HomeMy WebLinkAboutBalls Creek Elementary 110001 04 09 13.pl.pdfFood Establishment Inspection Report
Establishment ID: 2018110001
Date: 04/ 0 9/ 20 13 Status Code:
Time In: 0 9: s 0 p Time Out: 1 0: 1 5 0 p
Total Time: 1 hr 7 minutes
Category : IV
Establishment Type:
Instructions:
1. Fill in the information below for the
Food Establishment:
Location Address: 2620 BALLS CREEK RD
City: NEWTON
State: NC Zip: 28658
County: 18 Catawba
Permittee: CATAWBA COUNTY SCHOOL
Telephone:
Inspection
ORe-inspection
Wastewater System:
OMunicipal/ o munity
*On -Site System
Water Supply:
(*Municipal/Community
QCrn-Site System
2. Click/fill the appropriate circle
For a-..
IN= In Compliance, OUT= Notr r .
N/O=N ot Observed, N/A= NotApplicable
3. Click/check the appropriate
Boxes for i and/or
CDI= Corrected During Inspection
RepeatViolation
Verification-• •
Continue4. • •.+a 2 for
"Good Retail Practices".
North Carolina. Department of H ea-fth 5 Human Services* oirismn. of Public H ea-fth
Environmental Health Section • Food Prmtectian Prcgram
Page 1 of F- d Establishment Inspection Report, 712012
oodborne 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 food borne illness or injury..
Compliance Status I OUT f}l It IVR
) 0 0 IPIC Present. Demonstration -Certification by accredited 0 0
IN OUT NIA program and perform duties 2 p 0 0 o
0
Management. employees knowledge; responsibilities
000
0
0
0
IN
OUT
& reporting
3 1.5 0
3
*
IN
0
OUT
Proper use of reporting restriction & exclusion
0
3
0
0
0
t�crd
1'ly�te►�tl?� Prates
... ...o'�lrf ."....
4
I
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
0
0
0
Ifs
6
* 0
Hands clean & properly washed
0 0 0 0
0
0
IN OUT
4 2 p
0 0
No bare hand contact with RTE foods or pre -approved
0
IN OUT N/O
alternate procedure properlyallowed
3 1� 0 0
0
0
UT
IN �o
Hand+wvashing sinks supplied & accessible
0 0 0 0
0
0
9
(*
0T
Food obtained from approved source
0 0 0
0
0
0
2 1 0
tU
0 0 4
Food received at proper temperature
0 0 0
0
0
0
IN OUT
N/
11
in good condition safe & unadulterated
0 0 0
0
0
0
IN
OUTFood
0 0(
0
Required records available shellstock tags parasite
0 0 012
0
0
0
IN OUT
N/A N/O
destruction
2 1 0
13 * 0 0 0 Food separated & protected 0 0 0
IN OUT NIA N/O 3 1.5 ll 0 0 0
14 0 Food contact surfaces cleaned & sanitized
IN OUT 31� 00 0 0
o Proper disposition of returned, previously served; 00 015 0 0 0
IN OUT reconditioned & unsafe food 2 1 0
16
0 0 0
Proper cooking time & temperatures 0
0
0
0
I OUTNIA NIJ
3 10
7
0 0 0*
Proper reheating procedures for hot holding 0 0
0
0
0
IN OUTNIA N/O
3 1
18
0 0 O N
Proper cooling time & temperatures 0 0 0
0
0
0
IN OUTNIA N/O
3 1.5 ll
19
0 0 0 'Q
Proper hot holding temperatures
0
0
0
IN OUTNIA N/O
3 1� 0
20
�T 3 0
Proper cold holding temperatures 0 0 0
0
0
0
11
3 1 .5 0
2
0T 0 0
Proper date marking & disposition
0 0
02
0
IN NA N/O
10
22
0T 0 0
Time as a public health control: procedures & records o 0 0
0
0
I,
23 I 0 0 ( (Consumer advisory provided for raw or undercooked I0 0 0 0 0
IN OUT NA foods 1 0, ll
2 IN �o 0 Pasteurized foods used prohibited foods not offered 105 OOMOM
25 0 �0 A Food additives approved & properlyused 0 0 0 0 0 0
26 * �0 0 Toxic substances properly identified stored & used 0 0 0 0 0 0
0 0 compliancewith variance specialized process; 000
IN OUT NIA reduced oxygen packing criteria or HACCP plan 2 1 0 0 0 0
Establishment Name: BALLS CREEK ELEMENTARY
Establishment ID: 2018110001
MEMO=
5. Click the appropriate circle to fill-in
for "IN, OUT, NIA, NIO".
111Q_ W=_ cm
W. M.-M
6. Click or check the appropriate
boxes for CDl and/or
CDl= Corrected during Inspectio
R= Repeat Violation
VR= Verification Required
Calculate the "Total Deduction:1
ead record.
8. Fill in "No. Of Risk Factor
Intervention Violations" and "No. of
Repeat Risk Factor Intervention
Violations". I
dommmum
First Last
Joyce Fowler
Person in Charge (Print)
IJ' Person in Charge (Signature)
First Last
Paige Levin
Regulatory Authority (Print)
Reofflatory Aathority (Signature)
Contact Number- (—) -
Verification Required Date:
REHS ID: 2031 - Levin, Paige
AMU—. I mp&2'IMOIN" =
Violations -
I - -1
Good Retail Practices
Preventative measures to control the addition of pathogens.
chemicals, and physical objects into foods.
