HomeMy WebLinkAbout4 Peas in a Pod Restaurant 010730 12 10 12.pl.pdfFood Establishment Inspection Report
r r ■ RESTAURANT
Establishment
Establishment ID: 2018010730
Score: 97.5
Date: 1 2/ 1 6/. a 1. Status Code: A
am
Time In: 0 9: 2 5 0 pm Time Out: 1 1: 0 0 0 pm
Total Time: 1 fir 35 minutes
Category #: IV
Establishment Type:
Instructions:
1. Fill in the information below for the
Food Establishment:
Location Address 1640 1OTH AV NE
City: HICKORY
State: NC Zip: 28601'
County: 1 Catawba
Permittee: 4PEASINAPODINC'
Telephone:
Inspection
ORe-Inspection
Wastewater System:
Municipal/Community
QOn-Site System
Water Supply:
QMu n icipal/Community
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 UI R uR
0 0 IPIC Present; Demonstration -Certification by accredited 0 Q
IN OUT NIA program and perform duties 2 0 0 0 0
2
0
X
Management, employees knowledge, responsibilities
0 0 S
4
0
0
IN
OUT
& reporting
3 1.5 0
3
0T
Proper use of reporting, restriction & exclusion
0 0
0
0
0
N"
10
food
Hygip, c
4
IN
0T
Proper eating tasting drinking, or tobacco use
0 0 0
0
0
0
8
0T
No discharge from eyes, nose, and mouth
0 0 0IN
o
0
0
5
�
0T
Hands clean & properly washed
00 0
0 0
No bare hand contactwith RTE foods orpre-approved
00 0
N OUT NIO
alternate procedure properly allowed
3 1.5 0
0 0
0
8
Handwashing sinks supplied & accessible
0 0 0IN
0 0
0
OUT
9
0T
Food obtained from approved source
0 0 0
0
0
0
2 1 0
0
Food received at proper temperature
0 0 0
0
0
0
INOUTOUOT
NIO
��
0T
Food in good condition, safe & unadulterated
0 0 0
0
0
0
N
12
0 Q 0
Required records available: shellstock tags, parasite
0 0 0
0
0
0
N OUT
N A NIO
destruction
2 1 0
13
� 0
0 0
Food separated & protected
000
IN OUT
N/ANIO
3 1.5 0
0
0
0
�4
0
-
Food -contact surfaces: cleaned &sanitized
o 0
0
0
0
IN
UT
3 1 0
��
`4
0
Proper disposition of returned, previously served,
000
0
0
0
N
OUT
reconditioned, &unsafe food
2 1 0
15
0 0 0
Proper cooking time & temperatures 03
0 0
0
IN OUTN/A NIO
1.5 00
17
0 0 0
Proper reheating procedures for hot holding 0
0 0
0
IN OUTN/A NIO
3 1.5 00
$
00 0
Proper cooling time &temperatures 0 0 00
0
0
N OUT NIA N/0
3 1.5 0
19
� 0T 0 0
Proper hot holding temperatures 00 0
0 0
0
3 1.5 0
20
* 0 0 0
Proper cold holding temperatures 00
0 010
IN OUTN/A NIO
1.5 00
21
0 QT 0 0
Proper date marking & disposition 0
0
0
10 0
22
0 0 0
Time as a public health control: procedures & records 00 0
0 0
0
IN OUTN/A NIO
2 1 0
23 10 7) 0 (Consumer advisory provided for raw or undercooked O 0 fy} 0 0
IN OUT NIA foods 1 0.5 0
24 0 oU0 fV Pasteurized foods used; prohibited foods not offered 01O O 0 0 0
25 10N OU0 NIfC Food additives: approved & properly used 0 0 0 0 0 0
2s 100 0 Toxic substances properly identified stored, & used 0 0 0 0 0 0
27 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: 4 PEAS i A POD RESTAURANT
Establishment ID: 2018010730
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:
erson in Charge- Prin
Person in Charge [ igna ure]
Rciciulatory Aut ority [Print]
e-
Regul ry Authority [Signature]
Contact Number:
Verification Required Date: 1 1
IREHS ID: 2031 - Levin, Paige
No. of Risk Factor/ No. of Repeat Risk
I ntervention Factor/I 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
W 00
Pasteurized eggs used where required
0 0 0
0
0
0
29
N 00
Water and ice from approved source
0 0 0
Q
Q
Q
30
0 00 NSA
Variance obtained for specialized processing methods
0 0 0
0
0
0
Food
Temperature
,Control .53,.54
31
0
Proper cooling methods used; adequate equipment for
00 0
0
0
0
IN OUT
temperature control
1 0.5 0
32
V 0
Plant food properly cooked for hot holding
0 0 0
0
0
0
00 N0
33
, 0 0 0
Approved thawing methods used
0 0 0
0
0
0
IN OUT NIA N/O
1 0.5 0
34
N OUT
Thermometers provided & accurate
0 0 0
0
0
0
Find
Identification,
_ _2653 ..
