HomeMy WebLinkAboutBethlem United Methodist Church 090012 09 13 12.jh.pdfFood Establishment Inspection Report
Establishment Name: BETHLEM UNITED METHODIST CHURCH
Establishment ID: 201809 012
Score: 99
Date: 09 1 13 120 12 Status Code: A
Time In: 1 0: 5 8 0 pm Time Out: 1 0: 5 9 0 pm
Category #: 4
Establishment Type:
Instructions:
Location Address: 3214 CATAWBA ST
City: CLAREMONT
State: NC Zip: 28610
C:niintv• 18 Catawba
Permittee: CATAWBA COUNTY SOCIAL SERVICES
Telephone:
Inspection
QRe-Inspection
Wastewater System:
Municipal/Community
OOn-Site System
Water Supply:
*Mu n icipal/Community
OOn-Site System
North Carolina Department of Health & Human Services • Division of Public Health
Environmental Health Section • Food Protection Program
Page f of Food Establishment Inspection Report, 7f2gf 2
Compliance Status
OUT
0 0 PIC Present; Demonstration -Certification by accredited
IN OUT IA program and perform duties 200 p 0 0 0
2
0
Management, employees knowledge, responsibilities
000
0
0
0
OUT
& reporting
3 1.5 0
3
N �T
Proper use of reporting, restriction & exclusion
0 0
0
0
0
10
ood,
Hygi Cric Rra
ices..... ;26.. ,,.24i� .
4
N �T
Proper eating tasting drinking, or tobacco use
0 0
0
0
0
�T
No discharge from eyes, nose, and mouth
0 0 0
o
0
0
5 0T Hands clean & properly washed o 0 0 0 0 0
0 0 1 No bare hand contactwith RTE foods orpre-approved 0 0 0
N OUT 10 alternate procedure properly allowed 3 1.5 0 0 0 0
$ Jlfi OUTHandwashing sinks supplied & accessible 0 0 0 0 0 0
9
0T
Food obtained from approved source
0 0 0
0
0
0
IN
2 1 0
0
0
Food received at proper temperature
0 0 0
0
0
0
00
2 1 0
11
KN 0T
Food in good condition, safe & unadulterated
0 0 0
0
0
0
12
0 0 0
Required records available: shellstock tags, parasite
0 0 0
0
0
0
N OUT iD/A N/0
destruction
2 1 0
1 3 0 0 0 Food separated & protected 0 0 0
IN OUT NIA 10 3 1.5 0 0 0 0
14 *i'N 0T Food -contact surfaces: cleaned &sanitized 0 0 0 0 0 0
3 1.5 0
�� 0 Proper disposition of returned, previously served, 00 0 0 0 0
N OUT reconditioned, &unsafe food 2 1 0
16
00 0
Proper cooking time & temperatures 03
0
0
0
IN OUTN/A 0
1.5 00
17
0 0 0
Proper reheating procedures for hot holding 03
0
0
0
IN OUTN/A 10
1.5 00
$
0 0 0
Proper cooling time &temperatures 0 0 0
0
0
0
N OUTNIA 10
3 1.5 0
9
'N 0T 0 0
Proper hot holding temperatures 0 0 0
0
0
0
3 1.5 0
00 01
Proper cold holding temperatures
0
0
0
N OUTNIA 10
1.5 00
2�
0 0T 0
Proper date marking & disposition 0
0 0
0
0
0
0
1.50
22
0 0 0
Time as a public health control: procedures & records 0 0 0
N OUTN/A 10
2 1 0
0 0 Consumer advisory provided for raw or undercooked 0 0 0
23 IN OUT A foods 1 0.5 0 0 0 0
24 too 0 Pasteurized foods used; prohibited foods not offered 0 1.50
0 0 0 0 0
25 0 OU0 fV1A Food additives: approved & properly used 0 0 0 0 0 0
25 N 00 0 Toxic substances properly identified stored, & used 000
0 0 0
2 1 0
270 0 Compliance with variance, specialized process, 000
N OUT A reduced oxygen packing criteria or HACCP plan 2 1 0 0 0 0
Food Establishment Inspection Report, continued
Establishment Name: BETHLEM UNITED METHODIST CHURCH
Establishment ID: 2018090012
Instructions, continued:
Signature Block:
L
Persod in Charge [Print]
Perso i Charge [Signature]
Regulatory Aut ri ( rint]
Q!!!P
ry A t or' S gnature]
Contact Number:
Verification Required Date: 1 1
REHS ID: 1654 - Huffman, Jason
No. of Risk Factor
I nterventlon
Violations:
No. of Repeat Risk
Factor/l ntervention
Violations:
Good Retail Practices
Good Retail Practices: Preventative measures to control the addition of pathogens,
chemicals, and physical objects into foods.
Compliance Status IOUT oil
R uR
oafs
Food and!
