HomeMy WebLinkAboutFood Establishment Inspection ReportsOF HEALTH
TOWN OF YARMOUTH BOA 1146 ROUTE 28
Crinn MCTARI IQWRfiGnIT lKICpF(_TI(1N RFPOPT SOUTH YARMOUTH, MA 02664
Each violation checked requires an explanation on the narrative page(s) ana a citation or specmc plwla FvIItal VIVIOL-
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) J 590.009 (F) J
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 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 ❑ 16. Cooking Temperatures
❑ 5. Receiving/Condition ❑ 17. Reheating
❑ 6. Tags/Records/Accuracy of Ingredient Statements ❑ 18. Cooling
❑ 7. Conformance with Approved Procedures/HACCP Plans ❑ 19. Hot and Cold Holding
PROTECTION FROM CONTAMINATION ❑ 20. Time as a Public Health Control
❑ 8. Separation/Segregation/Protection REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS (HSP)
❑ 9. Food Contact Surfaces Cleaning and Sanitizing ❑ 21. Food and Food Preparation for HSP
❑ 10. Proper Adequate Handwashing CONSUMER ADVISORY
❑ 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 must be corrected 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 Orderfor Correction: Based on an inspection today,
C N the items checked indicate violations of 105 CMR 590.000/
23. Management and Personnel IFC -21(590.003) federal Food Code. This report, when signed below by a
Board of Health member or its agent constitutes an order of
24. Food and Food Protection (FC -3)(590.0041 the Board of Health. Violations not corrected are subject to
25. Equipment and Utensils (Fc -4)(590005) fines per Yarmouth Board of Health. If aggrieved by this
26. Water, Plumbing and Waste (FC -5)(590006) order, you have a right to a hearing. Your request must be
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)(590008, address within 10 days of receipt of this order.
29. Special Requirements ,590009) DATE OF RE -INSPECTION:
30. Other
Inspector's Signature // i .r Print /I
41
PIC's Signature /t� v Print ! r Page _ _ of _ Pages
s=
Item
No.
Date
Type of Operations)
Type of Inspection
Food Service
Routine
Name 1 �..
,: ;• . -.___
U Other - _
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Address a �;�
!
_
J Retail
-i Residential Kitchen
J Re -inspection
Previous Inspection
0 C I K41 C31�
Telephone
U Mobile
.J Temporary
Date:
J Pre-operation
`C
HACCP Y/N
Owner
J Caterer
J Bed &Breakfast
J Suspect Illness
J General Complaint
Person in Charge (PIC)
Time
In.
t* / r i•i''i G� f%ir'ri r r. I i ^ �^(r
J HACCP
Inspector
Out:
Permit No.
J Other____
Each violation checked requires an explanation on the narrative page(s) ana a citation or specmc plwla FvIItal VIVIOL-
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) J 590.009 (F) J
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 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 ❑ 16. Cooking Temperatures
❑ 5. Receiving/Condition ❑ 17. Reheating
❑ 6. Tags/Records/Accuracy of Ingredient Statements ❑ 18. Cooling
❑ 7. Conformance with Approved Procedures/HACCP Plans ❑ 19. Hot and Cold Holding
PROTECTION FROM CONTAMINATION ❑ 20. Time as a Public Health Control
❑ 8. Separation/Segregation/Protection REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS (HSP)
❑ 9. Food Contact Surfaces Cleaning and Sanitizing ❑ 21. Food and Food Preparation for HSP
❑ 10. Proper Adequate Handwashing CONSUMER ADVISORY
❑ 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 must be corrected 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 Orderfor Correction: Based on an inspection today,
C N the items checked indicate violations of 105 CMR 590.000/
23. Management and Personnel IFC -21(590.003) federal Food Code. This report, when signed below by a
Board of Health member or its agent constitutes an order of
24. Food and Food Protection (FC -3)(590.0041 the Board of Health. Violations not corrected are subject to
25. Equipment and Utensils (Fc -4)(590005) fines per Yarmouth Board of Health. If aggrieved by this
26. Water, Plumbing and Waste (FC -5)(590006) order, you have a right to a hearing. Your request must be
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)(590008, address within 10 days of receipt of this order.
29. Special Requirements ,590009) DATE OF RE -INSPECTION:
30. Other
Inspector's Signature // i .r Print /I
41
PIC's Signature /t� v Print ! r Page _ _ of _ Pages
s=
Item
No.
Code
Reference
C -Critical Item
R - Red Item
DESCRIPTION OF VIOLATION / PLAN OF CORRECTION
PLEASE PRINT CLEARLY
Date
Verified
Disposal
U Other - _
r� crihl�itn :Vii v ! L90, oil
0 C I K41 C31�
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t* / r i•i''i G� f%ir'ri r r. I i ^ �^(r
n y
;Inti(
4C, ck'
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J/ J) e
C- toCA6 kJet
�,✓ y Ir1G• I�UX" Gov
..i
Discussion with Person in Charge:
Correction Action Required:
J No
❑Yes
LJ Employee Restriction /
J Voluntary Compliance
P Exclusion
❑ Re -inspection Scheduled U Emergency Suspension
U Embargo a Emergency Closure
U Voluntary
Disposal
U Other - _