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Yarmouth
Food Establishment Inspection Report - Town of Yarmouth 1146 Route.28,dof Y mmouth,MA 02664
Establishment: . f-c),,,-� S 1 LiG-r Date: ., ,.- ` - Page I of
Address: 7/�fy I�`C11<•6 Time in: J Time out:
Telephone: L. cc s 7a�� Permit No.: Number of Violated Provisions Related
to Foodborne Illness Risk Factors
Owner: '�i(J,-, / VC-'•a_,Li?cit.+, and Interventions(Items 1 through 29):
Person-in-charge: Number of Repeat Violations Related
to Foodborne Illness Risk Factors
Inspector: , , {..t?. ,-', La and Interventions(Items 1 through 29):
Type of Operation(s): Type of Inspection: Other Information:
orFood Service Establishment El Routine
O Retail Food Store Illa,Re-inspection
F
O Residential:Cottage Foods 'O'Pre-operational /�'''�
El Residential;Bed& O Illness investigation
Breakfast El General complaint
O Mobile/Pushcart D HACCP
O Temporary Food Estab. O Other
O Other
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 OUT N/A N/O COS R
Supervision Protection from Contamination
1 Person-in-charge present, demonstrates 15 Food separated and protected
knowledge, and performs duties _ 16 Food-contact surfaces; cleaned &
2 Certified Food Protection Manager sanitized
. 4
Employee Health Proper disposition of returned,
Management, food employee and 17 previously served, reconditioned &
3 conditional employee; knowledge, unsafe food
responsibilities and reporting Time/Temperature Control for Safety
4 Proper use of restriction and exclusion 18 Proper cooking time&temperatures
Procedures for responding to vomiting 19 Proper reheating procedures for hot
5 and diarrhea)events 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
Preventing Contamination by Hands 24 Time as a Public Health Control
Consumer Advisory
8 Hands clean & properly washed
No bare hand contact with ready-to-eat 25 Consumer advisory provided for raw/ II food undercooked food
L
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 ME 27 Food additives: approved & properly
used
Food received in good condition, safe, & -
13 unadulterated 28 Toxic substances properly identified,
stored & used
14 Required records available: shellstock Conformance with Approved Procedures
tags, parasite destruction
29 Compliance with variance/specialized i
process/HACCP Plan .
GOOD RETAIL PRACTICES AND MASSACHUSETTS-ONLY SECTIONS 2 POINTS
fIN=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 I R Compliance Status IN OUT N/A N/O COS R
Safe Food and Water 48 Warewashing facilities: installed,
Pasteurized eggs used where maintained, & used; test strips
30 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 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 maintained, & clean
37 container 56 Adequate ventilation & lighting;
Prevention of Food Contamination designated areas used
Insects, rodents, & animals not Additional Requirements listed in 105 CMR 590.011
38I present M1 Antichoking 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-
M743 In-use utensils properly stored 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:
Signature of Person-in-Charge: t ' Date:
Signature of Inspector: !J �r 3//1�4-'-
MOPH .f�"'� G.^F� � �t �-FCC /
report form—'I O/5/1 S version
Food Establishment Inspection Report - Town of Yarmouth
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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 �,y
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Signature of Person-in-Charge: ` {/ .ly;/fy' Date:
Signature of Inspector: /1 Date:
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MDPH report form-10/5/18 version