HomeMy WebLinkAbout2022 Food Establishment Inspection Report oard of Health
Food Establishment Inspection Report - Town of Yarmouth 1146 R ute 28,South Yarmouth,MA 02664
Establishment: Vim-,•P7 (a?ti e r'n Date: .7/ /v&i:i..L..)._ Page 1 of `�'
Address: 9/7 Af•-'lwa.T .g, .0 y-. Time in: / Time out: `I
Telephone: Permit No.: Number of Violated Provisions Related
to Foodborne Illness Risk Factors
Owner: and Interventions(Items 1 through 29):
Person-in-charge: Number of Repeat Violations Related
_J to Foodborne Illness Risk Factors
Inspector: c) ,,e-, e e,..—l.�'�- and Interventions (Items 1 through 29):
Type of Operation(s): Type of Inspection: Other Information:
,MA Food Service Establishment rW Routine
D Retail Food Store O Re-inspection
D Residential:Cottage Foods 0 Pre-operational
O Residential;Bed& D Illness investigation
Breakfast D General complaint
D Mobile/Pushcart D HACCP
D Temporary Food Estab. D Other G1)n/" -
D Other i�F-�+„/�,
FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS 5 POINTS
IN=in compliance OUT=out of compliance N/O=not observed N/A=not applicable cos=corrected on-site during inspection R=repeat violation
Compliance Status IN OUT N/A N/O COS R Compliance Status I IN OUT N/A N/O COS R
Supervision f Protection from Contamination f
1 Person-in-charge present, demonstrates V 15 Food separated and protected Y
knowledge, and performs duties / 16 Food-contact surfaces; cleaned &
2 Certified Food Protection Manager V sanitized I/.
Employee Health Proper disposition of returned,
Management, food employee and / 17 previously served, reconditioned &
3 conditional employee; knowledge, V unsafe food
responsibilities and reporting f Time/Temperature Control for Safety /
4 Proper use of restriction and exclusion VI
181Proper cooking time & temperatures
V
Procedures for responding to vomiting 19 Proper reheating procedures for hot
5 and diarrheal events holding
,i..///
Good Hygienic Practices > 20 Proper cooling time and temperature
Proper eating, tasting, drinking, or 1.,' 21 Proper hot holding temperature
6 tobacco useV j
22 Proper cold holding temperature rf
7 No discharge from eyes, nose, and 7 23 Proper date marking and disposition
mouth — •/
Preventing Contamination by Hands/ ' 24 Time as a Public Health Control
8 Hands clean & properly washed Consumer Advhory /
iNo bare hand contact with ready-to-eat v 25 Consumer advisory provided for raw/ I' .
9 food undercooked food
Adequate handwashing sinks properly (/ _ Highly Susceptible Populations
10 Pasteurized foods used prohibited foods
supplied and accessible 26
Approved Source — not offered
I/ Food/Color Additives and Toxic Substances
11 Food obtained from approved source --
12 Food received at proper temperature `�/ 27 Food additives: approved & properly
used I v
13 Food received in good condition, safe, & b/ 28 Toxic substances properly identified,
unadulterated stored & used
14 Required records available: shellstock F '
Conformance with Approved Procedures
tags, parasite destruction —
29 Compliance with variance/specialized
process/HACCP Plan
GOOD RETAIL PRACTICES AND MASSACHUSETTS-ONLY SECTIONS 2 POINTS
IN=in compliance OUT=out of compliance N/O=not observed N/A=not applicable COS=corrected on-site during inspection R=repeat violation
Compliance Status I a IOUT I N/A N/O COSI R Compliance Status IN OUT N/A N/O COS R
Safe Food and Water 48 Warewashing facilities: installed,
30 Pasteurized eggs used where maintained, & used; test strips
required 49 Non-food contact surfaces clean
31 Water& ice from approved source Physical Facilities
32 Variance obtained for specialized 50 Hot& cold water available;
processing methods adequate pressure
Food Temperature Control 51 Plumbing installed; proper backflow
