Critical Item History - ALL

Name of Est Nature Business Street City/Town Permit

Number
Critical Item Description Inspected By
Date C I Marked Follow-up Date LAG Time:
Designated Employee: Beard
Dollar General Store #20293 Limited Retail 5206 Hwy 48 Russellville 33 LR 2261 Beard

38 toxic/medicines items stored with food items-3 day notice given-abated, stored correctly 7/11/2019 7/11/2019 0

16 no available food probe thermometer-10 day notice given-abated, available 7/11/2019 7/11/2019 0

La Cabana Food Service Establishment 10047 Hwy. 75 Russellville 33FS-2166 Beard

38 bleach tablets stored over and with food and single service items-abated by moving 7/10/2019 7/10/2019 0

02 no proof of foodservice employee reporting agreement-10 day notice-abated, proof available 7/10/2019 7/11/2019 1

Phil Campbell Chevron Food Service Establishment 3515 Broad Street Phil Campbell 33 FS 2262 Beard

38 spray bottle of cleaner not labeled-abated by labeling 7/9/2019 7/9/2019 0

16 food probe thermometer 8 degrees off-abated by calibrating 7/9/2019 7/9/2019 0

02 no proof of foodservice employee reporting agreement, not permitting, returned later this same day 7/9/2019 7/9/2019 0
and forms were available, abated and permitted

Ralph Bishop Center Summer F Summer Feeding Program 201 Ash Ave Russellville 33SF-2029 Beard

07 milk sitting out at 63 F-3 day notice abated, -using Time as a Public Health Control 7/11/2019 7/15/2019 4

06 no following TSC plan, milk sitting out at 63-3 day notice-abated, using plan correctly 7/11/2019 7/15/2019 4

Tharptown Summer Feeding-Pr Summer Feeding Program 145 Hwy 80 Russellville Beard

27 handsink blocked by large cart with trays/pans-abated by moving cart 7/11/2019 7/11/2019 0

16 no operable irreversible registering temperature indicator-10 day notice 7/11/2019

01 employee gloving without first washing hands, then handling ready to eat food-3 day notice 7/11/2019

Designated Employee: Warner

New Freedom Daycare Limited Food 508 St. Clair Street Russellville 33LF-2204 Warner

38 chemicals stored above food-- 7/12/2019

Tuesday, July 16, 2019 Page 1 of 1