35
0 'S
Food properly labeled: original container
' 0
0
0
0
IN 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
oU0
3
0
Contamination prevented during food preparation,
0 0 0
0
0
0
N OUT
storage &display
2 1 0
38
S
IN OUT
Personal cleanliness
0
0
39
IN OUT
Wiping cloths: properly used & stored
0 0 0
0
0
0
40
IN OUT
Washing fruits & vegetables
1 .5
T
0
Proper
Use of Utensils....
. 2,,53,,.2554....
41
IN OUT
In -use utensils properly stored
0 0 0
0
00
42
h
OUT
& handled
1 0.5 0
43
0
Single -use & single -service articles: properly
00 0
0
N OUT
stored & used
1 0.5 0
44
OUT
Gloves used properly
00 0
0
0
0
Utensils
and Eq
Ipment �25.53, .2554;25 3
..
..
..
45
0
Equipment, food & non-food contact surfaces approved
00 0
N OUT
cleanable, properly designed, constructed, & used
2 1 0
45
0
Warewashing facilities: installed, maintained, & used;
00 0
0
0
OUT
test strips
1 0.5 0
47
it OUT
Non-food contact surfaces clean
000
1 0.5 0
0
00
Physical
Facilities
....IIIIIIIIIIIIIII,�2554,,.25i55,; 2559
48
IN OO
Hot & cold water available; adequate pressure
0 0 0
0
0
0
49
IN OUT
Plumbing installed, proper backflow devices
0 0 0
0
0
0
50
00
Sewage & waste water properly disposed
0 0 0
0
0
0
51
0
Toilet facilities: properly constructed, supplied
0 0 0
0
0
0
N OUT
& cleaned
1 0.5 0
52
0
Garbage & refuse properly disposed;
00 0
0
0
0
N OUT
facilities maintained
1 0.5 0
53
N OU0
Physical facilities installed, maintained & clean
0 0 0
0
0
0
54
0
Meets ventilation & lighting requirements;
00 0
0
0
0
N OUT
designated areas used
1 0.5 0
Total Deductions:
2'
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-4 PEAS IN A POD RESTAURANT
Establishment ID: 2018010730
Date: 12/10/2012
Location Address 1640 1OTH AV NE
City: HICKORY State: NC
County: 18 Catawba Zip:28601
Wastewater System: @ Municipal/Community Q On -Site System
Water Supply: @ MunicipallCommunity Q On -Site System
Permittee: 4PEASINAPODINC
Telephone:
Temperature Observations
Item
rice
Location
walk in cooler
Temp
38
Item Location Temp Item Location Temp
sausage hot holding 14€
lettuce
walk in cooler
39
ham prep cooler 41
sliced
prep cooler
43
cheese pre cooler 40
ham
grits
prep cooler
hot holding
43
14€
gravy
hot holding
152
soup
hot holding
149
green beans
hot holding
149
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.
policyMust have employee health • on rule changes.
2-201.11 (A), (B), (C), & (E) Responsibility of Permit Holder, Person in Charge, and Conditional Employe]
51WINNOWNW11061MM NINE`
23 Need to follow advisory posting information if going to offer foods cooked to eat.
3-603.11 Consumption of Animal Foods that are Raw, Undercooked, or Not Otherwise Processed to Eliminate Pathogens
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 employer and provider.
Comment Addendum to Food Establishment Inspection Report
Establishment Name: 4 PEAS IN A POD RESTAURANT Establishment ID: 2018010730
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.
foodsMake sure all dry r labeled.
i M ee a r- ♦ e R ♦ ••�I
I/
Spell
North Carolina Department of Health & Human Services • Division of Public Health • Environmental Health Section • Food Protection Programi
N.C. D epartment of Health and Human Services is an equal opportunity employer and provider.
Page 4 of Food Establishment Inspection Report, 7f2012