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Home My WebLink About1060 route 28TOWN OF YARMOUTH BOARD OF HEALTH 1146 ROUTE 28 FOOD ESTABLISHMENT INSPECTION REPORT SOUTH YARMOUTH, MA 02664 Name Date Type of Operation(s) Type of Inspection Food Service U Routine FOOD PROTECTION MANAGEMENT 7� ❑ 1. PIC Assigned / Knowledgeable / Duties Address -j� U Retail ❑ Residential Kitchen U Re -inspection Previous Inspection PROTECTION FROM CHEMICALS Telephone ❑ 14. Approved Food or Color Additives ❑ Mobile ❑Temporary Date: Ll Pre-operation Owner HACCP WIN ❑ 4. Food and Water from Approved Source ❑ 16. Cooking Temperatures Ll Caterer ❑ Bed &Breakfast Permit No., U Suspect Illness General Complaint ❑ HACCP ❑ Other Person in Charge (PIC) Time In: 7y,1 Out: Inspector •, � ❑ 19. Hot and Cold Holding PROTECTION FROM CONTAMINATION ❑ 20. Time as a Public Health Control ❑ 8. Separation/Segregation/Protection Each violation checked re}uires 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. Page of Pages FOOD PROTECTION MANAGEMENT Cl 12. Prevention of Contamination from Hands ❑ 1. PIC Assigned / Knowledgeable / Duties Cl 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) ❑ 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 10 days as determined by the Board of Health. Factors (Red Items 1-22): Factorswithin 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 27. Physical Facility (FC -6)(590.000 in writing and submitted to the Board of Health at the above 28. Poisonous or Toxic Materials (Fc -0(590.008) address within 10 days of receipt of this order. 29. Special Requirements (590.009) DATE OF RE -INSPECTION: J Ll 3 30. Other if Insp c i nat re Print �^ V ;L:, C - Critical Item R - Red Item PIC' ignat re i /y t ,Yn I t f V P!!;4 e `7 i 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 n ` n l C�Q on / ,,; o 4 l �1 L b cAt<L Y, t L C,- C' G� Dis��cci � wi+h Pgr_.�n,.in Charge: Correction Action Required: ❑ No 11 Yes '�'r� � e n r ❑ Voluntary Compliance P ❑ Re -inspection Scheduled ❑ Embargo ❑ Voluntary C1 Employee Restriction / Exclusion ❑ Emergency Suspension ❑ Emergency Closure J Disposal ❑ Other