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HomeMy WebLinkAbout2016 Food Establishment Inspection ReportTOWN OF YARMOUTH FOOD ESTABLISHMENT INSPECTION REPORT BOARD OF HEALTH 1146 ROUTE 28 SOUTH YARMOUTH, MA 02664 Name�, j �� Date Type of Operation(s) Tyne of Inspection )4 Food Service YRoutine ,�� .fit) {SSE j �,LJ C� f 1{ 17 Address ` f a�' jjb U Retail U Residential Kitchen U Re -inspection Previous Inspection Telephone / S OPS _39714 " P % c;- U Mobile U Temporary Date: U Pre-operation Owner�, Fl 5 HACCP Y/N ,� r U Caterer U Bed &Breakfast Permit No. U Suspect Illness U General Complaint U HACCP U Other___ (PIC) Person in PIC Charge Time In: Out: Inspector �h, /, J -J oit� �(� 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) U 590.009 (F) J 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 Ll 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 Ll 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) Q f/1 30. G#er ❑ 12. Prevention of Contamination from Hands ❑ 13. Handwash Facilities PROTECTION FROM CHEMICALS ❑ 14. Approved Food or Color Additives ❑ 15. Toxic Chemicals TIMEITEMPERATU RE CONTROLS (Potentially Hazardous Foods) ❑ 16. Cooking Temperatures ❑ 17. Reheating ❑ 18. Cooling ❑ 19. Hotand 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): Off icial 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 older., DATE OF RE -INSPECTION: 10 ,o,n Inspector' u 3 �/� Print- - 1 f Page I__ of J_. Pages PIC's Signature f Print Item No. Code Reference C -Critical Item R - Red Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTION Date PLEASE PRINT CLEARLY Verified r i .iJ/I� /� i-.� ASI �. ~ `�✓ fn A ra246trl, G -i-t cn5 t --V EC- Le N C... n Ane rA S 7wG i , F`-- 7:f C: Q N1 Tf r f -r F '4 r li! ri Q i \ ri ! 1✓�l Gl G l Zr rX � J Discussion with Person in Charge: Correction Action Required: ❑ No ❑Yes �• O Em to ee Restriction / L3Voluntary Compliance Ex Ic usion ❑ Re -inspection Scheduled U Emergency Suspension ❑ Embargo U Emergency Closure ❑ Voluntary Disposal 0 "'• Other TOWN OF YARMOUTH BOARD OF HEALTH 1146 ROUTE 28 FOOD ESTABLISHMENT INSPECTION REPORT SOUTH YARMOUTH, MA 02664 Name�r Print 3 , % ` Date Type of Operation(sl Type of Inspection Food Service U Routine FOOD PROTECTION MANAGEMENT O 12. Prevention of Contamination from Hands O 1. PIC Assigned / Knowledgeable / Duties Address ) 3 ag ' U Retail 79 Re -inspection ❑ 15. Toxic Chemicals ( TIME/TEMPERATURE CONTROLS (Potentially Hazardous Foods) 1b ❑Residential Kitchen U Mobile iJ Temporary Previous Inspgction Date: ,4 -7/h U Pre Aeration Telephone Owner 1 A S HACCP Y/N O 7. Conformance with Approved Procedures/HACCP Plans ❑ 19. Hot and Cold Holding U 6k ❑ 20. Time as a Public He, �iControl U Caterer U Bed & Breakfast Permit No. U Suspect Illness U General Complaint U HACCP U Other___ Person in Charge (PIC) Time In: Out: Inspector �)..` I �or.� Each violation checked requires an explanation on the narrative page(s) and a citation of specific provision(s) violated. Print 3 , % ` 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) J corrective action as determined by the Board of Health. FOOD PROTECTION MANAGEMENT O 12. Prevention of Contamination from Hands O 1. PIC Assigned / Knowledgeable / Duties O 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 O 16. Cooking Temperatures O 5. Receiving/Condition ❑ 17. Reheating O 6. Tags/Records/Accuracy of Ingredient Statements ❑ 18. Cooling O 7. Conformance with Approved Procedures/HACCP Plans ❑ 19. Hot and Cold Holding PROTECTION FROM CONTAMINATION ❑ 20. Time