HomeMy WebLinkAboutFood Establishment Inspection ReportsTOWN OF i ARMOUTH BOARD OF HEALTH
1146 ROUTE 28
FOOD ESTABLISHMENT INSPECTION REPORT SOUTH YARMOUTH, MA 02664
NameDate
's S nature
Type of Operation(s)
Type of Inspection
b <Food Service
U Routine
N. \
j
Print
Ll :� :2
Address R
Yj
YY
U Retail
LJ Kitchen
>4 Re -inspection
Previous Inspection
Telephone
1t
1(3
Ll
❑ Mobile
❑Temporary
Date:
❑ Pre-operation
p
Owner r
HACCP Y/N
❑ Caterer
❑Bed &Breakfast
Permit No.
U Suspect Illness
U General Complaint
P
U HACCP
U Other
Person in Charge (PIC)
Time
In.
Out:
Inspector t
Each violation checked requi%es 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.
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.
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)
I 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 at the above
address within 10 days of receipt of this order.
DATE OF RE -INSPECTION:
Inspe
's S nature
C -Critical Item
R - Red Item
Print
d
I
PIC's tignat
e:
j
Print
Ll :� :2
Page -A-of _J Pages
-
w
Item
No.
Code
Reference
C -Critical Item
R - Red Item
DESCRIPTION OF VIOLATION / PLAN OF CORRECTION Date
PLEASE PRINT CLEARLY Verified
Disposal
❑ .Other
ti Gl.��-
^�56 6Lr,
1L
3 sr-, k
U, _S Prn S r
r
- \
Discussion with Person in Charge:.
Correction Action Required:
❑ No
❑Yes
❑ Voluntary Compliance ElEmployee Restriction/
Exclusion
❑ Re -inspection Scheduled ❑ Emergency Suspension
❑ Embargo ❑ Emergency Closure
❑ Voluntary
V
Disposal
❑ .Other
TOWN OF YARMOUTH BOARD OF HEALTH
1146 ROUTE 28
FOOD ESTABLISHMENT INSPECTION REPORT SOUTH YARMOUTH, MA 02664
Name
Violations Related to Foodborne Illness Interventions and Risk Factors (Red Items) Non-compliance with:
Anti -Choking Tobacco
Date
Type of Operation(s)
Type of Inspection
tN Food Service
'J=Routine
_ ��
❑ 13. Handwash Facilities
EMPLOYEE HEALTH
AddressJ
❑ 2. Reporting of Diseases by Food Employee and PIC
❑ 14. Approved Food or Color Additives
J3
Li Retail
❑ Residential Kitchen
U Re -inspection
Previous Inspection
TIME/TEMPERATURE CONTROLS (Potentially Hazardous Foods) O
Telephone
{G 4.'>'
�?C 0
❑ 17. Reheating
U Mobile
U Temporary
Date:
U Pre-operation
Owner
HACCPY/N
PROTECTION FROM CONTAMINATION
❑ 20. Time as a Public Health Control
❑ 8. Separation/Segregation/Protection
REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS (HSP)
U Caterer
❑Bed &Breakfast
Permit No.
U Suspect Illness
Complaint
u HACCP U General Com p
U Other
Person in Charge (PIC) n�2 ye+ �d
In. Time
Out:
Inspector 6? - �j� n0��
3�
a
0
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.
(j
FOOD PROTECTION MANAGEMENT
❑ 12. Prevention of Contamination from Hands
v ��
❑ 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
❑ 3. Personnel with Infections Restricted/Excluded
❑ 15. Toxic Chemicals
FOOD FROM APPROVED SOURCE
TIME/TEMPERATURE CONTROLS (Potentially Hazardous Foods) O
❑ 4. Food and Water from Approved Source
❑ 16. Cooking Temperatures
5. Receiving/Condition
❑ 17. Reheating
❑ 6. Tags/Records/Accuracy of Ingredient Statements
❑ 18. Cooling GI!
