HomeMy WebLinkAboutFood Establishment Inspection ReportsTOWN OF YARMOUTH
FOOD ESTABLISHMENT INSPECTION REPORT
BOARD OF HEALTH
1146 ROUTE 28
SOUTH YARMOUTH, MA 02664
Name
bre /
All
/
Date
Type of Operationfs)
Type of Inspection
�1 Food Service
U Routine
Address
5
y G A e__ r U^
�
13
Retail
U ❑ Residential Kitchen
U Re -inspection
PreviDate: Inspection
Telephone 5 C O "7�
Q a
L1J Mobile
❑ Temporary
❑ Caterer
❑ Pre-operation
'k Suspect Illness
Owner/G G S
HACCP Y/N
Person in Charge (PIC)
a PIC
Time
In:
❑ Bed & Breakfast
U General Complaint'
❑ HACCP
Vc,.\ 1^u
Inspector
7k 1
�c ^
Out:
Permit No.
U Other
Each violation checked requires an explanation on the narrative page(s) and a citation of specific provision(s) violated.
Non-compliance with:
Violations Related to Foodborne Illness Interventions and Risk Factors (Red Items) Anti -Choking Tobacco
Violations marked may pose an imminent health hazard and require immediate 590.009 (E) ❑ 590.009 (F) ❑
corrective action as determined by the Board of Health.
FOOD PROTECTION MANAGEMENT ❑ 12. Prevention of Contamination from Hands
❑ 1. PIC Assigned / Knowledgeable / Duties ❑ 13. Handwash Facilities
EMPLOYEE HEALTH
❑ 2. Reporting of Diseases by Food Employee and PIC
❑ 3. Personnel with Infections Restricted/Excluded
FOOD FROM APPROVED SOURCE
❑ 4. Food and Water from Approved Source
❑ 5. Receiving/Condition
❑ 6. Tags/Records/Accuracy of Ingredient Statements
❑ 7. Conformance with Approved Procedures/HACCP Plans
PROTECTION FROM CONTAMINATION
❑ 8. Separation/Segregation/Protection
❑ 9. Food Contact Surfaces Cleaning and Sanitizing
❑ 10. Proper Adequate Handwashing
❑ 11. Good Hygienic Practices
Violations Related to Good Retail Practices (Blue Items)
Critical (C)violations marked must be corrected immediately
or within 10 days as determined by the Board of Health.
Non-critical (N) violations must be corrected immediately
or within 90 days as determined by the Board of Health.
C N
23. Management and Personnel (FC -2)(590.003)
24. Food and Food Protection (FC -3)(590.004)
25. Equipment and Utensils (FC -4)(590.005)
26. Water, Plumbing and Waste (FC -5)(590.006)
27. Physical Facility (FC -6)(590.007)
28. Poisonous or Toxic Materials (FC -7)(590.008)
29. Special Requirements (590.009)
30. Other
PROTECTION FROM CHEMICALS
❑ 14. Approved Food or` Color Additives
❑ 15. Toxic Chemicals
TIME/TEMPERATURE CONTROLS (Potentially Hazardous Foods)
❑ 16. Cooking Temperatures
❑ 17. Reheating
❑ 18. Cooling
❑ 19. Hot and Cold Holding
❑ 20. Time as a Public Health Control
REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS (HSP)
❑ 21. Food and Food Preparation for HSP
CONSUMER ADVISORY
❑ 22. Posting of Consumer Advisories
Number of Violated Provisions Related to
Foodborne Illnesses Interventions and Risk
Factors (Red Items 1-22):
Official Order for Correction: Based on an inspection today,
the items checked indicate violations of 105 CMR 590.000/
federal Food Code. This report, when signed•below by a
Board of Health member or its agent constitutes an order of
the Board of Health. Violations not corrected are subject to
fines per Yarmouth Board of Health. If aggrieved by this
order, you have a right to a hearing. Your request must be
in writing and submitted to the Board of Health atthe above
address within 10 days of receipt of this order.
DATE OF RE -INSPECTION:
Inspector' S' na
bre /
All
Print / -
//
l)
PIC's Si ure
I V
Print
Page --Jof ___, Pages
Item
No.
Code
Reference
C -Critical Item
R - Red Item
DESCRIPTION OF VIOLATION / PLAN OF CORRECTION Date
PLEASE PRINT CLEARLY Verified
Disposal
144.7
`ct ALJ C-
Vc,.\ 1^u
L C
Uo�
3
0
G
�v
S
Cly
Discussion with Person in Charge:
Correction Action Required:
❑ No
❑Yes
El Voluntary Compliance Cl Employee Restriction /
p Exclusion
Cl Re -inspection Scheduled ❑ Emergency Suspension
❑ Embargo ❑ Emergency Closure
0 Voluntary
Disposal
❑ Other
TOWN OF YARMOUTH BOARD OF HEALTH
1146 ROUTE 28
FOOD ESTABLISHMENT INSPECTION REPORT SOUTH YARMOUTH, MA 02664
Name e� _
Date
Type of Operation(s)
Type of Inspection
U Food Service
U Routine
U 12. Prevention of Contamination from Hands
D 1. PIC Assigned / Knowledgeable / Duties
❑ 13. Handwash Facilities
Address t Q �� i i E 141 r.