Compliance Status
I OUT
C01
R
IVR
ite
�,o,44anl
.......
28
A)
IN O0 UT
Pasteurized eggs usewhere required
Ptd d
0 0 0..0..0...0
1 os
29
3
IN O0 UT
Water and from approvesource
Wtd ifd
2 0 1 0 0 0
0
0
0
3 0
0 0 I�
IN OUT NIA
Variance obtained for specialized processing methods
0 0 0
1 os 0
0
0
0
FooldTtlrnp�e
, jr4tIll
,,�_2 4 .......................
Control, 26 53 65 . ...................
11111111111111111,
31
0
Proper cooling methods usedadequate equipmentfor
0 0 0
0
0
0
IN OUT
temperature control
1 os 0
32
0 0
Plantfood properlycooked for hotholding
0 0 0
0
0
0
IN O0 UT N/ANS /O
1 os 0
3-3
V _00 0
Approved thawing methods used
0 0 0
0
0
0
INOUTN/A N/O
1 os 0
34
V
IN O0 UT
Thermometers provided accurate
Thtdd & t
1 0 0 os 0 0
0
0
0
Wentift cattonil .......................... 265�,,� IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
35�
0
Food properly labeled . original container
000
� 0
0
� 0
OUT
2 1 0
Prev
eritonoIfo
ontamftilt .26, I
I 26,57 ......
......
''I
I
36
0
Insects & rodents not present. no unauthorized animals
0 0 0
0
0
0
OUT
2 1 0
37
0
Contamination prevented during food preparation.
0 0 0
0
0
0
OUT
storage & display
2 1 0
38
0
IN OUT
Personal cleanliness
0
1 os 0 0 0
0
0
0
1
39
IN O0 1
UT
Wiping cloths � properly used & stored
1
1 0 os 0
0
0
0
40
(1) 0Washing
IN OUT
fruits & vegetables
0 0 0
1 os 0
0
0
0
Proper
Juseofutensft
26,53,,�I 4 .......................
65
111111111111111
41
0
IfiJ OUT
In -use utensils- properly stored
0 1 0 os 0 0
0
00
42
0
Utensils. equipment & linens: properly stored . dried
0 0 0
0
00
OUT
& handled
1 os 0
43
0
Single use & single -service articles: properly
0 0 0
0
00
OUT
stored & used
1 os 0
44
40
IN OUT
Gloves used properly
0 0 0
1 os 0
0
00
45
(1) 0
Equipment. food& non-food contact surfaces approved.
0 0 0
0
00
IN OUT
cleanable, properly designed. constructed,& used
2 1 0
46
f 0
Warewashing facilities: installed, maintained, & used,
0 0 0
0
00
OUT
test strips
1 os 0
47
OUT
If 0
Non-food contact surfaces clean
0 0 0
1 os 0
0
0
0
Physical,
FacAttes
5 �20 1,10, 6
48
4 0
Hot& cold water available adequate pressure
0 0 0
2 1 0
0
0
0
49
IN OUT
Plumbing installed. proper backflow devices
0 0 0
2 1 0
0
0
0
50
0
IN OUT
Sewage & waste water properly disposed
0 0 0
2 1 0
0
0
0
51
4 0
Toilet facilities � properly constructed. supplied
0 0 0
0
0
0
IN OUT
& cleaned
1 os 0
52
1) 0
Garbage & refuse properly disposed.
0 0 0
0
0
0
IN OUT
facilities maintained
1 os 0
53
(P 0
Ile OUT
Physical facilities installed. maintained & clean
0
0 1 0 os 0
0
0
0
—
54
V 0
Meets ventilation & lighting requirements-
0 0 0
IN OUT
designated areas used
1 os 0
Total Deductions:
0
North Carolina Department ofH ealth & H um an Services* Djyisiian of Public H ealth
E nviron m enta I H ea lth Section 0 F uDd Protection Program
Food Establishment Inspection Report, 7t2012 Paget of
Comment Addendum to Food Establishment Inspection Report
Establishment Name: BALLS CREEK ELEMENTARY
Establishment ID: 2018110001
■Era=
Location Address: 2620 BALLS CREEK RD
City: NEWTON State: NC
County: 18 Catawba Zip: 28658
Wastewater System: 0 MunicipaliCommunity @ On -Site System
Water Supply: @ Municipal!C o mm unity 0 On -Site System
Permittee: CATAWBA COUNTY SCHOOLS
Telephone:
Temperature Observations
Item Location Temp Item Location Temp Item Location Temp
cut fruit reach in cooler 39
cheese reach in cooler 39
milk cooler 39
lettuce walk in cooler 37
Observations and Corrective Actions
Violations cited in this report must be corrected within the time frames below, or as stated in sections 8-40511 of the food code_
NorthCarolina Department of Health& Human Services *Division of Public Health 0 Environmental Health Section 0 Food Protection Program
Page 3 of Food E stalotishment In spectton Report, 7f2012 Pl. C. 1) epa rtment of H ea lth a nd H urna n Semites is an equal Gpportun ty ern player and provider. jf