HomeMy WebLinkAboutBackstreets 011132 03 12 13.ls.pdfFood Establishment Inspection Report
Establishment Name: BACKSTREETS
Establishment ID: 2018011132
Score: 97
Date: a 3/ r a/ a 0 1 3 Status Code: A
Time In: 3 1: 4 Jo pm Time Out: 1 a: 3 5 4 pm
Total Time: 33 minutes
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 our oI I R I uR
0 0 IPIC Present; Demonstration -Certification by accredited 0 Q
OUT NIA program and perform duties 2 0 0 0 0
2
(It 0
Management, employees knowledge, responsibilities
000
0
0
0
N. OUT
& reporting
3 1.5 0
3
0T
Proper use of reporting, restriction & exclusion
0 �
0
0
0
1'N
1�
o
d Hygip, c Practices..
Iiiiiiiiiiiiiiiii,26.. ,,.24i� ..
4
0T
Proper eating tasting drinking, or tobacco use
0 0 0
0
0
0
0T
No discharge from eyes, nose, a* mouth
0 0 0
o
0
0
it
5 (4 0 Hands clean & properly washed 00 0 0 0 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 I fi OUT Handwashing sinks supplied &accessible 0 0 0
9
0T
Food obtained from approved source
0 0 0
0
0
0
1N
2 1 0
10
4
Food received at proper temperature
0 0 0
0
0
0
INOUTOUOT
11
�T
Food in good condition, safe & unadulterated
0 0 0
0
0
0
12
0 Q
y0
Required records available: shellstock tags, parasite
0 0 0
0
0
0
N OUT
N1A 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
�4 INOUTOUT Food -contact surfaces: cleaned &sanitized 0 V 0 0 0
3 1.5 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
0 0 0
Proper reheating procedures for hot holding 0
0 0
0
IN OUTN/A N10
3 1.5 00
18
('� 0 0 0
Proper cooling time &temperatures 0 0 0
0 0
0
IN OUTN/A N10
3 1.5 0
19
1 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
(i� 0 0 0
Proper date marking & disposition 00 0
02
0
IN OUTN/A N10
3 1.5 0
22
0 0 0
Time as a public health control: procedures & records 0 0 0
0 0
0
IN OUTN/A N10
2 1 0
Q 0 Consumer advisory provided for raw or undercooked 0 0 0
23 IN OUT NIA foods 105 0 0 0 0
24 0 00 G) Pasteurized foods used; prohibited foods not offered 0 1O O 0 0 0
25 4 00 0 Food additives: approved & properly used 0 0 0 0 0 0
25 IN 00 0 Toxic substances properly identified stored, & 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: BACKSTREETS
Establishment ID: 2018011132
Instructions, continued:
5. Click the appropriate circle to fill-in
for "IN, OUT, NIA, NI❑".
IN= In Compliance, OUT= Not in compliance
N/O=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:
Peorson in Charge [Print]
tll� 41 6
Per on in Charge [Signature]
Regulatory Authority [Print]
Regulatory ignatur ]
Contact Number
No. of Risk Factor/ No. of Repeat Risk
I ntervention Factor/1 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 l l l 111.25,53,,.25i55, 205.8
28
� 00
Pasteurized eggs used where required
0 0 0
0
0
0
29
( 00
Water and ice from approved source
0 0 0
0
0
0
30
0 0*
IN OUT N/AFood
Variance obtained for specialized processing methods
0 0 0
0
0
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
0N
Plant food properly cooked for hot holding
0 0 0
0
0
0
100 N0gN100
33
0 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
Fin
d Identrflcation,
•.. _2653 ..
35
@ 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
@ 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,
00 0
0
0
0
IN OUT
storage &display
2 1 0
38
IN 00
Personal cleanliness
0 0 0
0
0
0
39
S OUT
Wiping cloths: properly used & stored
0 0 0
0
0
0
40
@ 00
Washing fruits & vegetables
0
0
0
Proper
Use of Utensils....
. 2,,53,,.25i54.... ...........
41
( 00
In -use utensils properly stored
0 0 0
0
00
42
@ 0
Utensils, equipment & linens: properly stored, dried
00 0
0
0
0
IN OUT
& handled
1 0.5 0
43
(b 0
Single -use & single -service articles: properly
00 0
0
0
0
N OUT
stored & used
1 0.5 0
44
� DU0
Gloves used properly
00 0
0
0
0
Utensils
and Equipment
,,,l�25.53,,.25i54,,;2563 ,...
........
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
0
IN OUT
Non-food contact surfaces clean
00
1 0.5 0
0
0
0
Physical
Facilities..
2554, :25i55 ,2559
48
00
Hot & cold water available; adequate pressure
0 0 0
0
00
49
� 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
5�
(1)0
Toilet facilities: properly constructed, supplied
0 0 0
0
0
0
N OUT
& cleaned
1 0.5 0
52
Q 0
Garbage & refuse properly disposed;
00 0
0
0
0
IN OUT
facilities maintained
1 0.5 0
53
10N OUT
Physical facilities installed, maintained & clean
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:
3
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: 242 14TH AVE 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: BACKSTREETS GRILL INC
Establishment ID: 2018011132
Date: 03/12/2013
Status Code: A
Category #: IV
Email 1:
Email 2:
Email 3:
Telephone. I
ITemperature Observations
Item Location Temp Item Location Temp Item Location Temp
RAW PREP COOLER 43
LETTUCE
PREP COOLER
4:j
CHICKEN
PREP COOLER
41
STEAK PREP
REACH IN COOLER
41
EGGS
WALK IN COOLER
41
-SOUP
WARMER
12
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.
M. LTAM12TOTO
Z"OOLING SOUP IN DEEP PAN IN REACH IN. COOL PRODUCT IN ICE BATH STIRRING OFTEN OR IN SHALLOVT1 PAII IN
COOLER.
rl�j 44PAIRIAMIM1150
Z"LEAN OUTSIDE OF COOLERS AND UNDERNEATH HANDLES AS REEDEDI:
CLEAN INSIDE OF DESERT COOLER TO REMOVE FOOD DEBRIS
CLEAN FOOD PRE AREAS AS NEEDED
1 M a W—Al 109 1 ATITI; I a V = W-11 1211 M Rj i I A 1 9
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.
Comment Addendum to Food Establishment Inspection Report
Establishment Name: BACKSTREETS Establishment ID: 2018011132
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.
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