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Home My WebLink AboutFood Establishment Inspection ReportsTOWN OF YARMOUTH BOARD OF HEALTH 1146 ROUTE 28 FOOD ESTABLISHMENT INSPECTION REPORT SOUTH YARMOUTH, MA 02664 NameDate Print Type of Operation(s) Type of Inspection jl1 Food Service V Routine Disposal ❑ Other PIC's Signature, l ! ! / 4 i ,1, . tl ! _k , ! ;l h Address q 'T t �[ U Retail J e -inspection t U Residential Kitchen Previous Inspection Telephone t t"i1 U Mobile U Temporary Date: U Pre-operation Owner HAC P YIN P A rglhIle 1 � U Caterer U Bed & Breakfast Permit No. U Suspect Illness U General Complaint U HACCP U Other___.__ Person in Charge (PIC) Time In: Out: r Inspector f , ' I` r �l Each violation checked requiresran e4*dnation 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) U 590.009 (F) u corrective action as determined by the Board of Health. FOOD PROTECTION MANAGEMENT 0 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 0 5. Receiving/Condition 0 6. Tags/Records/Accuracy of Ingredient Statements 0 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)(590.000 28. Poisonous or Toxic Materials (FC -7)(590.0081 29. Special Requirements (590.009) 30. Other_ 0 12. Prevention of Contamination from Hands 0 13. Handwash Facilities PROTECTION FROM CHEMICALS ❑ 14. Approved Food or Color Additives 0 15. Toxic Chemicals TIM E/TEMPERATURE CONTROLS (Potentially Hazardous Foods) ❑ 16. Cooking Temperatures 0 17. Reheating 0 18. Cooling 0 19. Hot and Cold Holding 0 20. Time as a Public Health Control REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS (HSP) ❑ 21. Food and Food Preparation for HSP CONSUMER ADVISORY 0 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: igna re I_ Inspector's Signa* Print C - Critical Item R - Red Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTION Date PLEASE PRINT CLEARLY Verified Disposal ❑ Other PIC's Signature, l ! ! / 4 i ,1, . tl ! _k , ! ;l h Print ` �_. f 1 Page __ of _--__ Pages Item No. Code Reference C - Critical Item R - Red Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTION Date PLEASE PRINT CLEARLY Verified Disposal ❑ Other L /Vt4, P A rglhIle 1 � U r,v Gjolro�z- J y -C-3 r x/e r ftoi n sJ) Gyrlf y e o fWta ea N, - y 00"i bobe Ptd %(/P mer a i- n r O lca l6e Q6 U pine �6ko ndwCJ4y~/ 1 V `Y. (.!6171 V a 1 A �! =° conoo C76 Ld Discussion with Person in Charge: Correction Action Required: ❑ No C3 Yes LI Voluntary Compliance ❑ Employee Restriction / Exclusion ❑ Re -inspection Scheduled ❑ Emergency Suspension ❑ Embargo ❑ Emergency Closure U Voluntary Disposal ❑ Other TOWN OF YARMOUTH FOOD ESTABLISHMENT INSPECTION REPORT BOARD OF HEALTH 1146 ROUTE 28 SOUTH YARMOUTH, MA 02664 Name -T--p (jy C Date a7 f j 1}'� f Type of Operations) Type of Inspection l$ Food Service U Retail U Residential Kitchen U Mobile U Temporary P ry U Caterer U Bed & Breakfast Permit No. iXRoutine U Re -inspection p Previous Inspection Date: U Pre-operation U Suspect Illness U General Complaint U HACCP U Other____ Address '� �tJ 5 (�ht'� _ �::t Telephone t '5'09� 4_ `7 2� a Owner eT �� ( . L S HACCP YIN Person in Charge (PIC) Time 1n: Out: Inspector P ,�-6 u . -3. � t.C'� Each violation checked regyt res an explanation on the narrative page(s) and a citation of specific provision(s) violated. A 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) U 590.009 (F) corrective action as determined by the Board of Health. FOOD PROTECTION MANAGEMENT O 1. PIC Assigned / Knowledgeable / Duties EMPLOYEE HEALTH O 2. Reporting of Diseases by Food Employee and PIC O 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 O 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. 23. Management and Personnel 54. Food and Food Protection 25. Equipment and Utensils 26. Water, Plumbing and Waste 27. Physical Facility 28. Poisonous or Toxic Materials 29. Special Requirements 30. Other (FC -2)(590.003) (FC -3)(590.004) (FC -4)(590.005) (FC -5)(590.006) (FC -6)(590.007) (FC -7)(590.008) (590.009) ❑ 12. Prevention of Contamination from Hands L1 13. Handwash Facilities PROTECTION FROM CHEMICALS ❑ 14. Approved Food or Color Additives ❑ 15. Toxic Chemicals TIMEITEMPERATURE CONTROLS (Potentially Hazardous Foods) O 16. Cooking Temperatures O 17. Reheating ❑ 18. Cooling O 19. Hot and Cold Holding O 20. Time as a Public Health Control REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS (HSP) O 21. Food and Food Preparation for HSP CONSUMER ADVISORY O 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: Ins a pre `" Print ---5 . Code Reference PIC's Signat re ( �;1 _..__- I 1. �� Print ' ;� > 1,� 1 Page J Of(_ Pages Item No. Code Reference C -Critical Item R - Red Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTION Date PLEASE PRINT CLEARLY Verified 1-C r 5 r Disposal O Other -'t- e < C O _fie of NA -C t j ( �- V 00i G1TO'r-4v Ct TC,✓t sj S }� �S CE> 1 -ti ' I ` } Discussion with Person in Charge: Correction Action Requiredc� Y No El Yes E) ° LlVolunta Compliance 'J Employee Restriction / VoluntaryLl P Exclusion ❑ Re -inspection Scheduled U Emergency Suspension ❑ Embargo ❑ Emergency Closure U Voluntary l L) ? J Disposal O Other