HomeMy WebLinkAboutBackstreets 011132 12 17 12.ls.pdfFood Establishment Inspection Report
Establishment Name: BACKSTREETS
Establishment ID: 2018011132
Score: 96.5
Date: r2/r7/.az.Status Code: A
am
Time In: 1 0: 5 0 0 pm Time Out: 1: 5 1 0 pm
Total Time: 1 minute
Category #: IV
Establishment Type:
Instructions:
1. Fill in the information below for the
Food Establishment:
Location Address: 242 14TH AVE NE
City: HICKORY
State: NC Zip: 28601
County: 18 Catawba
Permittee: BACKSTREETS GRILL IN''
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 oI I R I uR
0 0 IPIC Present, Demonstration -Certification by accredited 0 0
OUT NIA program and perform duties 2 0 0 0 0
Employee,Health.... 12
2 o Management employees knowledge; responsibilities 000 0
IN OUT & reporting 3 1.5 0
3 0T Proper use of reporting, restriction & exclusion 0 1.50
0 0 0 0 0
4
0T
Proper eating, tasting, drinking, or tobacco use
0 0 0
0
0 0
5
0T
No discharge from eyes, nose, and mouth
0 0 0
ONO
0
I
Preventing,
Coritaminaltion
by Hands .2t .24 3, .2055,1 ,,5
s
o
Hands clean& properly washed
00 0
0
0
0
OUT
4 2 0
0 0
No bare hand contactwith RTE foods orpre-approved
00 0
0
0
0
OUT N/0
alternate procedure properly allowed
3 1.5 0
$
OUT
Handwashing sinks supplied & accessible
0 0 0
0
0
0
9
0T
Food obtained from approved source
o 0 0
0
0
0
2 1 0
10
V
Food received at proper temperature
o 0 0
0
0
0
INOUTOUOT
11
't 0
Food in good condition, safe & unadulterated
o 0 0
0
0
0
IN OUT
2 1 0
12
0 0 0
Required records available: shellstock tags, parasite
0 0 0
0
0
0
IN OUT NIA N10
destruction
2 1 0
13 N GOUT N/A NOp Food separated & protected 00 0 0 0 0
3 1.5 0
14 o Food -contact surfaces: cleaned &sanitized 00 0
h OUT 3 1.5 0 0 0 0
�� 0 Proper disposition of returned, previously served, 00 0 0 0 0
OUT reconditioned, &unsafe food 2 1 0
1611
0 0 0
Proper cooking time & temperatures
03
0
0
0
OUT NIA N10
1.5 00
17
0 0 0
Proper reheating procedures for hot holding
00 0
0
0
0
f� OUT NIA N/0
3 1.5 0
18
0* 0 0
Proper cooling time &temperatures
0 t 0
0
0
0
IN OUTN/A N10
3 1.5 0
19
1 O0UTN/A O
Proper hot holding temperatures
00 0
0
0
0
3 1.5 0
20
0 �T 3 0
Proper cold holding temperatures
o@ 0
0
0
0
3 1.5 0
21
oT 0 0
Proper date marking & disposition
0 0 0
02
0
1f
1.50
22
0 0 10 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
23 1 OUT NIA foods 105 0 0 0 0
24 0 OU0 X Pasteurized foods used; prohibited foods not offered 01O O o 0 0
25 10 OUT 0 Food additives: approved & properly used 0 0 0 0 0 0
2s 00 0 Toxic substances properly identified stored, & used 000
0 0 0
2 1 0
270 0 Q 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: BACKSTREETS
Establishment ID: 2018011132
P
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:
j C,
P rson in Charge [Print]
Pe on in Charge [Signature]
e ator ity [Print]
Regulatory Au ority [Signature]
Contact Number: () -
Verification Required Date: 1 1
IREHS ID: 18 - Sears, Luke
No. of Risk Factor/ No. of Repeat Risk
I ntervention Factor/1 ntervention
Violations: 2 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
Z 00
Pasteurized eggs used where required
0 0 0
0
0
0
29
S OUT
Water and ice from approved source
0 0 0
0
0
0
30
0 IN 00 (specialized
obtained for specialized processing methods
0 0 0
0
0
0
Food
Temperature
Control .. .........53,.54111111111111
3�
0
Proper cooling methods used; adequate equipment for
00 0
OUT
temperature control
1 0.5 0
32
t 00
Plant food properly cooked for hot holding
0 0 0
0
0
0
DU0 N/A
33
` 0 0 0
Approved thawing methods used
00 0
0
0
0
IN UT NIA N/O
1 0.5 0
34
DU0
Thermometers provided & accurate
0 0 0
0
0
0
Find
Identification,
...553 ..
