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Home My WebLink About00000001TOWN OF YARMOUTH FOOD ESTABLISHMENT INSPECTION REPORT BOARD OF HEALTH 1146 ROUTE 28 SOUTH YARMOUTH, MA 02664 Name y', Violations Related to Foodborne Illness Interventions and Risk Type of Operation(s) Type of Inspection CJ Food Service U Routine , _Date,, ❑ 12. Prevention of Contamination from Hands Address ) f ' U Retail U Residential Kitchen U Re -inspection Previous Inspection ❑ 2. Reporting of Diseases by Food Employee and PIC Telephone J 3. Personnel with Infections Restricted/Excluded U Mobile U Temporary U Caterer ❑ Bed & Breakfast Date: U Pre-operation U Suspect Illness U General Complaint U HACCP Owner HACCPY/N Person in Charge (PIC) Time In:� j .:-) ❑ 17. Reheating Inspector .4 f 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) ❑ corrective action as determined by the Board of Health. Disposal FOOD PROTECTION MANAGEMENT ❑ 12. Prevention of Contamination from Hands ❑ 1. PIC Assigned / Knowledgeable / Duties ❑ 13. Handwash Facilities EMPLOYEE HEALTH PROTECTION FROM CHEMICALS ❑ 2. Reporting of Diseases by Food Employee and PIC ❑ 14. Approved Food or Color Additives J 3. Personnel with Infections Restricted/Excluded ❑ 15. Toxic Chemicals FOOD FROM APPROVED SOURCE TIME/TEMPERATURE CONTROLS (Potentially Hazardous Foods) ❑ 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 ❑ 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): :i�( i f � O✓f )�.. �� V � I i c�� Q 17c Non-critical (N) violations must be corrected immediately or within 90 days as determined by the Board of Health. Official Orderfor Correction: Based on an inspection today, C N the items checked indicate violations of 105 CMR 590.000/ 23. Management and Personnel (FC -2)(590.003) federal Food Code. This report, when signed below by a I/1^'L--r) 4&rJi 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 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 4 l roc) rv_ n ri J __ J, Inspector's Signature Print 1 (A 1 C - Critical Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTION Date R - Red Item PLEASE PRINT CLEARLY Verified PIC's Signature Print Page __ of - Pages Item No. Code Reference C - Critical Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTION Date R - Red Item PLEASE PRINT CLEARLY Verified -0 ru\ c (A 1. % ci it < I `C i \/ ` S cam ', Disposal ❑ Other - vjt, (! T �ry Ke c)" CT CA Y'S_ :i�( i f � O✓f )�.. �� V � I i c�� Q 17c 121c 10� i4 I I/1^'L--r) 4&rJi VN t?� \2D 4 l roc) rv_ n ri J __ J, ( Discussion with Person in Charge: Correction Action Required: ❑ No D. Yes D Voluntary Compliance ❑ Employee Restriction / P Exclusion O Re -inspection Scheduled ❑ Emergency Suspension U Embargo ❑ Emergency Closure ❑ Voluntary Disposal ❑ Other