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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 Name ts, 1i Date (�}( yyf Type of Operation fs ) Type of Inspection fir Food Service L( Routine �.tj Address y (��; " 7/j 3 W Retail ❑ Residential Kitchen U Re -inspection Previous Inspection Telephone ❑ Mobile ❑ Temporary ❑ Caterer & Breakfast Date: ❑ Pre-operation U Suspect Illness U GeneralComplaint U HACCP Owner HACCP Y/N Person in Charge (PIC) TimeLIBed In: 1`" DO If Inspector oJ/� Out: Permit No. U Other 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 ❑ 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/Accuracy of Ingredient Statements ❑ 7. Conformance with Approved Procedures/HACCP Plans PROTECTION FROM CONTAMINATION ❑ 8. Separation/Segregation/Protection Cl 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 -0(590.008; 29. Special Requirements (590.009) Lfl 30. Other ❑ 12. Prevention of Contamination from Hands ❑ 13. Handwash Facilities 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: Inspector's Signature Print PIC's Signature %` Print Page of _Pages Item Code C - Critical Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTION Date No. Reference R - Red Item ( PLEASE PRINT CLEARLY Verified 0/1 t v'e ov ) !i f eq -r) . 7 '} ti- ;Q.A/- � \fVLP `, -4- Discussion with Person in Charge: Correction Action Required: O No ❑Yes LJ Voluntary Compliance Cl Employee Restriction / Exclusion ❑ Re -inspection Scheduled ❑ Emergency Suspension ❑ Embargo ❑ Emergency Closure ❑ Voluntary Disposal ❑ Other 04/18/ZU13 13:48 11AA bUd 606 b445 11i1DvKA1UAir10 ENWR 0 TF, CH LA B ORA TORIES, INC. MA CERT. NO.: AI MA 06.3 8 Jun Sebastian Drive Unit 12 Sandivich, MA 02563 (.508)888.6460 1-800-339-6460 FAX(508)888-6446 W.Jvvv.L/VVV-L HEALTH 18 2013 H EALTHDEJPT Client Alame Hallet's Store Location Yarmouthport, MA Address 139 Hallet Street Yarmouthport, MA 02675 Sample Date 04/16Y13 Collecred By Client Vamlyle, Thne NA L Sample rjl)e Frazer dessert Dale Received 04115113 Lab Order Number DW -130709 Welt Specs NA ' solullce— Paw Collected Tilite C6.11ect&l 'FOI' 7777 7777 itments. 4115/13 NA Analysis Requested Units Recnuarrenrled Villits Anrdysis Result Afediod 11)(de Ap;(,l zeelAnalyzed By . ............... . .............. .... ........ . Ice Cream Coliform /gram 50 <1 Pour Plate 411512013 MC Standard Plate Count /gram 50,000 -<250 Pour Plate 411512013 MC .. ......... comnlents: Yes - Parameters of frozen dessert tested ar4ithln recommended limits. Date Ronald J. aari 1 Laboralor Direr y or BRL = Below Reportable Limits *See Attached Page 1 of 1 c[Cerfificallon is not available for this analyte for non potable water samples.. TOWN OF i ARMOUTH BOARD OF HEALTH 1146 ROUTE 28 FOOD ESTABLISHMENT INSPECTION REPORT SOUTH YARMOUTH, MA 02664 Name � � --�-� - a , Date 5 !�$� )� Type of Operation(s) Type of Inspection A Food Service ❑ Retail LJ Residential Kitchen Routine U Re -inspection Previous Inspection 7 Address )�� ,Zvi Page L of � Pages Telephone ❑ Mobile ❑ Temporary ❑ Pre-operation OwnerlG HACCP Y/N ❑ Caterer ❑Bed &Breakfast ❑ Suspect Illness U General Complaint ❑HACCP Person in Charge (PIC) '"i'-� � ' � Time In. Inspector 1 )I, 5 _Rfr)' p Out: Permit No. ❑ 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: Inspector' re Print , / `/ . J !� PIC's ignatur Disposal Print Page L of � Pages Item Code C - Critical Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTION Date No. Reference R - Red Item PLEASE PRINT CLEARLY Verified -f-- S' /E `f -o ce CrY61,n 3 - `►�c= Sr c r S Ak4-rt Sc Cie, !i cp si:- l l`fE'C't Cd S I ; c � (�'�,,,-• GAG ;n .tom GC:X.f-J ,�dS tri r er Gf SOE Gn 0c' - r-^ d P Discussion with Person in Charge: Correction Action Required: ❑ No LI Yes El Voluntary Compliance ❑ Employee Restriction / P Exclusion ❑ Re -inspection Scheduled ❑ Emergency Suspension ❑ Embargo ❑ Emergency Closure ❑ Voluntary Disposal ❑ Other