HomeMy WebLinkAboutBlackburn Elementary School 110004 12 02 11. LS.pdfFood Service Establishment Inspection NC Department of Environment& Natural Resources
Division of Environmental Health
Establishment Name: BLACKBURN ELEMENTARY SCHOOL
Location Address: 4377 W PIC 10 HWY
City NEWTON State,: 1`4C, 28658
Score- 99.5 [-2606(b)] = 101,5
Date. 1 .7 / 0 .1 a 0 1 1 Time. 0 0 0 1
Status Code, A Risk I li III R IV
Permlttee: CATAWBA COUNTY SCHOOLS County: 18
MailingAddre-ssi Current Establishment ID: 2018110004
city State:- zip. Previnous Establishment ID,
Email Address, Lat, Long,
inspection r_V visit Wastewaler Sy *.]On -Site Systems
1:1 Name Change 0 Seating: Vista E]m unoc1paVCornnourfllyE
Re-0spection [:] status change, H CV FoRaw-up — Water Suprity.- [j]tgwcipavC-crrnrnumty [:]On -Site System
V !sit D Water Sample taken todaylr
CRITICAL \AOLA'nON RISK FACTORS
001rcal Violation Rick Fac.:tor%= Conjnpuliingfactors that mcreaselhe chance of develop Ing foodborne illness
NA -Nat Appilicable Na - Not Observed CC - General C a rnment poll - Corrected During inspection R - Repeat Violation
Pto
T — 7 CDF R7
GCT
Personnel wilts infectious or communicable diseases restricle d 1 3 1,5
Proper employee beverage or labac co use 1 3 1,5
Hands clean and properly washed 4 2
M mirrial bare hand contact with toads 3 1
Handwashing facilities provided 3 7-5
Food obtained from an approved source 4 2
Food received at proper terinp8rature
Food rn good condition, safe and unadulterated 3 1 5
Shellslock tags rela ined 2 1
d duOng StOrage, haridifticii diSplayserv�ce &lralngriorlafiowi wotertinOUCe faroean Plates
surfaces cleaned & 99,nifiZed" approved methods and sariffizers
Proper handling of returned, previou" SPTY04, and adulterated food
Proper cookJnq finte and temperature
.......... . .. . . . ........ . ......
Proper rehealing protedures
Proper hot holdhiglernoeratures
Proper cold b0ding temperatures
Time as a pub4c heafth, control, procedures& records
Itern, Localmon Terrip lierri Losatgon Temp fem Lwoc a hen Temp
PINTO HOT HOLD 154 SALAD REACH fN COOLER 41
FISH HOT HOLD 155
CHICKEN HOT HOLD 151
SHREDDED WALK IN COOLER 38
COMMENTS:
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spel I
DENR 4007 (raViSed OV08) Page 9 Of 2
Food Service Establishment Inspection NC Department of Environment: & Natural Resources
Division of Environmental Health
Establishment Name, BLACKBURN ELEMENTAIRY SCWXX Date-, 12M2QO11 Current Establishment ID-1 2018110004
0000 RETAIL PRACT1110ES;
III ''NONE=
Toxic substances property ldentified, stored, used
1 11 ON,
IS IMEM
Source in actordancewith 15A NCAO 18A A 700; het cold, water avaiiable, under pressure 1 1 "s
Reffigeration and freezer capacity sufficlent
Proper cooling methods used
Proper thawing methods used
Thermometers provided and accurate
Ory food stored property &1abeled accordingly
0 Oginal contarnw for storage of mfik & shellfish
insects, rodents, and animals not present 2 1
Chian clolhes, hair restraints 1_,11
Linens, cloths, & aprons property used & stored 15
Wa shlng fruits & vegelables 1 5
Not used for domestic purposes I , 5
In -use utensils propeTly slored 1 5
Utenslis & equipment property stored, air-dried, handled
Burgle-usersingle-servirce articles property stored, handed, used
36
Food & non-food contact surfaces easily cleanable & in good repair
�3 7
Approved warewashing facilities of sufficient size
38
WarewaWflng facilirfies maintained„ teM strips used
39
food setvirce equipment and utensils approved
40
p_nn-food_ contact surfaces clean
Wastewater discharged into approved, properly operating wastewaller trealrosirrl & disposal sysleir, other
No cross connectlianrl 1�
TOM: and lavatory facilities; supplied, properly constructed, clean, good repair, Signs provided 2
0 a mage properly handled & disposed" containers properly rnaintaine d 1
Filcors, walls, ceilings property c onstructe1, clean, in good repair I
Meets illumination requirements. shielded, lig hfin g is ventilation clean & in good repair 1
Storage spaces clean, storage above floor, approved storage for mops, brooms, hoses, & other items 1
Doors self -closing where required-, all windows, screened 1
/_11) Total Deductions WS
ME
W f T-M
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Repart Received by:
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ENS I.D. #,�
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ATTACH MENT S-
1896-Sears, Luke
Page 2 of 2
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N,C'eP ail me 'it Of Env W) AM 0 At and mature[ PesOurces
Name
LALKSUMFLEW NTARYSCHM
Time in: 0 0 I mja�R
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Division of Environmental Health
ID-
2018110004
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Time Out, 0 0 0 .1
1 11 �Dpn,
St re et:
4377 W NC 10 HWY
COMMENT ADDENDUM
Total Time� I minute
City-
NEWTON