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HomeMy WebLinkAboutFood Establishment Inspection Reports d Food Establishment Inspection Report - Town of Yarmouth Yarmouth 146 Rote.28,South Health Yarmouth,MA 02664 Establishment: yai,,,,,,O .r-'y /-/c ., c Y - i 2 -s Date: jG//.9 ,/ c--' Page 1 of c>2 Address: 13 /f "V&i-6'` I y Time in: Time out: 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 to Foodborne Illness Risk Factors Inspector: ,4_, t l • PP^Q,c,c and Interventions(Items 1 through 29): Type of Operation(s): Type of Inspection: Other Information: I 'D Food Service Establishment -AD Routine 0 Retail Food Store 0 Re-inspection 0 Residential:Cottage Foods 0 Pre-operational 0 Residential: Bed& 0 Illness investigation Breakfast 0 General complaint 0 Mobile/Pushcart 0 HACCP 0 Temporary Food Estab. 0 Other /! - 0 Other 7,, -4 r\l 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 IN LOUT N/A N/O COS R Supervision Protection from Contamination . 1 Person-in-charge present, demonstrates 15 Food separated and protected i knowledge, and performs duties 16 Food-contact surfaces; cleaned & 2 Certified Food Protection Manager ,r' sanitized • y Employee Health Proper disposition of returned, Management, food employee and 17 previously served, reconditioned & 3 conditional employee; knowledge, unsafe food responsibilities and reporting f` Time/Temperature Control for Safety, 4 Proper use of restriction and exclusion V 18 Proper cooking time & temperatures 5 Procedures for responding to vomiting !f 19 Proper reheating procedures for hot and diarrhea)events IJ holding f Good Hygienic Practices 20 Proper cooling time and temperature ✓' Proper eating, tasting, drinking, or • 21 Proper hot holding temperature // " 6 tobacco use 22 Proper cold holding temperature • 7 No discharge from eyes, nose, and jf 23 Proper date marking and disposition mouth / Preventing Contamination by Hands; 24 Time as a Public Health Control r' / 8 Hands clean & properly washed Consumer Advisory No bare hand contact with read to-eat 25 Consumer advisory provided for raw/ 4,' I 9 food y undercooked food Adequate handwashing sinks properly Highly Susceptible Populations 10 Pasteurized foods used; prohibited foods supplied and accessible 26 Approved Source not offered 11 Food obtained from approved source �' Food/Color Additives and Toxic Substances 12 Food received at proper temperature 27 Food additives: approved & properly used Food received in good condition, safe, & 13 unadulterated 28 Toxic substances properly identified, ✓ Required records available: shellstock stored & used I 14 tags, parasite destruction Conformance with Approved Procedures 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 IN I OUT I N/A IN/o I COS l 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; 4processing methods adequate pressure Food Temperature Control 51 Plumbing installed; proper backflow Proper cooling methods used; devices 33 adequate equipment for 'vr 52 Sewage &waste water properly temperature control disposed 34 Plant food properly cooked for hot 53 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 37 ■ maintained, & clean container 56 Adequate ventilation & lighting; Prevention of Food Contamination designated areas used Insects, rodents, & animals not Additional Requirements listed in 105 . R 590.011 38 present M1 Anti-choking procedures in food Contamination prevented during service establishment 39 food preparation, storage and M2 Food allergy awareness display Review of Retail Operations listed In 105 CMR 590.010 40 Personal cleanliness M3 Caterer 41 Wiping cloths: properly used & M4 Mobile Food Operation stored M5 Temporary Food Establishment 42 Washing fruits & vegetables M6 Public Market; Farmers Market Proper Use of Utensils Residential Kitchen; Bed-and- 43 In-use utensils properly stored M7 Breakfast Operation 44 Utensils, equipment& linens: Residential Kitchen: Cottage Food properly stored, dried, & handled M8 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 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: Date: C_ Signature of Person-In-Charge: Date': - Signature of Inspector: j ,. ' A ,i...- ..-� /D, /--- 1 MDPH report form-10/5/18 version - / Food Establishment Inspection Report - Town of Yarmouth Establishment: 16-v,„97 a1-.. Date: / 7/' / , --Page // 'rfi SY Temperature Observations Item 1 Location Temp(°F) Item 1 Location Temp(°F) Item 1 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 i-.PP O 0 " F © /''�' I Fr ,S Gv LAi C 0ZSZ = 5 5 N�- l P r C sc:t C G J ' it* C( , Ca'S)r4p c ! GVcrl f he 4 ".1 l r)o C>, c--C'S 1 C f.°° C pi z zc1 cse-, s X J 4titif2< 1"4-- C J 9 ,^ CZ/ , 1-- 3it 0�- 1c� cfr SnK — cc3r -, pc - — Gac>- T Gcs f 3cY Se‘ I� az, Signature of Person-in-Charge: Date: Signature of Inspector: Date: iiMDPH report form—10/5/18 version 1