HomeMy WebLinkAboutFood Establishment Inspection Reports Report - Town of Yarmouth Yarmouth Board of Health
Food Establishment Inspection
P 1146 Route.28,South Yarmouth,MA 02664
Establishment: �/0(4',,-^p! -4-16 rl ���Date: � /#01. z. Page 1 of
Address: .=3.7Ip pe'" s C,' S si.
Time in: Time out: JI
Telephone: I 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: r?'1 / f _) and Interventions(Items 1 through 29):
Type of Operation )- Type of Inspection: Other Information:
❑ Food Service Establishment 0 Routine
❑ Retail Food Store 0 Re-inspection
❑ Residential:Cottage Foods 0 Pre-operational
O Residential;Bed& 0 Illness investigation
Breakfast 0 General complaint
❑ Mobile/Pushcart 0 HACCP
0 Temporary Food Estab. ❑ Other `....�
❑ Other I
FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS 5 POINTS
f 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'OUT N/AI N/OI COS R
Supervision Protection from Contamination
1 Person-in-charge present, demonstrates / 15 Food separated and protected v
knowledge, and performs duties Pr _ 16 Food-contact surfaces; cleaned &
/ 4
2 Certified Food Protection Manager ,/' sanitized
Employee Health Proper disposition of returned,
Management, food employee and , 17 previously served, reconditioned & ,7
tV
3 conditional employee; knowledge, / unsafe food
responsibilities and reporting TimeTTemperature Control for Safety
4 Proper use of restriction and exclusion V 18 Proper cooking time&temperatures 7
5 Procedures for responding to vomiting + / 19 Proper reheating procedures for hot 1°/
and diarrhea) events v holding �
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 , 23 Proper date marking and disposition
mouth
24 Time as a Public Health Control
Preventing Contamination by Hands .
Consumer Advisory
8 Hands clean & properly washed ✓ i II
bare hand contact with ready-to-eat / 25 Consumer advisory provided for raw/
9 undercooked food
food ✓
Highly Susceptible Populations
Adequate handwashing sinks properly
10 supplied and accessible 26 Pasteurized foods used; prohibited foods
- not offered
Approved Source Food/Color Additives and Toxic Substances
11 Food obtained from approved source
12 Food received at proper temperaturejpi___
27 Food additives: approved & properly
used
Food received in good condition, safe28Toxic substances properly identified,
13 unadulterated stored & used
Required records available: shellstock Conformance with Approved Procedures
14 tags, parasite destruction .- 29 Compliance with variance I 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 l N/A I N/O I COS l R Compliance Status IN OUT N/A N/O cos R
Safe Food and Water 48 IWarewashing facilities: installed,
30 Pasteurized eggs used where maintained, & used; test strips
required if 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 iii
33 adequate equipment for ! 52 Sewage&waste water properly
temperature control disposed
34 Plant food properly cooked for hot Toilet features: properly 114 '
holding 53 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
37 .111111111-
1_ p.dequate ventilation & lighting;
container
Prevention of Food Contamination 56 designated areas used
Insects, rodents, & animals not Additional Requirements listed in 105IH
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 Vt
display Review of Retail Operations listed In 105 CMR 590.010
40 Personal cleanliness M3 Caterer
Wiping cloths: properly used & M4 Mobile Food Operation i
41 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: MS Residential Kitchen: Cottage Food
properly stored, dried, & handled Operation
45 Single-use/single-service articles: M9 School Kitchen; USDA Nutrition
properly stored & used Program
1
46 Gloves used properly Ii! M10 Leased Commercial Kitchen
P P Y t
Utensils,Equipment and Vending M11 Innovative Operation
Food & non-food contact surfaces Local Requirements
47 cleanable, properly designed, I0.
L1 Local law or regulation I
constructed & used L2 Other 1
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 Reinspsction: Discussion with Person-in-Charge:
•
Signature of Pe n- a s: r.iG �y Date:
Signature of In t `.? -
MDPH report form-t0/5/5/'I ion Y 7 �/" ( / �a / /... ..
Food Establishment Inspection Report - Town of Yarmouth
Establishment: ,k-J iie-^�,- i4 6.,5.07 ,C L{ Date: /6/j ai Page f
Temperature Observations
Item I Location Temp(°F) Item I 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
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Signature of Person-in-Charge:f .
<1RA0( %c • Date:
Signature of Inspector: Date:
MDPH report form-10/5/18 version //