35
0
Food properly labeled: original container
0 0 0
0
0
0
f OUT
2 1 0
Pretvention
of Food
Contamination: .2552, .2553, 2554, :2 ,55,
.2557
35
Insects & rodents not present; no unauthorized animals
0 o 0
o
0
0
it DU0
37
}
0
N OUT
storage &display
2 1 0
38
DU0
Personal cleanliness
00 0
0
0
0
39
DU0
Wiping cloths: properly used & stored
0 0 0
0
00
40
OUT
Washing fruits & vegetables
0 0 0
0
0
0
Proper
Use of Utensils....
. 2,,53,,.25i54.... ..........
41
OUT
In -use utensils properly stored
0 0 0
0
00
42
0
Utensils, equipment & linens: properly stored, dried
00 0
OUT
& handled
1 0.5 0
43
0
Single -use & single -service articles: properly
00 0
0
0
0
OUT
stored & used
1 0.5 0
44
I DU0
Gloves used properly
00 0
0
00
Utensils
and Eq
Ipment �25.53, .2554;25 3
..
..
..
45
0
Equipment, food & non-food contact surfaces approved
00 0
0
0
0
IN OUT
cleanable, properly designed, constructed, & used
2 1 0
45
0
Warewashing facilities: installed, maintained, & used;
00 0
0
0
0
IN OUT
test strips
1 0.5 0
47
IN 00
Non-food contact surfaces Mean
0 0 0
0
0
0
Physical
Facilities
. ,54, :25i55,;,25i59
48
00
Hot & cold water available; adequate pressure
0 0 0
0
00
49
00
Plumbing installed; proper backflow devices
0 0 0
0
00
50
i 00
Sewage & waste water properly disposed
0 0 0
0
0
0
5�
0
Toilet facilities: properly constructed, supplied
o 0 0
0
0
0
OUT
& cleaned
1 0.5 0
52
0
Garbage & refuse properly disposed;
00 0
0
0
0
I OUT
facilities maintained
1 0.5 0
53
0 *
IN OUT
Physical facilities installed, maintained & clean
0 @ 0
1 0.5 0
0
0
0
54
0
Meets ventilation & lighting requirements;
00 0
0
0
0
OUT
designated areas used
1 0.5 0
Total Deductions:
15
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. BACKSTREETS
Location Address: 24214TH AVE NE
City: HICKORY State: NC
County: 18 Catawba Zip: 286 1
Wastewater System: @ Municipal/Community Q On -Site System
Water Supply: @ MunicipallCommunity Q On -Site System
Permittee: BACKSTREETS GRILL INC
Establishment ID: 2018011132
Date: 12/17/2012
Status Code: A
Category #: I'
Email 1:
Email 2:
Email 3:
Telephone.
Temperature Observations
Item Location Temp Item Location Temp Item Location Temp
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.
18 TURKEY COOLING IN COOLER WAS 80FAND HAD BEEN THERE FOR 2HRS. MUST COOL ITEM TO 70F' WITHIN 2HRS
AND TO 45F WITHIN 4HRS.
TURKEY BREAST WAS SLICED AND PLACED IN FREEZER TO FINISH COOLING..
20 TUNA WAS OUT OF COLD HOLDING TEMPERATURE OF 45F. HOLD ITEMS COLD AT OR BELOW 45F.
1,90Y.141111 il��f+f"' c r . _ . . _ . ,srrrtt■'il)[KNZN'■^''
North Carolina Department of Health & Human Services • Division of Public Health • Environmental Health Section • Food Protection Program "
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Page 3 of Food Establishment Inspection Report, 7f2012 N.C. D epartment of Health and Human Services is an equal opportunity employer and provider.