HomeMy WebLinkAboutLamb's Inn 210010 06 10 14.sc.pdfWater sample taken today?
FOOD SERVICE PERSONS: (.2218; .2219)
30.Clean clothes; proper handwashing; good hygienic practices...............
31. Personnel with infections or communicable diseases restricted.........................
Name Change
Verification of Closure
Status Change
Inspection
Re-inspection
VisitCommunityOn-Site System
Water Community
Transient Non-Community
Non-Transient Non-Community
Non-Public Water Supply
TOTAL DEDUCTIONS
Current Facility ID
N.C. Department of Environment and Natural Resources
Division of Environmental Health
2.0 1.0
TOILET; HANDWASHING; LAUNDRY; & BATHING FACILITIES: (.2209)
7.Approved toilet; handwashing; bathing facilities…................................
8. Facilities clean & in good repair.......................................................................
9, Soap & towels provided as required; linens properly stored...............................
VERMIN CONTROL; PREMISES: (.2213)
15. Effective measures to exclude insects, rodents, vermin; openings screened or
otherwise protected.......................................................................................
16. Premises clean; drained; free of vermin harborage; approved pesticides only..
5.0 2.5
Comments:
Inspection of Bed and Breakfast Home
Total Score:Health Department
Date of Insp/Chg:
Status Code:Old Facility ID
Inspection by:
Comment Sheet Attached
Purpose: General Statute 130A-248 requires the Commission for Health Services to adopt rules governing the sanitation of private homes offering bed & breakfast accommodations. 15A NCAC 18A .2204 specified the contents of an inspection
form to record the results of inspections made of such facilities be prepared by the Division. This form is developed to be used in making inspections of restaurants, food stands, drink stands, delicatessens, school lunchrooms, educational food
services, commissaries, meat markets, & other similar establishments. Preparation: Local environmental health specialists shall complete the form every time an inspection is conducted. Prepare an original & two copies for: 1. Original to be left
with the responsible person. 2. Copy for the local health department. 3. Copy for the Environmental Health Services Section. Disposition: This form may be destroyed in accordance with Standard-8.B.6., Inspection Records, of the Records
Disposition Schedule, published by the N.C. Division of Archives & History. Additional forms may be ordered from: Division of Environmental Health, 1632 Mail Service Center, Raleigh, NC 27699-1632 (Courier 52-01-00).
EHS 3215 (Revised 7/05)
Environmental Health Services Section (Review 7/08)
City:
Name of Bed & Breakfast:
NC
Permittee:
Location Address:Mailing Addr:
State:City:
Wastewater System:
Zip
1
2
3
4
1 2
1
2
V
ZipState:
EHS I.D.#
FLOORS: (.2206)
1. Easily cleanable; in good repair…………………………………
2. Kept clean…………………………………………………………
WALLS & CEILINGS: (.2207)
3. In good repair………………………...........................................
4. Kept clean……………………………...........................................
LIGHTING & VENTILATION: (.2208)
5. Effective lighting & ventilation as required.....................
6. In good repair; kept clean.......................................................
WATER SUPPLY: (.2209; .2210)
10.Adequate toilet; handwashing; bathing facilities…...............................
11. Hot & cold running water provided as required................................................
DRINKING WATER FACILITIES; ICE HANDLING: (.2211)
12. No common cups; ice protected form contamination.....................................
DISPOSAL OF WASTE: (.2212)
13.Sewage disposed by approved method…................................................
14. Solid waste properly covered & stored to prevent insect breeding & public
health nuisance; containers approved..........................................................
STORAGE; MISCELLANEOUS: (.2213; .2214; .2216)
17. Storage spaces clean......................................................................................
18.Hazardous products, pesticides, household cleaning agents & medications
properly stored.............................................................................................
BEDS; LINEN; FURNITURE: (.2215)
19. Clean & in good repair..................................................................................
20. Clean linen provided as required; stored in sanitary manner...........................
FOOD SERVICE UTENSILS & EQUIPMENT: (.2216)
21.Approved facilities for cleaning utensils & equipment; food preparation
service & storage utensils cleaned after each use; no hazardous polish
or cleaner used.................................................................................................
22. Proper storage & handling of clean utensils & equipment......................................
23. Utensils & equipment properly constructed; in good repair....................................
24. Single service articles properly stored & handled....................................................
FOOD SUPPLIES & PROTECTION: (.2217)
25.Food approved, clean, wholesome; no spoilage, adulteration, mis-branding..
26.Foods stored, thawed, transported, prepared & served to prevent
contamination; no re-service of food...............................................................
27.Potentially hazardous food meets temperature requirements during
storage, preparation & services; facilities provided for proper temperature
maintenance.....................................................................................................
28. No pets allowed in any room in which food is prepared, stored, or served.........
29. Accurate thermometers provided......................................................................
Deduction
Full/Half
2.0 1.0
1.0 0.5
2.0 1.0
2.0 1.0
1.0 0.5
5.0 2.5
4.0 2.0
5.0 2.5
4.0 2.0
4.0 2.0
2.0 1.0
4.0 2.0
4.0 2.0
2.0 1.0
5.0 2.5
2.0 1.0
4.0 2.0
3.0 1.5
5.0 2.5
2.0 1.0
2.0 1.0
5.0 2.5
5.0 2.5
2.0 1.0
2.0 1.0
5.0 2.5
5.0 2.5
4.0 2.0 Received by:
1.0 0.5 ** SEE COMMENT SHEET ATTACHED **
Yes No
Yes No
//
100 18
201821001006102014
A
LAMB S INNLAMB S INN
6577 VALWOOD RD
CONOVER 28613
6577 VALWOOD RD
CONOVER
0
1711 - Carpenter, Scott
Total Time:
N.C. Department of Environment and Natural Resources
Division of Environmental Health
COMMENT ADDENDUM
Time In:
Time Out:
City:
Street:
ID:
Name:am
pm
am
pm
:
:
LAMB S INN
2018210010
6577 VALWOOD RD
CONOVER
1121
1200
39 minutes
N.C. Department of Environment and Natural Resourses
Division of Environmental Health
COMMENT ADDENDUM City:
Street:
ID:
Name:LAMB S INN
2018210010
6577 VALWOOD RD
CONOVER
N.C. Department of Environment and Natural Resourses
Division of Environmental Health
COMMENT ADDENDUM City:
Street:
ID:
Name:
General Comments:
LAMB S INN
2018210010
6577 VALWOOD RD
CONOVER
TOOK WATER SAMPLE. .
LOOKED OVER SEPTIC SYSTEM AND MEASURED FOR RAMP AT FRONT DOOR