HomeMy WebLinkAboutFood Establishment Inspection ReportsTOWN OF YARMOUTH
rnnn FQTARI ISI-IMFNT INSPECTION REPORT
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BOARD OF HEALTH
1146 ROUTE 28
SOUTH YARMOUTH, MA 02664
Name
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Non-compliance with:
C `
Date
Type of Operation(s)
Tyne of Inspection
Food Service
U Retail
Residential Kitchen
)IC Routine
U Re -inspection
Previous Inspection
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Address j ',, f -,��
EMPLOYEE, HEALTH
Telephone
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❑ 14. Approved Food or Color Additives
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❑ 15. Toxic Chemicals
U Mobile
U Temporary
Date.
U Pre operation
O 4. Food and Water from Approved Source
HACCPY/N
Owner
❑ 17. Reheating
❑ 6. Tags/Records/Accuracy of Ingredient Statements
❑ 18. Cooling
❑ 7. Conformance with Approved Procedures/HACCP Plans
u Caterer
U Bed &Breakfast
U Suspect Illness
U General Complaint
Person in Charge (PIC)
Time
REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS (HSP)
❑ 9. Food Contact Surfaces Cleaning and Sanitizing
❑ 21. Food and Food Preparation for HSP
❑ 10. Proper Adequate Handwashing
In.
Out:
Permit No.
I J HACCP
U Other__ _
Inspector fA• -1 v
Number of Violated Provisions Related to
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Critical,(C) violations marked must be corrected immediately
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or within 10 days as determined by the Board of Health.
Factors (Red Items 1-22):
Each violation checked requires an expidnation on the narratrve page(s) and a citation of speciTic provisivint-sl viuimcu.
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Non-compliance with:
Violations Related to Foodbome 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.
❑ Other
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)
O 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
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or within 10 days as determined by the Board of Health.
Factors (Red Items 1-22):
Non-cr(iical (N) violations must be corrected immediately
or within 90 days as determined by the Board of Health.
Off icialOrder forCorrection: Based on an inspection today,
the items checked indicate violations of 105 CMR 590.000/
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federal Food Code. This report, when signed below by a
23. Management and Personnel (FC -2)(590.003)
Board of Health member or its agent constitutes an order of
24. Food and Food Protection (FC -3)(590.004)
the Board of Health. Violations not corrected are subject to
9
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
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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)(590.008)
address within 10 days of receipt of this order.
29. Special Requirements (590.009)
DATE OF RE -INSPECTION:
30. GLOW \i
Inspec i
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Printt„('�
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❑ Other
PIC's signature
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Print
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Page` _ of ___t Pages
Item
No.
Code
Reference
C - Critical Item
R - Red Item
DESCRIPTION OF VIOLATION / PLAN OF CORRECTION Date
PLEASE PRINT CLEARLY Verified
Disposal
❑ Other
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Discussion with Person in Charge:
Correction Action Required:
❑ No
❑Yes
Ll Employee Restriction /
❑ Voluntary Compliance Exclusion
❑ Re -inspection Scheduled U Emergency Suspension
❑ Embargo ❑ Emergency Closure
U Voluntary
Disposal
❑ Other