Proper cooling methods used; devices
33 adequate equipment for 52 Sewage &waste water properly
temperature controldisposed
34 Plant food properly cooked for hot 63 Toilet features: properly
holding constructed, supplied, &cleaned
35 Approved thawing methods used 54 Garbage & refuse properly
36 Thermometers provided & accurate disposed; facilities maintained
Food Identification 55 Physical facilities installed,
Food properly labeled; original maintained, & clean
37II
container ® 56 Adequate ventilation & lighting;
Prevention of Food Contamination designated areas used
Insects, rodents, & animals not Additional Requirements listed In 105 CMR 590.01,
38 present Ml Anti-choking procedures in food
Contamination prevented during service establishment
°J
39 food preparation, storage and M2 Food allergy awareness
display Review of Retail Op-srations`It8t • , e , 410
40 Personal cleanliness M3 Caterer
41 Wiping cloths: properly used & M4 Mobile Food Operation
_stored M5 Temporary Food Establishment
42 Washing fruits &vegetables T J M6 Public Market; Farmers Market
Proper Use of Utensils M7 Residential Kitchen; Bed-and-
43 In-use utensils properly stored Breakfast Operatior
44 Utensils, equipment & linens: M8 Residential Kitchen: Cottage Food
properly stored, dried, & handled Operation
45 Single-use/single-service articles: M9 School Kitchen; USDA Nutrition
properly stored & used Program
46 Gloves used properly M10 Leased Commercial Kitchen
Utensils,Equipment and Vending M11 Innovative Operation
Food & non-food contact surfaces Local Requirements t
r
47 cleanable, properly designed, L1 Local law or regulation
constructed & used L2 Other
Official Order for Correction: Based on an inspection today,the items marked"OUT" indicated violations of 105 CMR 590.000 and
applicable sections of the 2013 FDA Food Code. This report,when signed below by a Board of Health member or its agent constitutes
an order of the Board of Health. Failure to correct violations cited in this report may result in suspension or revocation of the food
establishment permit and cessation of food establishment operations. If you are subject to a notice of suspension, revocation, or non-
renewal pursuant to 105 CMR 590.000 you may request a hearing before the board of health in accordance with 105 CMR 590.015(B).
Date of Reinspection: Discussion with Person-in-Charge:
Signature of Person-in-Charge ,, ' DPS / C (
Signature o/ (/f r l �/
� //� ,,,, �...t ///�( /�2
MDPH report f rtn—10/5/18 versi
Food Establishment Inspection Report - Town of Yarmouth
Establishment: Date: ../ 'I: Pa
U c, �y Csrv�n� `t I P f?ov., .,k! s`'� c� 9e of
Temperature Observations
Item 1 Location Temp(°F) Item 1 Location Temp(°F) Item I Location Temp(°F)
Observations and/or Corrective Actions
Violations cited in this report must be corrected within the time frames stated below or in Section 8-405.11 of the Food Code
Item Section of Code Description of Violation Date to Correct By
Number
Er4.-.I"I ie s -G- - s r. p Ga., -tom s
Alec:d-- CI-.C:.)? cG-o -,...., cru
CA p,--1-1 re is 4 --i / t--e_......
,ret- .-e -- 7 Of I d ' -r oc,
6 a ccbt5Z. 3 gC-
e-124x-+ C.ert,e-tiocam!C....7\-___" pu.
- 5'cCs- GL! —
tA)ak\< T ir€-c.Z--- -
.UC4 t ►(.. • 21:-.,,,-
„ - Re Cr,4+r_r-
-
retie, 3 E
-cpski--+ t":0-- '-cry C,,. ` ie). ,�--+eo Gt., -
VI' c)(1. S Sf cam. -- S O c�.ra T7 c{fiC:4 - - S
H=.1 c 1 576X) 6;c3 cYz›- -
3 T3Q-j SnK
WAS 0 / (Z-t,‘.0 ) s - - -T s4- s 1-rQu .
M 6 i' '5'lit'. c sC
)Q, 3 - f ' 't
c 1--c-c4.-. or5c-;iZt- 6erc'
✓\-!U-,c2 -7 2 -'z
Date:.j 2 L
Signature of Person-in-Charge ' '
ate•
Signature of Inspector: ' - -- -z`._
t
..,,u” �� J 25
MDPH report form—10/5/18 version`
k d
'-t