HomeMy WebLinkAboutQuality Suites 011224 08 14 14.jh.pdfSingle-use & single-service articles: properly
Equipment, food & non-food contact surfaces
Toilet facilities: properly constructed, supplied
Garbage & refuse properly disposed; facilities
37
stored & used
approved, cleanable, properly designed,
& cleaned
equipment for temperature control
43
constructed, & used
2 1 0
Proper cooling methods used; adequate
1 0.5 0
31
Meets ventilation & lighting requirements;
1 0.5 0
Utensils, equipment & linens: properly stored,
Contamination prevented during foodpreparation, storage & display
Insects & rodents not present; no unauthorized
Gloves used properly44
Non-food contact surfaces clean
45
46
47
Food additives: approved & properly used
Warewashing facilities: installed, maintained, &
24
Proper date marking & disposition
offered
Proper reheating procedures for hot holding
Sewage & waste water properly disposed
48
3 1.5 0
49
50Consumer advisory provided for raw or
Hot & cold water available; adequate pressure
Plumbing installed; proper backflow devices
Pasteurized foods used; prohibited foods not
Food separated & protected
Toxic substances properly identified stored, & used
Hands clean & properly washed
Compliance with variance, specialized process,
Food-contact surfaces: cleaned & sanitized
reduced oxygen packing criteria or HACCP plan
Physical facilities installed, maintained & clean
51
undercooked foods
52
Proper disposition of returned, previously served,
53
Time as a public health control: procedures &
Handwashing sinks supplied & accessible
records
reconditioned, & unsafe food
Proper cooking time & temperatures
Proper cooling time & temperatures
approved alternate procedure properly followed
Proper hot holding temperatures
Proper cold holding temperatures
54
Food obtained from approved source
Food received at proper temperature
Food in good condition, safe & unadulterated
Required records available: shellstock tags,
used; test strips
parasite destruction
maintained
No discharge from eyes, nose or mouth
designated areas used
Contributing factors that increase the chance of developing foodborne illness.
Establishment Name:
Foodborne Illness Risk Factors and Public Health Interventions
FDA Establishment Type:
Location Address:
City:
Zip:
Permittee:
Telephone:
Wastewater System:
Water Supply:
27
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2
3
13
14
15
Food Establishment Inspection Report
16
17
18
19
20
21
Score:
22
23
25
26
Establishment ID:
Date:
Time In:
Category #:
Status Code:
Time Out:
Proper use of reporting, restriction & exclusion
State:
Compliance Status OUTCDIRVR
PIC Present; Demonstration-Certification byaccredited program and perform duties
responsibilities & reporting
County:
Risk factors:
Public Health Interventions:Control measures to prevent foodborne illness or injury.
Page 1 of Food Establishment Inspection Report, 3/2013
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pm :am
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Total Time:
Inspection Re-Inspection
Municipal/Community On-Site System No. of Risk Factor/Intervention Violations:
No. of Repeat Risk Factor/Intervention Violations:Municipal/Community On-Site Supply
Good Retail Practices
Good Retail Practices:
Preventative measures to control the addition of pathogens, chemicals,
and physical objects into foods.
