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HomeMy WebLinkAboutBlackburn Elementary School 110004 03 16 12. LS.pdfFood Service Establishment Inspection NC Department of Environment& Natural Resources Division of Environmental Health Establishment Name: BLACKBURN ELEMENTARY SCHOOL Location Address: 4377 W NC 10 HWY City NEWTON State,: NC, 28658 Score- 98 [-2606(b)] = 100 Date. 0 3 / 1 6 a 0 1 2 Time. 0 0 Status Code, A Risk I 11 III IV Permlttee: CATAWBA COUNTY SCHOOLS C 0 U City: 18 Mailingaddress i Current Establishment ICI. 2018110004 city State:- Zip. Previn:ius Estabkshment ID - Email Address, Lat. Long, inspection Name Change r_V visit 0 Seating: OWastewater Systems: []mm unrcipariComunily [E..' On -Bile System Re-spection status change, H CV Follow-up — Water Suppty.- R]muniicjpaliir-ommumtV [:]On -Site System V led [] Water sample taken today? CRITICAL \AOLA'nON RISK FACTORS (.'rijioal violation Piss F actors= ContribuPrig factors that mcrease the chance 0developing foodborne fliness NA - Not, Applicable NO - Not Observed G C - General C o rnment CDl - Corrected iguiring iinspection R - Repeat Violation — --TH --TGC CD]FR7 -T---Pt Personnel with infectious or communicable diseases restricted 1 31 1,5 Ptaper employee beverage or tobacco use 1 3 1 Hands clean and properly washed 4 2 Minimal bare hand contact with foods 51 HandwashIng facildies provided 77 T-5 Food obtained from an approved source 4 —72 Food reserved at proper tarnperature 3 15 Food in good condition, safe and unadulterated Shellslock tags retained Food prolected, during storage, handling, displayj service & written noliCe for clean plates and conlact SuffaceS Cleaned & Sanlfted'approved methods and rianifizclrs ng of returned, previou" served, and adulterated food Proper cooking finte and temperature . ........................ — ---- - ----------------- Proper rehealkrilt protedure'S Idinglerniperidlures mom Proper cold bWding temperatures Time as a oublic health control, proc edures records Item Location Ternp item Loc a Tion Temp Item Locallion Tenip CHICKEN HOT HOLD 165 SLAW ICE BATH 43 SLICED ICE BATH 43 GREEN HOT HOLD 152 COMMENTS: NEED TO CLEAN GRATES ON FANS IN KITCHENSTARTING TO GATHER DUST AND DEBRIS, REBECCA WHITTIINTON 7119.12011 CERT#8229983 vi, Spey I DENR 4007 (revised OV08) Pa0e I of 2 Food Service Establishment Inspection NC Department of Environment: & Natural Resources Division of Environmental Health Establishment Name, BLACKBURN ELEMENTARY SCWXX Date: OWIW012 Current Establishment ID-1 2018110004 . . ................... 0000 RETAIL PRACT110ES; NA IO I I Pt s 1GC I R Toxic substances properly identified, stored, used I -"' 15 Consumer adrvis,ory provided 1 2 1 Source in actordancewith 15A NCAO 18A A 700; hot & cold, water availableunder pressure 1 3 1,5 Refrigeration and freezer capacity sufficient Prosper cooling methods used 2 Proper thawing, methods used Thermometers provided and accurate Ory food stored properly & labeled according ty Onginal tontwnw for storage ofmflk & shelffish insects, rodents, and animals riot present 2 1 Clean clolhes, hair restraints 5 linens, dams, & aprons property used & stored 15 Washiing fruits &vegetables 1 5 Not used for domestic purposes 15 In -use utensils properly stored 1 5 Utensrls 9, equipment property stored, air-dried, handled' Singie-uselsingle-service artides property stored, bandied, used 1 5 36 Food & non-food contact surfaces earoilty cleanable & in good repair �3 7 Approved warewash ing facilities of suffic drit size 38 Warawashing facilities rinwritanled-1 tesl strips used 39 food service equipment and utensils approved 1'19 40 Non-food contact surfaces clean 15 Wastewater cliectiarged into approved, properly operating wastewater treatment & disposal syslems other by,products disposed of properly No cross-conrrecfions Toilet and Nvatoryfaclitities; supplied, properly constructed, clean, good repair, signs provided 2 T_ Garbage properly handled & disposed" containers properly maintained 1 15 Ftoors, walls, ceilings properly constructed, clean, in good repair 1 Meets illumination requirements; shielded, lighfing & ventifialron clean & in good repair 1 15 Storage spaces clean, storage above floor, approved storage for maps, brooms, hoses, & other hems 1 -5 Doors self -closing where required„ all windows screened Total Deductions r2 ftaining mmyet &-Mo*d uwcadm� wV, amdadaRri, Man $1'10=4 K ATTACHMENTS: ENS I.D. #- 1896-Sears, Luke Page 2 of 2 pq 1JANCAC 28A_W@4ficdflv cuter di*&h,,,b* WwiM OM r%jwb$i pingft 2 " Copyrixd* rixulott ores DupnUML 3r1vddk.uibbd*d br the 11, C Dvlam d A ad N,C'O ail me 'it Of Env W) AM 0 At and Nat urW PesOurces NameLALKSUMELEWNTARYSCHM Time In: 0 0 0 1 Division of Environmental Health ID- 2018110004 Time Out,, 0 0 0 .1 r COMMENT ADDENDUM Steet,: 4377 W NC ail HWY TotalTime� 12hrsiminute City- NEWTON M SLICER AND SLICER BLADE NEED TO BE REWASHED,MNSED.SANITIZED AFTER EACH USE, CD1 - REWASHED,RIPA SED,SANiTIZED SLICER 45 CHIPPING PAINT ON! CEILING AROUND DISH MACHINE, REPAINT AS NEEDED,