑ ❑ ❑ 53 ❑ Garbage8 rabsa pfoparly disposed: bcilities maintained ° ❑ ❑ ❑ Chemical .26531 r 35 ❑ ❑ Food additives: approved& properly used o ❑❑ ❑ 9a ❑ Physical facilities member. maintained& clean TEE ❑❑❑ 36 ❑ ❑ Ic au a noxa rn a en 1 e hired uu ❑ ❑ ❑ 96 ❑ Meets kingdom 81gMing ,cqui emenrs. designated a and ° ❑ ❑ El 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 ° ❑ ❑ 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,. >apai q _ iced Fsumum mosem napacn hepm; vm d� iii