HomeMy WebLinkAbout4 Peas in a Pod Restaurant 010730 03 11 13.pl.pdfFood Establishment Inspection Report
r r ■ RESTAURANT
Establishment
Establishment ID: 2018010730
Score: 98.5
Date: 0 3/ 1 1 0 1 3 Status Code: A
am
Time In: 0 s: 0 8 0 pm Time Out: 1: 0 0 pm
Total Time: 1 fir 12 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: 18 Catawba
Permittee: 4PEASINAPODINC'
Telephone:
spection
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 0
IN OUT NIA program and perform duties 2 p
2
0
Management, employees knowledge, responsibilities
000
OUT
& reporting
3 1.5 0
3
0T
Proper use of reporting, restriction & exclusion
0 �
0
0
0
IN
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 0
o
0
0
5
4�
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
8
V
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 a
Food received at proper temperature
0
0
0
0
N OUT
N10
2 1 0
��
0T
Food in good condition, safe & unadulterated
0 0 0
0
0
0
N
,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 IfV,O0UT 0 N0 Food separated & protected 00 0 0 0 0
3 1.5 0
14 0 79 Food -contact surfaces: cleaned &sanitized 0 & 0
IN OUT 3 1.5 0 0
�� 0 Proper disposition of returned, previously served, 00 0 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 N10
1.5 00
17
V 0 0 0
Proper reheating procedures for hot holding 0
0 0
0
IN OUTN/A N10
3 1.5 00
$
0 0 0
Proper cooling time &temperatures 0 0 0
0 0
0
N OUTN/A N10
3 1.5 0
19
IN OOUTN0 N0
Proper hot holding temperatures 00 0
0 0
0
3 1.5 0
—To
20
0 0
Proper cold holding temperatures 0
0 0
0
N OUTN/A N10
3 1.5 0
21
0 0 0
Proper date marking & disposition 010 is
0
0
22
0 0 0
Time as a public health control: procedures & records 00 0
0 0
0
IN OUTN/ N10
2 1 0
23 10 0 (Consumer advisory provided for raw or undercooked I0 0 0 O O 0
IN OUT NIA foods 1 0.5 0
24 0 00 (S Pasteurized foods used; prohibited foods not offered 01O O 0 0 0
25 0 NQD 00 Food additives: approved & properly used 0 0 0 0 0 0
25 1P OUT 0 Toxic substances properly identified storedN/A, & used 0 0 0 0 0 0
27 0 0 S 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" A,
Signature Block: /✓!/1�.� ,,-✓'
Person in Charge [Print]
Person in Charge [Signature]
PA AO M Lo t
VIL
egulatory Aut ority [Print]
Re a ory ut ority [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: 2 Violations: 1
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
0
0
0
29
4 00
Water and ice from approved source
0 0 0
0
0
0
30
0 IN 00 N
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
0 00
Plant food properly cooked for hot holding
0 0 0
0
0
0
DU0
33
0 0 0*
Approved thawing methods used
00 0
0
0
0
IN OUT NIA N/O
1 0.5 0
34
IN 0�
Thermometers provided & accurate
000
1 0.5 0
0
0
0
Find
Identification,
_ _2653 ..
35
V 0
Food properly labeled: original container
0 0 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 o 0
o
0
0
DU0
37
0
Contamination prevented during food preparation,
00 0
0
0
0
N OUT
storage &display
2 1 0
38
(1 OUT
Personal cleanliness
0 0 0IN
0
0
0
39
DU0
Wiping cloths: properly used & stored
0 0 0
0
0
0
40
� OUT
Washing fruits & vegetables
0 0 0
0
0
0
Proper
Use of lltensil:i
25.53,.2554
41
N OUT
In -use utensils properly stored
0 0 0
0
00
42
0
Utensils, equipment & linens: properly stored, dried
00 0
0
0
0
11 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
IN OU0
Gloves used properly
00 0
Utensils
and Equipment
lllli�25,53,,.25i54,,;2563
45
V 0
Equipment, food & non-food contact surfaces approved,
00 0
0
0
0
N OUT
cleanable, properly designed, constructed, & used
2 1 0
45
Warewashing facilities: installed, maintained, & used;
00 0
0
0
0
OUT
test strips
1 0.5 0
47J0
0
INOUT
Non-food contact surfaces clean
000
1 0.5 0
0
0
0
Physical
Facilities
.. 2554, .2555,; ,25i59
48
IN 00
Hot & cold water available; adequate pressure
0 0 0
0
00
49
IN OUOT
Plumbing installed, proper backflow devices
0 0 0
0
00
50
IN OUT
Sewage & waste water properly disposed
2 1 0
0
0
0
5�
0
Toilet facilities: properly constructed, supplied
00 0
0
0
0
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
IN OUT
Physical facilities installed, maintained & clean
0 0 0
101010
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 Narne-4 PEAS IN POD RESTAURANT
Establishment ID: 2018010730
Date: 03/11/2013
Location Address 1640 1 OTH AV NE
City: HICKORY State: NC
County: 18 Catawba Zip: 28601
Wastewater System: @ Municipal/Comm unity 0 On -Site System
Water Supply: @ Municipal/Community 0 On -Site System
Permittee: 4PEASINAPort INC
Telephone:
Temperature Observations
Item
gravy
Location
hot holding
Temp
142
Item Location Temp Item Location Temp
eggs prep cooler 40
rice
hot holding
149
rice walk in cooler 39
beans
hot holding
142
ham walk in cooler 39
soup
lettuce
hot holding
prep cooler
145
40
turkey walk in cooler 39
sliced
prep cooler
43
cheese
prep cooler
43
ham
prep cooler
40
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 Towel buckets must have sanitizer in them. One bottle of sanifizer showed no strength when tested. Must be 50-100 ppm.
Remixed.
4-501.114 Manual and Mechanical Warewashing Equipment, Chemical Sanitization-Temperature, pH, Concentration and Hardness
=rM
2IIIIIIIII'VIF-01 111=10411�11=lMi�=•
��# R-1111111IMMBIM
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.