Good Retail Practices:
IN OUT N/A N/O
No bare hand contact with RTE foods or pre-
4
5
6
7
8
9
10
11
12
Proper eating, tasting, drinking, or tobacco use
Management, employees knowledge;3 1.5 0
2 0
3 1.5 0
2 1 0
1 0.5 0
4 2 0
3 1.5 0
2 1 0
.2652Supervision
.2652Employee Health
Good Hygienic Practices.2652, .2653
.2652, .2653, .2655, .2656Preventing Contamination by Hands
.2653, .2655Approved Source
2 1 0
2 1 0
2 1 0
2 1 0
.2653, .2654Protection from Contamination
3 1.5 0
3 1.5 0
2 1 0
.2653Potentially Hazardous Food TIme/Temperature
3 1.5 0
3 1.5 0
3 1.5 0
3 1.5 0
3 1.5 0
3 1.5 0
2 1 0
1 0.5 0
.2653Highly Susceptible Populations
.2653Consumer Advisory
.2653, .2657Chemical
1 0.5 0
2 1 0
.2653, .2654, .2658Conformance with Approved Procedures
2 1 0
Approved thawing methods used
Thermometers provided & accurate
Water and ice from approved source
Variance obtained for specialized processing
Plant food properly cooked for hot holding
Pasteurized eggs used where required
Food properly labeled: original container
Personal cleanliness
Wiping cloths: properly used & stored39
Washing fruits & vegetables
In-use utensils: properly stored
dried & handled
28
29
30
32
33
34
35
36
38
40
41
42
Compliance Status OUTCDIRVRIN OUT N/A N/O
1 0.5 0
.2653, .2655, .2658Safe Food and Water
2 1 0
methods 1 0.5 0
.2653, .2654Food Temperature Control
1 0.5 0
1 0.5 0
1 0.5 0
.2653Food Identification
2 1 0
.2652, .2653, .2654, .2656, .2657Prevention of Food Contamination
animals 2 1 0
1 0.5 0
1 0.5 0
1 0.5 0
.2653, .2654Proper Use of Utensils
1 0.5 0
1 0.5 0
1 0.5 0
.2653, .2654, .2663Utensils and Equipment
2 1 0
1 0.5 0
1 0.5 0
.2654, .2655, .2656 Physical Facilities
2 1 0
2 1 0
2 1 0
1 0.5 0
1 0.5 0
1 0.5 0
1 0.5 0
Total Deductions:
DHHS is an equal opportunity employer.
Environmental Health Section Food Protection ProgramNorth Carolina Department of Health & Human Services Division of Public Health
95
QUALITY SUITES 2018011224
1125 13TH AV DR SE
HICKORY NC
2860218 Catawba
SHIV SAI HOTELS OF QS INC
(828) 323-1211
08142014 A
0934 0935
1 minute
II
2
5
REHS Contact Phone Number:
Permittee:
REHS ID:
Telephone:
Establishment Name:
Status Code:
Establishment ID:
Zip:
Inspection Re-Inspection
Regulatory Authority (Print & Sign):
Person in Charge (Print & Sign):
Wastewater System:
Water Supply:
Comment Addendum to Food Establishment Inspection Report
Date:
Category #:
Location Address:
City:State:
County:
Temperature Observations
Item Temp TempLocationItemLocationTempItemLocation
Email 1:
Email 2:
Email 3:
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.
Verification Required Date:
()-
//
Food Establishment Inspection Report, 3/2013
DHHS is an equal opportunity employer.
Environmental Health Section Food Protection ProgramNorth Carolina Department of Health & Human Services Division of Public Health
Page 2 of
Municipal/Community On-Site System
Municipal/Community On-Site System
FirstLast
FirstLast
Comment Addendum Attached?
QUALITY SUITES 2018011224
1125 13TH AV DR SE
HICKORY NC
18 Catawba 28602
SHIV SAI HOTELS OF QS INC
(828) 323-1211
08/14/2014
A
II
1 PERSON IN CHARGE TO BE ACCREDITED BY APPROVED FOOD SAFETY COURSE
7 USE GLLOVES TO HANDLE READY TO EAT FOODS--EMPLOYEE HANDLING BAGELS WITHOUT GLOVES
31 USE PROPER COOLING METHODS--PARTIALLY COVERED 2" SHALLOW PANS
NICKPATEL
1654 - Huffman, Jason
Establishment ID:Establishment Name:
Comment Addendum to Food Establishment Inspection Report
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.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.
Page 3 of Food Establishment Inspection Report, 3/2013
DHHS is an equal opportunity employer.
Environmental Health Section Food Protection ProgramNorth Carolina Department of Health & Human Services Division of Public Health
QUALITY SUITES 2018011224
47 CLEAN DOOR HANDLES, GASKETS, INSIDE COOLERS, ETC
53 CLEAN/REPAIR WALLS AS NEEDED