as a Public He, �iControl LI 8. Separation/Segregation/Protection REQUIREMENTS FOR HIGHLY SI SCEPTIBLE POPULATIONS (HSP) O 9. Food Contact Surfaces Cleaning and Sanitizing O 21. Food and Food Pr@par tion for HSP 0 10. Proper Adequate Handwashing O 11. Good Hygienic Practices CONSUMER ADVISOR er ❑ 22. Posting of Consu A�Ivisories Violations Related to Good Retail Practices (Blue Items) Number of Violated Protiti1. ' ions Rel to Risk Critical (C) violations marked must becorrected immediately Foodborne Illnesses IntervLtio 4t 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 rrection: Based on an inspection today, C N the itemscHLeEked indicate vidlations of 105 CMR 590.000/ 23. Management and Person I- fe ood Code. This report, when signed below by a oard of Health member or its agent constitutes an order of �(FC-2)J590.003) ?4. Food and Food Protecti n 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 t 27. Physical Facility (FC -6)(590.007) in writing and submitted to the Board of Health at the above 28. Poisonous or Toxic Materials (FC -7)(590.006) address within 10 days of receipt of this order. 29. Special Requiremt�ents (590.009) DATE OF RE -INSPECTION: 30. Athef Inspt 's `gn to t Print 3 , % ` Code Reference PIC's Signature Print Page -- of Pages Item No. Code Reference C -Critical Item R - Red Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTION PLEASE PRINT CLEARLY Date Verified i.rT" Ctc O Other G C2c 1n c.6o-s. CjPCo.C7 1 P c.�4dr tom, Ct. ca 027 tQC... y 6- t. I^.�G tr %- c�G K 3" c Q fV10 C L\-1-6 ©C I S' Discussion with Person in Charge: Correction Action Required: ❑ No LJ Yes A(r 1 % ❑ Voluntary Compliance ❑ ExcPiisYon Restriction/ ❑ Re -inspection Scheduled U Emergency Suspension ❑ Embargo ❑ Emergency Closure U Voluntary Disposal O Other TOWN OF YARMOUTH FOOD ESTABLISHMENT INSPECTION REPORT BOARD OF HEALTH 1146 ROUTE 28 SOUTH YARMOUTH, MA 02664 Name Date 1 II I'I I )� Type of Operation(sl Type of Inspection Pk Food Service U Retail Residential Kitchen U Mob U Temporary U Caterer U Bed & Breakfast Permit No. 'A Routine U Re -inspection PrevPrevious Inspection ❑ Pre-operation )9 Suspect Illness U General Complaint U HACCP U Other___ Address - Telephone 7 .- ?/ �f Owner HACCP Y/N Person in Charge (PIC) Time In: Out: Inspector �s%f O�iv Each violation checked regdires 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) U 590.009 (F) J 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 0 4. Food and Water from Approved Source ❑ 5. Receiving/Condition O 6. Tags/Records/Accuracy of Ingredient Statements O 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 O 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 (FCa)(590.008) 29. Special Requireme is (590.009) e„ Via- 30. Qlhe -"_ 0 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 O 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: Inspector's tur �f _ �. �.:, . Print - e. Arm , C - Critical Item R - Red Item PIC's Signature / Print Page J of Disposal U Other 60 A l_K .� t�C' c, Item No. Code Reference C - Critical Item R - Red Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTION PLEASE PRINT CLEARLY Date Verif led Disposal U Other 60 A l_K .� t�C' c, sa J7 e6a C�Q� U I 'Si I A5 1 VIZN ulCtk c�i<'_ C_.i ecicLrj r- t_ o oc %l 'F -Ccs G( 40 (r1-PGn G- 3tE �iv�.V-\ 'S 7-&C,>,_ Discussion with Person in Charge: Correction Action Required: ❑ No L3 Yes ❑ Voluntary Compliance ❑ ExcPiisYon Restriction / ❑ Re -inspection Scheduled U Emergency Suspension ❑ Embargo ❑ Emergency Closure ❑ Voluntary Disposal U Other