HomeMy WebLinkAboutBethlem United Methodist Church 090012 05 14 13.jh.pdfFood Establishment Inspection Report'll""I'll""I'll,'ll""I'll""I'lI
Date: 05 1 14 l a o 13 Stouts Carle: A
ON PIN
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TimPIN e In: I I : 5 6 0 Time Out: 1 1 : 5 7 1 PM
Total Time: 1 minute
Category* IV
Establishment Type
Instructions:
1. Fill in the information below for the
— - ------ F clod-Esta-b-l-Ish-me nt-:--, ------------------------------- -
A e Address: 3214 CATAWBAST
City: CLAREMONT
State" NC Zip- 28610
County� 18 Catawba
Permittee: CATAWBA COUNTY SOCIAL SERVICES
Telephone:
(KInspection
ORe-In spection
Wastewater System:
@)Municipal/Community
OOn-Site System
Water Supply:
(,Municipal/Community
On -Site System
2. Clickifill the appropriate circle
For "IN, OUT, NIA, N/0".
IN = In Cc mplian ce, OU T= N ot in com pli an ce
NIO=Not ObservedNIA= Not Applicable
9 is k (at to ta,. Contribrubirg factors: that in crease the chanct of d eve is ping too dbrune diness-
Public Health Interventiorrs-. Controi measures to, prevent foodborne illness or inairy.
— -------- - --- - - -------- ------------------------------- ------ — - - — ---- - ------- - - ------------------- - -
Compliance S t a t u s
■
Present: Derrionstralron-Certification by accredited
ram and perform duties
s!nent, employees knowledge, responsibilities 000
brig 3 1 5 0
use of reporting restriction & exclusion 000
3 1.5 0
per eating- tooling, drinking, or tobacco use 2 1 0
discharge from eyes, nose, and mouth 000
I I O's 0
6
Hands cNan & properly washed
1
00c)
C3
0
0
t OUT
4 2 0
7
0 0
T�O OUT'UN01
No bare hand contact arah RTE foods or pre approved
0()()
0
alternate procedure propedyalbvved
3 1.5 0
8 �
* 0
lA OUT
Handwashing sinks supplied & accessible
() 00
2 1 0
0
0
0
— A p "a . I I'll
ou proved S rye
, I I
Food obtainedfirorn approved source
0 00
0
0
0
f OUT
2 1 0
10
0
X0 0
Food received at proper temperature
0 0 02
0
C'
0
IN OUT
1 0
11
C)
Food in good pondifionsafe & unadulterated
C),
C) ()
0 0
It OUT
2 1 0
Required records avadable. she0stock tags, pacavle
12 ON
1
C) 0 0
0
0
0
1
O(U)T 1,120
destruction
2 1 0
A211EFOWAUM
3. Click/check the appropriate
Boxes for CD1 a ndlor R, VR.
CDI= Corrected During Inspection
R = Repeat Violation
VR= Vedfication Rquired 1
e0
4. Continue to page 2 for
"Good Retail Practices".
EIRMISM
Nonh C arahria Depannitnt of Heath& human Servotts* Ommon ofPublm Heath N OU
E AV ton Mtn WHe a Rh secran * F 05d Proremon Program Cantor , rn"
Page I of _ F nod Establishment Inspection Report, V2012 271 0
H0HalOUT
separated & protected U u U
3 15 0
contact surfaces, cleaned &srinitized 0 0 ()
315 0
r disposition of returned, prevrously served, 0 0 0
JirarnaC & unsafe food 2 1 0
tr cookniq bane & temperatures
cit 0 0
3 1,5 0
sr reheating procedures for hot hOding
0 0 0
315 0
Ir cooling full@ & temperatures
0 () 0
3 1 5 0
rr hot holding temperatures
0 0
150
r cold holding temperatures
0 0 0
3 15 0
it date cranking 9 disposition
() () ()
3 1,5 0
as a public health canirrot procedures & records
0 0 0
2 1 0
advisory provided for rave or undemooked jo 0 0
1 05 0
foods used, pro hirafted foods not offered a
additives approved& properly used 000
I I a's 0
substances properly identirfied stored, & used 1003
ice with varpance, specialized process,.
un,gen packing cru,efni or HA CP plea
I (-,)
2 1
N
f%
Comment Addendum to Food Establishment Inspection Report
0
Location Address: 3214 CATAWBA ST
City: CLAREMONT State: NC
County- 18 Catawba Zip - 28610
At astewate r Sn, stem: 6 Munich al/Camrnunit��w� On-Ske Ststent
Water Supply: 0 municipalfcommunity 0 on-s�te system
Permittee: CATAWBA COUNTY SOCIAL SERVICES
Date: 05/14/2013
Status Code: A
Category * IV
Telephone: — I L—
Temperature Observations
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Item Location Temp I tem Location Temp Item Location Temp
Observations and Corrective Actions i
Molattons cited in this report mnst be corrected within the time frames Iselow, or as stated in sections B-405, 11 of the food code,
Notth Carohna Department of Health& Hurnan Semites * Division of Public Heafth * Environmental Health Section * Food Protection Prciqaiam
P,190 � of Food Esnab I Ishmarint In azifttWoo Roo Ord, I f2012 Wc DODO a nlHjm a 0 servko I is an tqueopporUnty empioytr and prc�.dv,