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HomeMy WebLinkAboutFood Establishment Inspection ReportsTOWN OF YARMOUTH BOARD OF HEALTH 1146 ROUTE 28 FOOD ESTABLISHMENT INSPECTION REPORT SOUTH YARMOUTH, MA 0266a Name r -- Date r, y��/ Type of Operations) Type of Inspection .e Food Service ')!T -.Routine Address�j ZJ �<CxkP f U Retail ❑ Residential Kitchen U Re -inspection Previous Inspection ❑ 16. Cooking Temperatures Telephone ❑ 17. Reheating ❑ Mobile ❑ Temporary ❑ Caterer ❑ Bed & Breakfast Permit No. Date: ❑ Pre-operation U Suspect Illness U General Complaint ❑ HACCP U Other Owner HACCPY/N Person in Charge (PIC) i �e {�Q� Time In: Out: Inspector Each violation chCcked requires an explanation on the narrative page(s) and a citation of specific provision(s) violated. Non-compliance with: Violations Related to Foodborne Illness Interventions and Risk Factors (Red Items) Anti -Choking Tobacco Violations marked may pose an imminent health hazard and require immediate 590.009 (E) ❑ 590.009 (F) ❑ corrective action as determined by the Board of Health. FOOD PROTECTION MANAGEMENT Cl 1. PIC Assigned / Knowledgeable / Duties EMPLOYEE HEALTH ❑ 2. Reporting of Diseases by Food Employee and PIC ❑ 3. Personnel with Infections Restricted/Excluded FOOD FROM APPROVED SOURCE ❑ 4. Food and Water from Approved Source ❑ 5. Receiving/Condition ❑ 6. Tags/Records/Accuracy of Ingredient Statements ❑ 7. Conformance with Approved Procedures/HACCP Plans PROTECTION FROM CONTAMINATION ❑ 8. Separation/Segregation/Protection ❑ 9. Food Contact Surfaces Cleaning and Sanitizing ❑ 10. Proper Adequate Handwashing ❑ 11. Good Hygienic Practices Violations Related to Good Retail Practices (Blue Items) Critical (C)violations marked must be corrected immediately or within 10 days as determined by the Board of Health. Non-critical (N) violations must be corrected immediately or within 90 days as determined by the Board of Health. C N 23. Management and Personnel (FC -2)(590.003) 24. Food and Food Protection (FC -3)(590.004) 25. Equipment and Utensils (FC -4)(590.005) 26. Water, Plumbing and Waste (FC -5)(590.006) ( 27. Physical Facility (FC -6)(590.007) 28. Poisonous or Toxic Materials (FC -7)(590.008) 29. Special Requirements (590.009) f 30. Other _V,,!;Zk 0 ❑ 12. Prevention of Contamination from Hands �\ l • 4�Gv, ❑ 13. Handwash Facilities P._C s SignaturePring PROTECTION FROM CHEMICALS Paget/ ofv- Pages ❑ 14. Approved Food or Color Additives N ❑ 15. Toxic Chemicals TIME/TEMPERATURE CONTROLS (Potentially Hazardous Foods) ❑ 16. Cooking Temperatures ,271 ❑ 17. Reheating ❑ 18. Cooling ❑ 19. Hot and Cold Holding ❑ 20. Time as a Public Health Control REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS (HSP) ❑ 21. Food and Food Preparation for HSP 7`r , C to r -2 + 1. CONSUMER ADVISORY ❑ 22. Posting of Consumer Advisories Number of Violated Provisions Related to c,1� Foodborne Illnesses Interventions and Risk Factors (Red Items 1-22): -, f _ Official Order for Correction: Based on an inspection today, the items checked indicate violations of 105 CMR 590.000/ federal Food Code. This report, when signed below by a Board of Health member or its agent constitutes an order of the Board of Health. Violations not corrected are subject to fines per Yarmouth Board of Health. If aggrieved by this order, you have a right to a hearing. Your request must be in writing and submitted to the Board of Health at the above address within 10 days of receipt of this order. DATE OF RE -INSPECTION: C. + �� Inspect �gn r \f` ��, �\ l • 4�Gv, DESCRIPTION OF VIOLATION / PLAN OF CORRECTION Date PLEASE PRINT CLEARLY Verified P._C s SignaturePring Paget/ ofv- Pages Item Code No. Reference C - Critical Item R - Red Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTION Date PLEASE PRINT CLEARLY Verified L'u-, cam. 2:;2% N ❑ Other ,271 7`r , C to r -2 + 1. =- rz o F _ oK c,1� -, f _ CGS o AJC- CX0 A-"� rl 'f i I`c cs� �i - l OF ne -Fz�� : G r t Discussion with Person in Charge: Correction Action Required: ❑ No ❑Yes f_,0' 9 �l ❑ Voluntary Compliance ❑ ExcPusyon