HomeMy WebLinkAboutBistro 127 011161 12 20 12.gk.pdfFood Establishment Inspection Report
Establishment Name: BISTRO 127
Establishment ID: 2018011161
Score: 96.5
Date: r 2/ 2/. a z. Status Code: A
am
Time In: 0 a : 4 4 pm Time Out: 4 : 0 6 * pm
Total Time: 1 hr 22 minutes
Category #: IV
Establishment Type:
Instructions:
1. Fill in the information below for the
Food Establishment:
Location Address: 2 39 N CENTER ST
City: HICKORY
State: NC Zip: 28601'
County: 1 Catawba
Permittee: MILLER OD, LLC
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 PIC Present; Demonstration -Certification by accredited 0 0
IN OUT NIA program and perform duties 2 0
2
0
Management, employees knowledge, responsibilities
000
N
OUT
& reporting
3 1.5 0
3
@)
0T
Proper use of reporting, restriction & exclusion
0 �
0
0
0
1�
food
Hygip, c
4
*_
0T
Proper eating tasting drinking, or tobacco use
0 0 0
0
0
0
0T
No discharge from eyes, nose, and mouth
0 0 0IN
o
0
0
s
0T
Hands clean & properly washed
00 0
0 0
No bare hand contact with RTE foods orpre-approved
N OUT N10
alternate procedure properly allowed
3 1.5
0 0
0
8
6
Handwashing sinks supplied & accessible
0 0 0
0 0
0
00
9
0T
Food obtained from approved source
0 0 0
0
0
0
2 1 0
0
0 0
Food received at proper temperature
O
0
0
0
OUT N10
N O
2 1 p
11
0T
Food in good condition, safe & unadulterated
0 0 0
0
0
0
IN
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 0 0 0 Food separated & protected 00 0
IN OUT NIA N10 3 1.5 0 0 0 0
14 0 e Food -contact surfaces: cleaned &sanitized 0 0
IN OUT 3 1.5 0 0 0
�� (} 0 Proper disposition of returned, previously served, 00 0 0 0 0
N OUT reconditioned, &unsafe food 2 1 0
15
(�V 0 0 0
Proper cooking time & temperatures
0 0
0
IN OUTN/A N10
3 1.50
1 i�
0 0 0
Proper reheating procedures for hot holding 0
0 0
0
IN OUTN/A N10
3 1.5
° 0 0 0
Proper cooling time &temperatures 0 0 018
0 0
0
N OUTN/A N10
3 1.5 0
19
� 0 0 0
IN OUTN/A N10
Proper hot holding temperatures 00
0 0
0
3 1.5 00
20
* 0 0 0
Proper cold holding temperatures
0 010
IN OUTN/A N10
1 3 1.5 0
21
0T 0 0
Proper date marking & disposition 0
0 0IN
02
0
1.50
22
�T ) 0
Time as a public health control: procedures & records 00 0
0 0
0
IN
0 0 Consumer advisory provided for raw or undercooked 0 0 0
23 IN OUT NIA foods 105 0 0 0 0
24 INS oU0 0 Pasteurized foods used; prohibited foods not offered 01O O 0 0 0
25 0 OUT * Food additives: approved & properly used 0 0 0 0 0 0
25 IN 00 0 Toxic substances properly identified storedN/A, & used 0 0 0 0 0 0
27 0 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: BISTRO 127
Establishment ID: 2018011161
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:
AA
-Person Ihnh Aharge [Print]
PerOMn Charge (Signature)
6f Z4,
ulat y Authority (Print)
��q qI.q
Regulatory Authority (Signature)
Contact Number: ( ) -
Verification Required Date: 1 1
IREHS : 1655 - Fain, Greg'
No. of Risk Factor/ No. of Repeat Risk
I ntervention Factor/1 ntervention
Violations: 1 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
® OUT
Pasteurized eggs used where required
0 0 0IN
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 sN/Apecialized processing methods
0 0 0
0
0
0
Food
Temperature
Control
31
Q 0
Proper cooling methods used; adequate equipment for
00 0
0
0
0
IN OUT
temperature control
1 0.5 0
32
00
Plant food properly cooked for hot holding
0 0 0
0
0
0
INS OU0 N0
33
00 0 0
Approved thawing methods used
00 0
0
0
0
IN OUT NIA N10
1 0.5 0
34
* 00
Thermometers provided & accurate
0 0 0
0
0
0
Find
Identification,
_ _2653 ..
35
() 0
Food properly labeled: original container
0 0
0
0
0
IN OUT
2 1 0
Prevention
of Food
Contamination: .2552, .2553, 2554, :2 ,55,
.2557
36
@ 0
Insects & rodents not present; no unauthorized animals
00 0
0
0
0
IN OUT
2 1 0
37
0
Contamination prevented during food preparation,
0 0 0
0
0
0
IN OUT
storage &display
2 1 0
38
IN 00
Personal cleanliness
0 0 0
0
39
IN 00
Wiping cloths: properly used & stored
0 0 0
0
0
0
40
IN 00
Washing fruits & vegetables
�
0
0
0
Proper
Use of Utensils....
. 2,,53,,.25i54.... ...........
41
0
IN OUT
In -use utensils properly stored
0 0 0
1 0.5 0
0
0
0
42
@� 0
Utensils, equipment & linens: properly stored, dried
00 0
0
0
0
IN 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
® 0
IN OUT
Gloves used properly
00 0
1 0.5 0
0
0
0
Utensils
and Eq
ipment 1111�25.53,,.25i54,,;2563
45
? 0
Equipment, food & non-food contact surfaces approved
0 0 0
0
0
0
IN OUT
cleanable, properly designed, constructed, & used
2 1 0
45
Q 0
Warewashing facilities: installed, maintained, & used;
0 0 0
IN OUT
test strips
1 0.5 0
47
IN OUT
Non-food contact surfaces clean
00
1 0.5 0
0
00
Physical
Facilities,;
l ,,, ,,2554, :25i55, ,2059 ...
. .. ...
.......
48
Q 00
Hot & cold water available; adequate pressure
0 0 0
0
0
0
49
e 00
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
IN OUT
facilities maintained
1 0.5 0
53
0 (�4
IN OUT
Physical facilities installed, maintained & clean
(k 0 0
1 0.5 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:
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: BISTRO 127
Location Address: 203 CENTERST
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: MILLER ZOO, LLC
Establishment ID: 2018011161
Date: 12/20/2012
Status Code: A
Category #: IV
Email 1:
Email 2:
Email 3:
Telephone.
Temperature Observations
Item Location Temp Item Location Temp Item Location Temp
CHICKEN OFF GRILL 187
POTATOES
COLD HOLD
42
BEEF
WALK IN
41
CHEESE
WALK IN
41
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.
14 4-01.11 (A) Equipment, Food -Contact Surfaces, Nonfood -Contact Surfaces, and Utensils
WASH RINSE AND SANITIZE SLICER IN PLACE THEN COVER WITH A FOOD GRADE BAG FOR PROTECTION FROM
CONTAMINATION
CLEAN CONTAINERS HOLDING FOOD CONTACT UTENSILS AND LIDS
r1tonfood
PLEASE PULL OFFALL Y. AREAS AN PIZZA AREA AND +1 AT f.
CLEAN REFRIGERATION, DISH MACHINE AND STORAGE AREAS i
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.