PROTECTION FROM CHEMICALS
U Retail
U Residential Kitchen
U Re -inspection
Previous Inspection
❑ 3. Personnel with Infections Restricted/Excluded
Telephone
FOOD FROM APPROVED SOURCE
U Mobile
U Temporary
Date:
U Pre-operation
Owner
HACCP Y/N
❑ 17. Reheating
❑ 6. Tags/Records/Accuracy of Ingredient Statements
Caterer
U Bed & Breakfast
U Suspect Illness
U General Complaint
U HACCP
Person in Charge (PIC)
Time
In:
❑ 20. Time as a Public Health Control
Inspector t
Out:
Permit No.
U Other___
Each violation checked requires an explanation on the narrative page(s) and a citation of specific provision(s) violated.
Violations Related to Foodborne Illness Interventions and Risk Factors (Red Items) Non-compliance with:
Anti -Choking Tobacco
Violations marked may pose an imminent health hazard and require immediate 590.009 (E) ❑ 590.009 (F) U
corrective action as determined by the Board of Health.
Ut
FOOD PROTECTION MANAGEMENT
U 12. Prevention of Contamination from Hands
D 1. PIC Assigned / Knowledgeable / Duties
❑ 13. Handwash Facilities
EMPLOYEE HEALTH
PROTECTION FROM CHEMICALS
U 2. Reporting of Diseases by Food Employee and PIC
❑ 14. Approved Food or Color Additives
❑ 3. Personnel with Infections Restricted/Excluded
U 15. Toxic Chemicals
FOOD FROM APPROVED SOURCE
TIME/TEMPERATURE CONTROLS (Potentially Hazardous Foods)
U 4. Food and Water from Approved Source
❑ 16. Cooking Temperatures
❑ 5. Receiving/Condition
❑ 17. Reheating
❑ 6. Tags/Records/Accuracy of Ingredient Statements
❑ 18. Cooling
❑ 7. Conformance with Approved Procedures/HACCP Plans
❑ 19. Hot and Cold Holding
PROTECTION FROM CONTAMINATION
❑ 20. Time as a Public Health Control
❑ 8. Separation/Segregation/Protection
REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS (HSP)
❑ 9. Food Contact Surfaces Cleaning and Sanitizing
❑ 21. Food and Food Preparation for HSP
❑ 10. Proper Adequate Handwashing
CONSUMER ADVISORY
❑ 11. Good Hygienic Practices
U 22. Posting of Consumer Advisories
Violations Related to Good Retail Practices (Blue Items)
Number of Violated Provisions Related to
Critical (C) violations marked must be corrected immediately
Foodborne Illnesses Interventions and Risk
or within 10 days as determined by the Board of Health.
Factors (Red Items 1-22):
Non-critical (N) violations must be corrected immediately
or within 90 days as determined by the Board of Health.
Official Order for Correction: Based on an inspection today,
C N
the items checked indicate violations of 105 CMR 590.000/
federal Food Code. This report, when signed below by a
23. Management and Personnel (FC -2)(590.003)
Board of Health member or its agent constitutes an order of
24. Food and Food Protection (FC -3)(590.004)
the Board of Health. Violations not corrected are subject to
25. Equipment and Utensils (FC -4)(590.005)
fines per Yarmouth Board of Health. If aggrieved by this
26. Water, Plumbing and Waste (FC -5)(590.006)
order, you have a right to a hearing. Your request must be
u
27. Physical Facility (FC -6)(590.007)
in writing and submitted to the Board of Health at the above
28. Poisonous or Toxic Materials (FC -7)(590.008)
address within 10 days of receipt of this order.
29. Special Requirements (590.009)
DATE OF RE -INSPECTION:
30. Other
Inspector's Signatur ` {
Print
C - Critical Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTION
R - Red Item PLEASE PRINT CLEARLY
4 t
Ut
PIC's Signature :` t
_
Print d 1 ( 4 r
Page __ of _ Pages
C�
V
Item
No.
Code
Reference
C - Critical Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTION
R - Red Item PLEASE PRINT CLEARLY
Date
Verified
Disposal
❑ Other
C�
7
t,U
"J,
-
i
Jot
f C ZkV\ 1 ea Z. -c✓ � r1
u
4
C� C
Discussion with Person in Charge:
Correction Action Required:
❑ No
O Yes
Voluntary Compliance ❑ Employee Restriction /
O Exclusion
❑ Re -inspection Scheduled ❑ Emergency Suspension
❑ Embargo ❑ Emergency Closure
❑ Voluntary
Disposal
❑ Other
TOWN OF YARMOUTH BOARD OF HEALTH
1146 ROUTE 28
FOOD ESTABLISHMENT INSPECTION REPORT SOUTH YARMOUTH, MA 02664
Name
❑ 16. Cooking Temperatures
C - Critical Item
R - Red Item
Date
Type of Operation(s)
Type of Inspection
U. -Food Service
C1 Retail
❑ Residential Kitchen
.CJ Routine
❑ Re -inspection
Previous Inspection
Disposal
R,19 r
!!
