HomeMy WebLinkAboutBalls Creek Elementary 110001 10 23 12.pl.pdfFood Establishment Inspection Report
r
Establishment ID: 2018110001
Score: 10
Date: r 0/ 2/ a a 12 Status Code: A
am
Time In: 0 s: a 5 0 pm Time Out: 1 0: 4 5 0 pm
Total Time: 1 hr 20 minutes
Category #: IV
Establishment Type:
Instructions:
1. Fill in the information below for the
Food Establishment:
Location Address: 2620 BALLS CREEK FCC%
City: NEWTON
State: NC Zip: 28658
County: 1 Catawba
Permittee: CATAWBA COUNTY SCHOOL
Telephone:
%Inspection
ORe-Inspection
Wastewater System:
QMu n icipal/Community
On -Site System
Water Supply:
QMu n icipallCom mu nity
QOn-Site System
2. Clicklfill the appropriate circle
For "IN, OUT, NIA, NIO".
IN= In Compliance, OUT= Not in compliance
N1O=Not Observed, NIA= Not Applicable
3. Clicklcheck the appropriate
Boxes for CDI andlor R, VR.
CD1= Corrected During Inspection
R= Repeat Violation
VR= Verification Required
4. Continue to page 2 for
"Good Retail Practices".
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
Foodborne Illness Risk Factors and Public Health Interventions
Risk factors: Contributing factors that increase the chance of developing foodborne illness.
Public Health Interventions: Control measures to prevent foodborne illness or injury.
Compliance Status I our oI I R I uR
0 0 IPIC Present; Demonstration -Certification by accredited 0 Q
IN OUT NIA program and perform duties 2 0 0 0 0
2lk0
Management, employees knowledge, responsibilities
000
0
0
0
IN
OUT
& reporting
3 1.5 0
3
0T
Proper use of reporting, restriction & exclusion
0 0 0
0
0
0
IN
1.50
food
Hygip, c
4
*
0T
Proper eating tasting drinking, or tobacco use
0 0 0
0
0
0
�T
No discharge from eyes, nose, and mouth
0 0 0
o
0
0
IN
5
(1
0
Hands clean & properly washed
00 0
IN
OUT
4 2 0
0 0
No bare hand contactwith RTE foods orpre-approved
00 0
N OUT N10
alternate procedure properly allowed
3 1.5 0
0 0
0
$
�
Handwashing sinks supplied & accessible
0 0 0
0 0
0
OUT
9
1
0T
Food obtained from approved source
0 0 0
0
0
0
2 1 0
10
0
Food received at proper temperature
0 0 0
0
0
0
IN 00
0
11
�
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
NIA N10
destruction
2 1 0
13 * 0 0 0 Food separated & protected 00 0
IN OUT NIA N10 3 1.5 0 0 0 0
14 0T Food -contact surfaces: cleaned &sanitized 00 0IN 0 0 0
3 1.5 0
15 0 Proper disposition of returned, previously served, 00 0 0 0 0
IN OUT reconditioned, &unsafe food 2 1 0
15
0 0 0
Proper cooking time & temperatures 03
0 0
0
OUT NIA N10
1.5 00
1 ii�
0 0 0
Proper reheating procedures for hot holding 0
0 0
0
IN OUTN/A N/0
3 1.5 00
18
0 0T 0 0
Proper cooling time &temperatures Q
0
0 0
0
1Q
19
� 0T 0 0
Proper hot holding temperatures 00 0
0 0
0
3 1.5 0
20
4 0 0 0
Proper cold holding temperatures 00
0 010
N OUTN/A N10
1.5 00
21
Proper date marking & disposition 0
0
0 0
0
IN O0UTNO1A N0j0
10
22
8 0 0 0
Time as a public health control: procedures & records 00 0
0 0
0
IN OUTN/A N10
2 1 0
0 0 Consumer advisory provided for raw or undercooked 0 0 0 0
23 IN OUT NIA foods 10005 .0
24 N 00 0 Pasteurized foods used; prohibited foods not offered 0 1O O 0 0 0
25 0 00 N Food additives: approved & properly used 0 0 0 0 0 0
2s 0� 0 Toxic substances properly identified stored, & used 000
0 0 0
2 1 0
27 5- 0 0 Compliance with variance, specialized process, 000
IN OUT NIA reduced oxygen packing criteria or HACCP plan 2 1 0 0 0 0
Food Establishment Inspection Report, continued
Establishment Name: BALLS CREEK ELEMENTARY
Establishment ID: 201811O001
Instructions, continued:
5. Click the appropriate circle to fill-in
for "IN, OUT, NIA, NI❑".
IN= In Compliance, OUT= Not in compliance
N10=Not Observed, NIA= Not Applicable
6. Click or check the appropriate
boxes for CDI andlor R, VR
CD1= Corrected during Inspection
R= Repeat Violation
VR= Verification Required
Calculate the "Total Deductions"
and record.