Restriction/ � Re -inspection Scheduled ❑ Emergency Suspension ❑ Embargo ❑ Emergency Closure ❑ Voluntary I Disposal ❑ Other TOWN OF YARMOUTH BOARD OF HEALTH 1146 ROUTE 28 FOOD ESTABLISHMENT INSPECTION REPORT SOUTH YARMOUTH, MA 02664 Name Ecl,-✓Date ,� u `f Type of Operation(s) Type of Inspection Food Service URetail U Residential Kitchen U Mobile U Temporary U Caterer U Bed & Breakfast Permit No. tiC Routine U Re -inspection Previous Inspection Date: U Pre-operation U Suspect Illness ❑ General Complaint U HACCP U Other_ Address C� Telephone P Owner HACCP Y/N Person in Charge (PIC) �� C 1,�Q �l Time In: Out: Inspector% -- Each violation checked requires an explanation on the narrative page(s) and a citation of specific provision(s) violated. Non-compliance with: Violations Related to Foodborne Illness Interventions and Risk Factors (Red Items) Anti -Choking Tobacco Violations marked may pose an imminent health hazard and require immediate 590.009 (E) ❑ 590.009 (F) ❑ corrective action as determined by the Board of Health. FOOD PROTECTION MANAGEMENT ❑ 12. Prevention of Contamination from Hands ❑ 1. PIC Assigned / Knowledaeable / Duties ❑ 13. Handwash Facilities EMPLOYEE HEALTH ❑ 2. Reporting of Diseases by Food Employee and PIC ❑ 3. Personnel with Infections Restricted/Excluded FOOD FROM APPROVED SOURCE ❑ 4. Food and Water from Approved Source ❑ 5. Receiving/Condition ❑ 6. Tags/Records/Accuracy of Ingredient Statements ❑ 7. Conformance with Approved Procedu res/HACC P Plans PROTECTION FROM CONTAMINATION ❑ 8. Separation/Segregation/Protection ❑ 9. Food Contact Surfaces Cleaning and Sanitizing ❑ 10. Proper Adequate Handwashing ❑ 11. Good Hygienic Practices Violations Related to Good Retail Practices (Blue Items) Critical (C) violations marked must be corrected immediately or within 10 days as determined by the Board of Health. Non-critical (N) violations must be corrected immediately or within 90 days as determined by the Board of Health. C N 23. Management and Personnel (FC -2)(590.003) 24. Food and Food Protection (FC -3)(590.004) 25. Equipment and Utensils (FC -4)(590.005) 26. Water, Plumbing and Waste (FC -5)(590.006) 27. Physical Facility (FC -6)(590.007) 28. Poisonous or Toxic Materials (FC -7)(590.008) 29. Special Requirements (590.009) 30. Other PROTECTION FROM CHEMICALS a ul J ❑ 14. Approved Food or Color Additives Print ❑ 15. Toxic Chemicals j „ �iL TIME/TEMPERATURE CONTROLS (Potentially Hazardous Foods) ❑ 16. Cooking Temperatures ❑ Other ❑ 17. Reheating ❑ 18. Cooling Page t -0f I Pages ❑ 19. Hot and Cold Holding ❑ 20. Time as a Public Health Control REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS (HSP) ❑ 21. Food and Food Preparation for HSP CONSUMER ADVISORY ❑ 22. Posting of Consumer Advisories Number of Violated Provisions Related to Foodborne Illnesses Interventions and Risk Factors (Red Items 1-22): Official Order for Correction: Based on an inspection today, the items checked indicate violations of 105 CMR 590.000/ federal Food Code. This report, when signed below by a Board of Health member or its agent constitutes an order of the Board of Health. Violations not corrected are subiect to fines per Yarmouth Board of Health. If aggrieved by this order, you have a right to a hearing. Your request must be in writing and submitted to the Board of Health at the above address within 10 days of receipt of this order. DATE OF RE -INSPECTION: Inspector Si AA a ul J C -Critical Item R - Red Item Print �; j „ �iL f i PIC's ignature Disposal ❑ Other Print Page t -0f I Pages Item No. Code Reference C -Critical Item R - Red Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTION Date PLEASE PRINT CLEARLY Verified Disposal ❑ Other 4 c 1� F' c_: 'n -)1C--' C - Q!ti �- S ?- C 11,;77 CQ U ° t= 4 P P Y , 4--0 a(�/ TCCJ Thr t ! �C✓ Lk A CIO ^�r \-Z-C) v ISA. c� Discussion with Person in Charge: Correction Action Required: ❑ No Ll Yes ❑ Voluntary Compliance ❑ Employee Restriction Exclusion ❑ Re -inspection Scheduled ❑ Emergency Suspension ❑ Embargo ❑ Emergency Closure ❑ Voluntary Disposal ❑ Other