❑ 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 ot
❑ 10. Proper Adequate Handwashing
CONSUMER ADVISORY
❑ 11. Good Hygienic Practices
❑ 22. Posting of Consumer Advisories
Violations Related to Good Retail Practices (Blue Items)
Critical (C) violations marked must becorrected immediately
Number of Violated Provisions Related to
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
C iT�%
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
12,
24. Food and Food Protection (FC -3)(590.004)
the Board of Health. Violations not corrected are subject to
%j
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: r
"t
30. 9ther
Ins p 's ignature `
Print
"
Code
Reference
WO t[/f
/ ' /
Date
Verified
PIC's Signat re
Print
Page ! of i Pages
Discussion with Person in Charge:
Item
No.
Code
Reference
C - Critical Item
R - Red Item
DESCRIPTION OF VIOLATION / PLAN OF CORRECTION
PLEASE PRINT CLEARLY
Date
Verified
Voluntary Compliance
Re -inspection Scheduled
Embargo
Voluntary Disposal
❑ ExcPus%n Restriction /
❑ Emergency Suspension
❑ Emergency Closure
❑ Other
Olt-
rc/
/PC
G n C!Lan
s
2i22f1
S
C iT�%
yrs
12,
G 1 crF
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G
S17e
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a
l
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If 6,4,
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;7 5
F- - `
/VC
+r'
1�JGr I 1 S
-! i
Te ,V(--
V. t (a olid
!(
(
Discussion with Person in Charge:
Correction Action Required:
❑ No
❑Yes
❑
❑
❑
❑
Voluntary Compliance
Re -inspection Scheduled
Embargo
Voluntary Disposal
❑ ExcPus%n Restriction /
❑ Emergency Suspension
❑ Emergency Closure
❑ Other
TOWN OF YARMOUTH
FOOD ESTABLISHMENT INSPECTION REPORT
BOARD OF HEALTH
1146 ROUTE 28
SOUTH YARMOUTH, MA 02664
Name
w o IiA _
_ Ca I
Date
_
Type of Operation(s)
Type of Inspection
At Food Service
t4_Routine
Address
1319
RT 1e
U Retail
U Residential Kitchen
U Re -inspection
Previous Inspection
Telephone,
Tele P
d
`% "-�Owb
❑ Mobile
U Temporary
Date:
U Pre-operation
Owner
HACCPY/N
U Caterer
❑Bed &Breakfast
Permit No.
U Suspect Illness
U General Complaint
U HACCP
U Other
Person in PIC Charge
9 (PIC)
Time
In.
Inspector n
%0h
45;
Out:
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) U 590.009 (F) ❑
corrective action as determined by the Board of Health.
FOOD PROTECTION MANAGEMENT
U 1. PIC Assigned / Knowledgeable / Duties
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/Accu racy of Ingredient Statements
❑ 7. Conformance with Approved Procedures/HACCP Plans
PROTECTION FROM CONTAMINATION
U 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
❑ 12. Prevention of Contamination from Hands
❑ 13. Handwash Facilities
PROTECTION FROM CHEMICALS
U 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 at the above
address within 10 days of receipt of this order.
DATE OF RE -INSPECTION:
Inspect 1g.r15' ngture
Print / 4-,
PIC's Signature,/Print
1
Page of 1 Pages
Item Code C - Critical Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTION Date
No. Reference R - Red Item PLEASE PRINT CLEARLY Verified
c+P�CAf ( �� Or
1 P r +
vC
o�
�- sz,2r�c✓ �
17,
Y�r <4 C C-, t_
G I
Discussion with Person in Charge: Correction Action Required: ❑ No ❑Yes
d , ❑ Voluntary Compliance
El Employee Restriction /
Exclusion
❑ Re -inspection Scheduled ❑ Emergency Suspension
❑ Embargo ❑ Emergency Closure
❑ Voluntary
Disposal
❑ Other