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
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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
-