Address}�' ,I
� `
REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS (HSP)
Telephone
CONSUMER ADVISORY
❑ Mobile
❑ Temporary
Date:
❑ Pre-operation
Owner 7�)
HACCP YIN
Foodborne Illnesses Interventions and Risk
lei,
Factors (Red Items 1-22):
❑ Caterer
❑Bed &Breakfast
❑ Suspect Illness
❑ General Complaint
❑ HACCP
Person in Charge (PIC)
Time
In
Inspector
(i
� ! 0/yv
Out:
Permit No.
❑ Other
Each violation checked requires an explanation on the narrative page(s) and a citation of specific provision(s) violated.
Non-compliance with:
Violations Related to Foodborne Illness Interventions and Risk Factors (Red Items) Anti -Choking Tobacco
Violations marked may pose an imminent health hazard and require immediate 590.009 (E) ❑ 590.009 (F) ❑
corrective action as determined by the Board of Health.
FOOD PROTECTION MANAGEMENT ❑ 12. Prevention of Contamination from Hands
❑ 1. PIC Assigned / Knowledgeable / Duties ❑ 13. Handwash Facilities
EMPLOYEE HEALTH
❑ 2. Reporting of Diseases by Food Employee and PIC
❑ 3. Personnel with Infections Restricted/Excluded
FOOD FROM APPROVED SOURCE
❑ 4. Food and Water from Approved Source
❑ 5. Receiving/Condition
❑ 6. Tags/Records/Accuracy of Ingredient Statements
❑ 7. Conformance with Approved Procedures/HACCP Plans
PROTECTION FROM CONTAMINATION
❑ 8. Separation/Segregation/Protection
❑ 9. Food Contact Surfaces Cleaning and Sanitizing
❑ 10. Proper Adequate Handwashing
❑ 11. Good Hygienic Practices
Violations Related to Good Retail Practices (Blue Items)
Critical (C)violations marked must be corrected immediately
or within 10 days as determined by the Board of Health.
Non-critical (N) violations must be corrected immediately
or within 90 days as determined by the Board of Health.
C N
23. Management and Personnel (FC -2)(590.003>
24. Food and Food Protection (FC -3)(590.004)
25. Equipment and Utensils (FC -4)(590.005)
26. Water, Plumbing and Waste (FC -5)(590.006)
27. Physical Facility (FC -6)(590.007)
28. Poisonous or Toxic Materials (FC -7)(590.008)
29. Special Requirements (590.009)
30. Other
PROTECTION FROM CHEMICALS
❑ 14. Approved Food or Color Additives
15. Toxic Chemicals
TIME/TEMPERATURE CONTROLS (Potentially Hazardous Foods)
❑ 16. Cooking Temperatures
C - Critical Item
R - Red Item
❑ 17. Reheating
Print t
❑ 18. Cooling
❑ 19. Hot and Cold Holding
Disposal
❑ 20. Time as a Public Health Control
REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS (HSP)
❑ 21. Food and Food Preparation for HSP
CONSUMER ADVISORY
❑ 22. Posting of Consumer Advisories
Number of Violated Provisions Related to
Foodborne Illnesses Interventions and Risk
Factors (Red Items 1-22):
Official Order for Correction: Based on an inspection today,
the items checked indicate violations of 105 CMR 590.000/
federal Food Code. This report, when signed below by a
Board of Health member or its agent constitutes an order of
the Board of Health. Violations not corrected are subject to
fines per Yarmouth Board of Health. If aggrieved by this
order, you have a right to a hearing. Your request must be
in writing and submitted to the Board of Health at the above
address within 10 days of receipt of this order.
DATE OF RE -INSPECTION:
Inspect Si nature
J
Print )
,-t,I:, A
C - Critical Item
R - Red Item
PIC's Signator ' ZZ,
F�
Print t
Page \. of Pages
Item
No.
Code!
Reference
C - Critical Item
R - Red Item
DESCRIPTION OF VIOLATION / PLAN OF CORRECTION
PLEASE PRINT CLEARLY
Date
Verified
Disposal
❑ Other
n
I
, -1-
A?
u
S(j
n C.
-4-
C 10
"
S ,
CQo 2
A r�r
S
a
Z�
S, D
Discussion with Person in Charge:
Correction Action Required:
❑ No
❑Yes
13 Voluntary Compliance ❑ Employee Restriction /
Exclusion
❑ Re -inspection Scheduled ❑ Emergency Suspension
❑ Embargo ❑ Emergency Closure
❑ Voluntary
Disposal
❑ Other