HomeMy WebLinkAboutBalls Creek Elementary 110001 01 29 13.pl.pdfFood Establishment Inspection Report
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Establishment ID: 2018110001
Score: 10
Date: a z/ 2 9 /20 13 Status Code: A
am
Time In: 0 9: 1 0 0 pm Time Out: 1: 3 0 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
2
0
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
1.50
Good
Hygip, c Practices..
4
IN
OUT
Proper eating tasting drinking, or tobacco use
0 0 0
0
0
0
g
0T
No discharge from eyes, nose, and mouth
0 0 0IN
o
0
0
5
66
0
Hands clean & properly washed
00 0
IN
OUT
4 2 0
0 0
No bare hand contact with RTE foods orpre-approved
00 0
N OUT
N10
alternate procedure properly allowed
3 1.5 0
0 0
0
8
0
Handwashing sinks supplied & accessible
00 �
} 0
0
OUST
9
0T
Food obtained from approved source
0 0 0
0
0
0
IN
2 1 0
0
0 0 *
Food received at proper temperature
0
0
0
0
N OUT N10
2 1 0
11
S. 0T
Food in good condition, safe & unadulterated
0 0 0
0
0
0
12
0 Q 0
Required records available: shellstock tags, parasite
0 0 0
0
0
0
N OUT NIA N10
destruction
2 1 0
`
13
Food separated & protected
00 0
I
OUT
N10A N0j0
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
IN OUTN/A N10
1.5 00
1 i'
0 0 0
Proper reheating procedures for hot holding 0
0 0
0
IN OUTN/A N10
3 1.5 00
18
00 0*8
Proper cooling time &temperatures 0 0 0
0 0
0
IN 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
(t 0 0 0
Proper cold holding temperatures 00 0
0 010
IN OUTN/A N10
1.5 0
2�
Proper date marking & disposition 0
0 0
02
0
IN OoUTNO1A NO10
1.50
22
' 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
23 IN OUT NIA foods 105 0 0 0 0
24 0 00 Pasteurized foods used; prohibited foods not offered 0 1O O 0 0 0
25 0 00 Food additives: approved & properly used 0 0 0 0 0 0
Is 25 OUT 0 Toxic substances properly identified storedN/A, & 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: 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:
31 ��C;q r
Person in Charge [Print]
Verson in C rge [Signature]
P4,;0'e- M, e
I
egulatory Authority [Print]
RdaldatoVy Authority [Signature]
Contact Number: () -
Verification Required Date: 1 1
1REHSID_: 2031 -Levin, Paige
No. of Risk Factor/ No. of Repeat Risk
I ntervention Factor/I 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
T DUOT
Pasteurized eggs used where required
0 0 0
0
0
0
29
N OUT
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
0
Proper cooling methods used; adequate equipment for
00 0
0
0
0
IN OUT
temperature control
1 0.5 0
32
0 OUT O N
Plant food properly cooked for hot holding
0 0 0
0
0
0
33
V 0 0 0
Approved thawing methods used
00 0
0
0
0
IN OUT NIA N/O
1 0.5 0
34
-S" DU0
1 INFind
Thermometers provided & accurate
0 0 0
0
0
0
Identification,
• .. _2653 ..
35
*-& 0
Food properly labeled: original container
0 0 0
0
0
0
IN OUT
2 1 0
Pretvention
of Food
ontamin t`ton: .2552, .2553, 2554, :2 ,55,
.2557
35
Insects & rodents not present; no unauthorized animals
0 o 0
o
0
0
IN 00
37
N OUT
storage &display
2 1 0
38
IN OUT
Personal cleanliness
0
0
0
39
IN O T
Wiping cloths: properly used &stored
07
0
0
0
0
40
IN OU0
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
0
0
0
OUT
& handled
1 0.5 0
43
0
Single -use & single -service articles: properly
00 0
0
0
0
N OUT
stored & used
1 0.5 0
44
IN OU0
Gloves used properly
00 0
0
00
utensils
and Eq
Ipment A,53,,.2554,,2563
..
45
(1)0
Equipment, food & non-food contact surfaces approved
00 0
0
00
N 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 OUT
Non-food contact surfaces clean
1 .5
0
0
0
Physical
Facilit`t
s . 2554, .25i55,;,2056
48
DU0
Hot & cold water available; adequate pressure
0 0 0
0
00
49
N OUT
Plumbing installed; proper backflow devices
0 0 0
0
00
50
DU0
Sewage & waste water properly disposed
0 0 0
0
0
0
5,1
0
Toilet facilities: properly constructed, supplied
0 0 0
0
0
0
OUT
& cleaned
1 0.5 0
52
OUT
facilities maintained
1 0.5 0
53
OUT
Physical facilities installed, maintained & clean
0 0 0III
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:
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: 01129/2013
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
soup
Location
just cooked
Temp Item Location Temp Item Location Temp
163
cut fruit
reach in cooler
40
milk
milk cooler
38
cheese
turkey
reach in cooler
walk in cooler
40
37
cheese
walk in cooler
37
fruit
walk 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.
New rule requires hand wash signs at all handsinks. Printed signs for them.
General comment: Rew rule requires all towels or cloths that are used for sanitizing prep areas to be stored in containers
r .Qnitizer.
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.