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HomeMy WebLinkAboutFood Establishment Inspection ReportsTOWN OF YARMOUTH BOARD OF HEALTH 1146 ROUTE 28 FOOD ESTABLISHMENT INSPECTION REPORT SOUTH YARMOUTH, MA 02664 Name//qq f7/V % // � CG�.sfLl GZ v r� Date I a' Type of Operationfsl Type of Inspection pJ" Food Service kr-Routine Disposal Address a ;[7v-7o5o(�) 1 l2. LJRetail U Residential Kitchen U Re -inspection Previous Inspection /te C. Pe, O.Q C2rtT� Telephone LI Mobile ❑ Temporary ❑ Pre-operation Owner HACCPY/N ❑ Caterer ❑Bed &Breakfast U Suspect Illness U General Complaint U HACCP P Person in Charge (PIC) Time In Inspector �j2 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. 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 at the above address within 10 days of receipt of this order. DATE OF RE -INSPECTION: 0 - Inspect i atur Print C -Critical Item R - Red Item PIC's�gi n Print lG, G Page ` of I Pages Item No. Code Reference C -Critical Item R - Red Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTION Date PLEASE PRINT CLEARLY Verified Disposal S. /te C. Pe, O.Q C2rtT� E' Q T" he I 06 e fiX L- TPS 9a) C,� GIN`S C��o GG�� r Cx.t -"7 Discussion with Person in Charge: Correction Action Required: ❑ No LJ Yes ❑ Voluntary Compliance ❑ Employee Restriction / Exclusion ❑ Re -inspection Scheduled ❑ Emergency Suspension ❑ Embargo ❑ Emergency Closure 0 Voluntary Disposal ❑ Other TOWN OF YARMOUTH H BOARD OF HEALTH 1146 ROUTE 28 FOOD ESTABLISHMENT INSPECTION REPORT SOUTH YARMOUTH, MA 02664 Name -I-^ Date Type of Operation(s) Type of Inspection k�-Food Service JV Routine _ 1 C �� �� Other Address 9U a� Retail ❑ Residential Kitchen U Re -inspection Previous Inspection Telephone ❑ Mobile ❑ Temporary ❑ Caterer ❑ Bed & Breakfast Permit No. Date: ❑ Pre-operation U Suspect Illness U General Complaint U HACCP U Other Owner HACCP YIN Person in Charge (PIC) %Yf 'CSG Time In: Out: Inspector �/ 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 at the above address within 10 days of receipt of this order. j DATE OF RE -INSPECTION: (r-1 �{ ,-Z' Item Code C -Critical Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTION Date No. Reference R - Red Item PLEASE PRINT CLEARLY Verified G [� r' l 5t C �r T 1. h , �/ ca0 „ S tic n ✓� P�Po° ( o F�171 4,6 C AP &-,oG( P %G G( C, L c/a 2 1,20 M e irP Discussion with Person in Charge: Correction Action Required: ❑ No Ll Yes �.,� A.-.C�. ❑ Voluntary Compliance ❑ Employee Restriction / Exclusion ❑ Re -inspection Scheduled ❑ Emergency Suspension r' ❑ Embargo ❑ Emergency Closure ❑ Voluntary Disposal 0 Other TOWN OF YARMOUTH. - BOARD OF HEALTH >`< _. 1146 ROUTE 28 FOOD ESTABLISHMENT INSPECTION REPORT SOUTH, YARMOUTH, 02664 Name ! Violations marked may pose an imminent health hazard and require immediate 590.009 (E) 0 $90.009 (F) ❑ Date Twe of Ooeration(s) Type of Inspection' ,KFood Service ^ ❑ Routine 0 13. Handwash Facilities tt. PROTECTION FROM CHEMICALS Address�,sr<:,. 0 14. Approved Food or Color Additives ❑ 3. Personnel with Infections Restricted/Excluded J) t?) ❑ Retail'Remspection ❑ Residential Kdchen O Mobile:' O Temporary O Caterer Previous Inspection Date:, f;1 3-Z _C] Pre operation C1 Suspect Illness , Telephone Owner HACCP Y/N ❑ 17. Reheating ❑ 6. Tags/Records/Accuracy of Ingredient Statements Person in Charge (PIC) ❑' 7. Conformance with Approved Procedures/HACCP Plans Time. ❑ .Bed &Breakfast. ❑_General Complaint 0 8. Separation/Segregation/Protection REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS (HSP) ❑ 9. Food Contact Surfaces Cleaning and Sanitizing In: Out: Permit No. 'Cl HACCP , ❑ Other' Inspector Each violation che&ed 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) 0 $90.009 (F) ❑ corrective action as determined by the Board of Health. FOOD PROTECTION MANAGEMENT 0 12. Prevention of Contamination from Hands O 1. PIC Assigned / Knowledgeable / Duties 0 13. Handwash Facilities EMPLOYEE HEALTH PROTECTION FROM CHEMICALS ❑ 2. Reporting of Diseases by Food Employee and PIC 0 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 016. Cooking Temperatures ❑ 5. Receiving/Condition ❑ 17. Reheating ❑ 6. Tags/Records/Accuracy of Ingredient Statements ❑ 18. Cooling ❑' 7. Conformance with Approved Procedures/HACCP Plans 019. Hof and Cold Holding PROTECTION FROM CONTAMINATION ❑ 20. Time as a Public Health Control 0 8. Separation/Segregation/Protection REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS (HSP) ❑ 9. Food Contact Surfaces Cleaning and Sanitizing ❑ 21. Food and Food.Preparation for HSP 0 10. Proper Adequate Handwashing CONSUMER ADVISORY 0 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 mustbecorrected 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/ 23. Management and Personnel (Fc -2)(596.003) federal Food Code. This report,. when signed below by a 24. Food and Food Protection �Fc-s>(sso.0oa) Board of Health member or its agent constitutes,an order of the.Board of Health. Violations not corrected are subject to and U 25. Equipment tensils (FC -4)(590.005) fines. per Yarmouth Board of Health. If aggrieved by this 26. Water, Plumbing and Waste (FC -5)(5967006) - order, you have a right to`a hearing. Your request must be 27. PhysicalFacility (FC -6)(590.067) in writing and submitted to the Board of Health atthe above 28. Poisonous or Toxic Materials (Fc -7)(590.008) address Within10 days of receipt of this order. 29. Special Requirements (590.009) DATE OF RE -INSPECTION: 30. Other - Ins actor's 3i lure $ Print El Yes Volunta Compliance ❑. Employee Restriction / Voluntary p Exclusion ❑ Re -inspection Scheduled : El Emergency Suspension ❑ Embargo O Emergency Closure 13 Voluntary Disposal _ ❑ Other PIC's Signature ,i 9 s° ' Print Pae .f of Pa es g g Item Code C -critical Item DESCRIPTION OF VIOLATION /PLAN OF CORRECTION Date No.. Reference R - Fled ItemPLEASE PRINT CLEARLY ' Verified ,f r; •" r Fid fi,h �'..cX �.' Discussion with Person -in Charge: ,Correction Action Required: ❑ No El Yes Volunta Compliance ❑. Employee Restriction / Voluntary p Exclusion ❑ Re -inspection Scheduled : El Emergency Suspension ❑ Embargo O Emergency Closure 13 Voluntary Disposal _ ❑ Other - X t Discussion with Person -in Charge: ,Correction Action Required: ❑ No El Yes Volunta Compliance ❑. Employee Restriction / Voluntary p Exclusion ❑ Re -inspection Scheduled : El Emergency Suspension ❑ Embargo O Emergency Closure 13 Voluntary Disposal _ ❑ Other -