HomeMy WebLinkAboutBlackburn Elementary School 110004 11 17 10.KM.pdfFood Service Establishment Inspection NC Department of Environment & Natural Resources
Division of Environmental Health
EstablishmentName: BLACKBURN ELEMENTARY SCHOOL
Location Address, 4377 W NC 10 HVVY
CjityNEWTON Staw NC Zfp- 28M
Score: 98 + * [,2606(b)l = 100
Date-, 11/ 171 1010TIme. 1 1
Perrrtittee: CATS WBA COUNTY SCHOOLS Courity: 18
Mailing Address: Current E stablishment IDi 2018110004
city, State,- ZIP Previous Estabfishment its:;
Errrafl Address: tat. Long
trispechon 1:1 Name Change CV vi
vistt 0 Seating: 'VastewaterSysterns., 0hiunicipatic orninvinIty [Eon —Site System
Re -inspection 0 Status Change B CV FoRow-up — Water supply� R]u unrcIpaUCommunftyE]0n-Site Systern
Visit 0 Watim sample taken today7
CRITICAL VIOLATION RISK FACTORS
Critical Violation Risk Factors= Conlribuhng factors that increasethe chance of developin gtoodnorne diness
NA - Not Applicable NO - Not Observed: 6 C - General Comment CDt - Corrected During Inspection R - R epeat Violation
FC—D IF [ _R
Persorinta with Infectious or communicable diseases restricted
Proper enrployee beverage or tobacco use
Hands Cle�an and property walihtd
M Wrinal bare hand contact, with foods
Handwashing fadftfies prowIded
Food obtMfted frorn an approved soutte
Forrd received at proper temperature
Food In good condition, safe and unadufterated
Shellstock, tags retained
food lartlected during $for' apoh andlin'% drstuay, SeNiice & Written notice for Crean Plates
Food contact SudaeeS Cleaned & Sanifted; approved ftlethOdg and Sanflo*rs
g of returned, oreviously sarved,, and adulterated food
Proper cooking time, and temperature
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P r ap e r re h e a Ung protedures
"I'll, 11 11 11 11 "I 11 11 I "I
Proper hot ftokfing lernperatureS
Proper rout bolchrig temperatures
Time as a pubtic heafth control, Drocedures & records
Item Locabon Tame "ern Locatmn Temp Item Locafion Temp
HAMBURGEF HOTBAR 171
BLACK EYED HOTBAR 181
SLICED SALAD BAR 36
RAVAOLI OVEN 181
�"# A10421
DEN R 4007 (revised 01108) Page 9 of 2
Food Service Establishment Inspection NC Department of Environme nt & Natural Resources
Division of Environmental Health
BLAMBLMN ELMENMY SC:HWL
Estabfishment Name: Daw 11,117=10 Current Establishmert ID
GOOD RE TA IL PRA CM E S
MMIM
Toxic substances property identified, stored, used
Consumer advisory provk1ed
Source in accordance with 15A NCA C 18A .17W hot & coid water avaitable, under pressure
Refrigeration and freezer capacip, sufficient 1 5
Proper cooling methods used 2 1
Proper thawing methods used 1 5
Thermometers provided and accurate 1 5
Dry food stored properly' & labeled accordingly 1 5
Original coatamer for storage ofrnflk. & shisiffish 1 .5
Insects, (oderps, and animals not present 2 1
Clean clothes, hMr restraints
Llnens, cloths, & aprons properly used 8, stored
Washing fruits & vegetables 1 5
Not used for domestic purposes 1 5
In -use utensils properly stored
Utensirs & equipment properly stored, air-dried, handled 1 5
Sangle-use,rsinqre-service articles properly stored, handled, used 1 5
36
Food & non-food contact surfaces ea wry cleanable & in good repair
1
-5
371
1 1 Approved ww areashing facilities of suMcient size
1
'5 H
38
Warewashing factlirnes mainlMned, test studs
1
5
39
Food service equipment and ulensits approved
1
5
40
Non400d contact surfaces clean
....... . . . . . . . . . . . .. . . . . . . . . . . . .
27,242
.. . ..... . ..... y� astrivyalier discharged Into approved, properly operating wastewaler treatment & disposal syslem_other
3
_1 ._57___T_'_ "I
No crose-conne0ons
Torlet and lavatory facfliifhes� supplied, properly constructed, clean, good repair, sons provided ...................
. . . ........ ... . .. ........................ ...... .. ..
Garbage properly handled & cfisposed� containers properly maintained
Ficers, waft, callings property constructed, ctean, in good repair
ts"I'llilb min Mich "pal I qUilrellmll,le'lln��lsllv:"Ish�leldlelld� filg"b"Ifing-& vle"In"Wask"c"n c�[lellaln",&"Ikllnllg,lo'L�l,I r"Ielp"'311"i'r
Doors seM�cdslng where requked� all w6indows screened
Total Deductiors
Successfully cempleled approved food safety barn mg
COMMENTS:
Inspection by:
Report Received by:
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ATTACHMENTS: 13
E 14 S L D. M 2259-Michaud, Kenneth
Page 2 of 2
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N,C, Dep ail mtot of Erwiron men and N at wa I Resources N a nw BIALKSUMELEMENTARYSCHIM
Division of Environmental Health JD- 2018110004
Street' 4377 W NC 10 HWY
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Time Out, 1 1 5 5 91
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Total Time: 16 minII
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N.C. Department of Environment and Natural Resourses,
Division of Environmental Heafth
Name
ID. 2018110004
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Street: 4377 W NC 10 HWY
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N.C, Department of Environment and Natural Recourses NameLA(AB�;RNeLEMENTAAY$CHM
Division of Environmental Heafth ID, 2018110004
Street. 4377 W NC 10 HWY
COMMENTADDENDUM CrtY: NEWTON
IN
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Name, M.ACKBURNELELI.IENITARY'��C�400L
N.C. Department of Enwonment and NaturM Resours
DIvision of Emronmental Heath
ID 2018110004
Street 437?'WIBC 10HWY
Qtv� NEWTON
12
GC SS REBECCA M WHITTINGTON 81812008 #6042205
Locahon Temp Item LoCalion Temp Item Locafion Temp