W.ater 2�.�3,,.2�.55 205B
28
0T
Pasteurized eggs used where requireIN d
0 0 0 0
0 0
29
e 0T
Water and ice from approved source
0 0 0 Q
Q Q
30
0 OUT A
Variance obtained for specialized processing methods
0 0 0 0
0 0
Food
Temperature
Control .. ..... . 2,,53,,.2454,
31
C ` 0
Proper cooling methods used; adequate equipment for
0 0 0
�I(N OUT
tempe rature control
1 05 0
32
Plant food properly cooked for hot holding
0 0 0
0
0
0
I0N OUST IAN100
33
0 0 0
Approved thawing methods used
00 0
0
0
0
IN OUT ]A NI
1 0.5 0
34
N OUOT
Thermometers provided & accurate
000
0
0
0
Fo,ed
Identrfloation
.. _2653 ..
35
0
Food properly labeled: original container
0 0 0
0
0
0
N OUT
2 1 0
Prevention
of Food
Contarnination .2�. , .24�3, .2054, : ,
6, .2�57
36
0T
Insects & rodents not present; no unauthorized animals
0 0 0
0.
N
37
OUT
storage &display
2 1 0
38
0T
Personal cleanliness
0 0 0
0
39
N 0T
Wiping cloths: properly used & stored
0 0
0
0
0
40
N 0T
Washing fruits & vegetables
0 0 0
0
0
0
Proper
Use of Utensils....
. 2,,53,,.2454..... ...........
41
N 0T
In -use utensils properly stored
0 0 0
0
00
42
IN OUT
& handled
1 0.5 0
43
0
Single -use & single -service articles: properly
00 0
0
IN OUT
stored & used
1 0.5 0
44
j 0T
Gloves used properly
00 0
0
0
0
Utensils
and Equipment
2.3,.24, ;23 ...
. .. ...
.......
45
0
Equipment, food & non-food contact surfaces approved
0 0 0
0
0
0
I OUT
cleanable, properly designed, constructed, & used
2 1 0
45
0
Warewashing facilities: installed, maintained, & used;
0 0 0
OUT
test strips
1 0.5 0
47
OUT
Non-food contact surfaces clean
000
1 0.5 0
0
0
0
Physioal
F cilit`i
s ,54, .2455, 205
48
'if0T
Hot & cold water available; adequate pressure
0 0 0
0
0
0
49
IN 0T
Plumbing installed; proper backflow devices
0 0 0
0
0
0
50
A 0T
Sewage & waste water properly disposed
0 0 0
0
0
0
51
0 Of
Toilet facilities: properly constructed, supplied
0 0
0
0
0
N OUT
& cleaned
1 .5 0
52
OUT
facilities maintained
1 0.5 0
53
O T
Physical facilities installed, maintained & clean
1 Al 0
0
0
0
�4
0
Meets ventilation & lighting requirements;
00 0
O
OUT
designated areas used
1 0.5 0
Total Deductions:
1'
North Carolina Department of Health & Human Services • Division of Public Health
Environmental Health Section • Food Protection Program
Food Establishment Inspection Report, 7f2012 Page 2 of
Comment Addendum to Food Establishment Inspection Report
Establishment Name: BE HLEM UNITED METHODIST CHURCH
Location Address: 3214 CATAWBA ST
City: CLAREMONT State: N
County: 18 Catawba Zip:2861L
Wastewater System: Q Municipal/Community Q On -Site System
Water Supply: @ MunicipallCommunity Q On -Site System
Permittee: CATAWBA COUNTY SOCIAL SERVICES
Telephone:
Establishment ID: 2018090012
Date: 09113/2012
Status Code: A
Category #: 4
Email 1:
Email 2:
Email 3:
Item Location Temp Item Location Temp Item Location Temp
WVENDY G 07-2$-11, 8262194 0
North Carolina Department of Health & Human Services • Division of Public Health • Environmental Health Section • Food Protection Program
Page 3 of Food Establishment Inspection Report, 7f2012 N.C. D epartment of Health and Human Services is an equal opportunity em ployer and provider.
Comment Addendum to Food Establishment Inspection Report
Establishment Name: BETH LEM UN fTED METHODIST CHURCH Establishment ID: 2018090012
I/
Spell
North Carolina Department of Health & Human Services • Division of Public Health • Environmental Health Section • Food Protection Program
N.C. D epartment of Health and Human Services is an equal opportunity employer and provider. «... `
Page 4 of Food Establishment Inspection Report, 7f2012
Comment Addendum to Food Establishment Inspection Report
Establishment Name: BETH LEM UN fTED METHODIST CHURCH Establishment ID: 2018090012
I/
Spell
North Carolina Department of Health & Human Services • Division of Public Health • Environmental Health Section • Food Protection Program
N.C. D epartment of Health and Human Services is an equal opportunity employer and provider.
Page 6 of Food Establishment Inspection Report, 7f2012
Comment Addendum to Food Establishment Inspection Report
Establishment Name: BETH LEM UN fTED METHODIST CHURCH Establishment ID: 2018090012
I/
Spell
North Carolina Department of Health & Human Services • Division of Public Health • Environmental Health Section • Food Protection Program
N.C. D epartment of Health and Human Services is an equal opportunity employer and provider.
Page 6 of Food Establishment Inspection Report, 7f2012