7. Sign and complete "Signature Block".
8. Fill in "No. Of Risk Factor
Intervention Violations" and "No. of
Repeat Risk Factor Intervention
Violations".
9. Continue to page 3 for "Comment
Addendum to Food Establishment
Inspection Report".
Signature Block:
Person in Charge [Print]
042X4 - % -�
Person in- Charge [Signature]
4A (, M4
r
Regulatory Authority [Print]
0A. . , AA "0
Re ato Authority [Signature]
Contact Number: () -
Verification Required Date: 1 1
1REHSID_: 2031 -Levin, Paige
No. of Risk Factor/ No. of Repeat Risk
I ntervention Factor/1 ntervention
Violations: - Violations:
Good Retail Practices
Preventative measures to control the addition of pathogens,
chemicals, and physical objects into foods.
Compliance Status
IOUT
DI
R
VR
oafs
FQ,,.od and
W,,ater .25.53,,.25i55, 20511
28
* 00
Pasteurized eggs used where required
0 0 0
Q
Q
Q
29
IN 00
Water and ice from approved source
0 0 0
0
0
0
30
0 IN 00 �
Variance obtained for specialized processing methods
0 0 0
0
0
0
Food
Temperature
Control
31
0
Proper cooling methods used; adequate equipment for
00 0
0
0
0
fT OUT
tempe rature control
1 05 0
32
IDN OU0 NDAN1O
Plant food properly cooked for hot holding
0 0 0
0
0
0
33
* 0 0 0
Approved thawing methods used
00 0
0
0
0
IN OUT NIA N/O
1 0.5 0
34
O
IN OUT
Thermometers proveaccurate
tprovided & t
0 0 0
0
0
0
Find
Identification,
_ _2653 ..
35
0
Food properly labeled: original container
0 0
0
0
0
N OUT
2 1 0
Pretvention
of Food
Contamination: .2552, .2553, 2554, :2 ,55,
.2557
36
Insects & rodents not present; no unauthorized animals
0 0 0
0
0
0
N oU0
37
OUT
storage &display
2 1 0
38
IN OUT
Personal cleanliness
0 0 0
0
39
V 00
Wiping cloths: properly used & stored
0 0 0
0
0
0
40
0�
Washing fruits & vegetables
Mloro
Proper
Use of Utensils....
. 2,,53,,.25i54.... ...........
41
IN OU0
In -use utensils properly stored
0 0 0
0
00
42
*
IN OUT
& handled
1 0.5 0
43
*
IN OUT
stored & used
1 0.5 0
44
IN OO
Gloves used properly
00 0
0
0
0
Utensils
and Eq
Ipment �25.53,.2554, ;25�3 ...
. .. ..
.......
45
0 (5L
Equipment, food & non-food contact surfaces approved
0
N OUT
cleanable, properly designed, constructed, & used
2 1 0
45
0
Warewashing facilities: installed, maintained, & used;
0 0 0
0
0
0
OUT
test strips
1 0.5 0
47
0
I, OUT
Non-food contact surfaces clean
000
1 0.5 0
Physical
Facilities....
..... 2554, :25i55, ,2059 ...........
48
00
Hot & cold water available; adequate pressure
0 0 0
0
0
0
49
00
Plumbing installed; proper backflow devices
0 0 0IN
0
0
0
50
I 0�
Sewage &waste water properly disposed
0 0 0
0
0
0
51
0
Toilet facilities: properly constructed, supplied
00 0
0
0
0
OUT
& cleaned
1 0.5 0
52
OUT
facilities maintained
1 0.5 0
53
IN 0 U 0
Physical facilities installed, maintained & clean
0 0 0
0
010
54
0
Meets ventilation & lighting requirements;
00 0
0
0
0
N OUT
designated areas used
1 0.5 0
Total Deductions:
c
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. BALLS CREEK ELEMENTARY
Establishment ID: 2018110001
Date: 10123/2012
IN
Location Address: 2620 BALLS CREEK RD
City: NEVVTON State: INC
County: 18 Catawba Zip: 28658
Wastewater System: 0 Municipal/Comm unity @ On -Site System
Water Supply: @ Municipal/Community 0 On -Site System
Permittee: CATAWBA COUNTY SCHOOLS
Telephone:
Temperature Observations
Item
chili
Location
hot holding
Temp Item Location Temp Item Location Temp
157
chili
hot holding
162
ham
walk in cooler
37
cheese
ravioli
walk in cooler
walkin cooler
37
37
milk
milk cooler
39
salad
reach in cooler
39
cheese
reach in cooler
38
Observations and Corrective Actions
Violations cited in this report must be corrected within the time frames below, or as stated in sections 8-405.11 of the food code.
O;ne reach in cooler not working at time of inspection. Not being used.
North Carolina Department of Health& Human Services 0 Division of Public Health 0 Environmental Health Section * Food Protection Program
Page 3 of Food Establishment inspection Report, 7f2012 N.C.Department of Health and Human Services is an equal opportunity employer and provider.