HomeMy WebLinkAboutFood Establishment Inspection Reports i
1 ;
TOWN OF YARMOUTH4.
BOARD OF HEALTH /
I 1146 ROUTE 2• �`SOUTH YARMOUTH, MA 026• \ Date
FOOD ESTABLISHMENT INSPECTION REPORT u Item Code C -Critical Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTION
N. � - CLEARLY Verified
NameDate Type of Operation(s) Type of Inspection ,.. Ng. , Reference RRed Item PLEASE PRINT
6/?/:// � �- �� ,moi/� �`
AcFood Service ioutine Q
�► ,,d 1- .c CAP c C
Address &SS Arzirstk 3 ❑ Retail U Re-inspection ,
Tele , J 0 Residential Kitchen Previous Inspection ' cPctt
_ j.)L( c ' ' ",
phone Ce J
0 Mobile it Date:
Owner HACCP Y/N 0 Temporary ❑ Pre-operation 6.00051 Vel InL n✓ ZGk-t ao 19
Time
LI Caterer LI Suspect Illness , .,��hie 4ccAi>S. \ 1
Person in Charge (PIC) ei.,1, N ❑ Bed & BreakfastU General Complaint U� t �' � In: ❑ HACCP 0
Inspector /3i /4 , 7 4 .,,, ,1Out: Permit No. -04 t U Other
f s'irrry2.. /v e cet---
Each violation checked requires an explanation on the narrative page(s) and a citation of specific provision(s) violated. ,.
Non-compliance with: Cr'' 5i 'Z--43C/ ?1-,(0/47
Violations Related to Foodborne Illness Interventions and Risk FactorsRed Items)) Antl-Choking Tobacco
. 9Gil ...-43V0,61,'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. "fr,• ` o 5 4V-01 Cf d .. .
FOOD PROTECTION MANAGEMENT 0 12. Prevention of Contamination from Hands Re e v cf..1 crt-essz. 3r, Q -r-
❑ 1 . PIC Assigned / Knowledgeable / Duties 0 13. Handwash Facilities 7
EMPLOYEE HEALTH PROTECTION FROM CHEMICALS
0 2. Reporting of Diseases byFood Employee and PIC ❑ 14. Approved Food or Color Additives Rrk‘eN- �'c 'C, . 4-6cP 9PPElel
❑ 3. Personnel with Infections Restricted/Excluded 0 15. Toxic Chemicals c W c SV-14• S Ck-\--i-c, - '
. C) 40..c`)
FOOD FROM APPROVED SOURCE TIME/TEMPERATURE CONTROLS(Potentially Hazardous VtFoods) � � _ O
LI 4. Food and Water from Approved Source 0 16. Cooking Temperatures
❑ 5. Receiving/Condition ❑ 17. Reheating Cti( 1c." \c v
O 6. Ta S/Records/Accurac of Ingredient Statements 0 18. Cooling *. C.
9 Y 9 �. �� h�
❑ 7. Conformance with Approved Procedures/HACCP Plans ❑ 19. Hot and Cold Holding
-3 \-3C.4-s
0 20. Time as a Public Health Control (; C' L,�P �, %-C C��� U�t� �{p� .
PROTECTION. FROM CONTAMINATION ��� yti� �� � �� �� r �,��-_
LI 8. Separation/Segregation/Protection REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS (HSP) -[
I 0 9. Food Contact Surfaces Cleaning and Sanitizing 0 21 . Food and Food Preparation for HSP \ii.., LA)''S s C .. C.C._
❑ 10. Proper Adequate Handwashing CONSUMER ADVISORY -V2.52/201:t ---A
❑ 11 . Good Hygienic. Practices 0 22. Posting of Consumer Advisories 'REAse•- c2.-k-(51.. - '
Violations Related to Good Retail Practices (Blue Items) Number of Violated Provisions Related •to IS 1 � . 4CT #-- G j
Critical C violations marked must be corrected immediately Foodborne Illnesses Interventions and Risk
O �+ + .P S'n e ' S Ci.ec."-�O Cl
or within. 10 days as determined by the Board of Health. Factors (Red Items 1-22): � C '"'�j
Non-critical (N) violations must be corrected immediately --re t..,,.ArS 6
or within 90 days as determined by the Board of Health. Official Order for Correction: Based on an inspection today,
C N
the items checked indicate violations of 105 CMR 590.000/ 5 Gr Ci N "ct c.. e
CeN cAL.
23. Management and Personnel (FC-2)(590.003} federal Food Code. This report, when signed below by a Q CAI-0 OM. , - 600rl
24. Food and Food Protection (Fc-3)(590.004) Board of Health member or its agent constitutes an order of
the Board of Health. Violations not corrected are subject to
25. Equipment and Utensils (FC-4)(590.005) fines per Yarmouth Board of Health. If aggrieved by this
26. Water, Plumbing and Waste (FC-5)(590.006) order, you have a right to a hearing. Your request must be
27. Physical Facility (FC-6)(590.007) in writing and submitted to the Board of Health at the above Correction Action Required: =:., CI No ❑ Yes
Discussion with Person in Charge: q
28. Poisonous or Toxic Materials (FC-7)(590.008) address within 10 days of receipt of this order. .,..-
29.
29. S ecial Requirements (590.009) DATE OF RE-INSPECTION: " 1 ��� .� ❑ Voluntary ryCom fiance ❑
Employee Restriction
Exclusion
30. ether • O Re-inspection Scheduled ❑ Emergency Suspension
Inspect •r = 1 Printplti rP.Q.,/,\ c,,,,d ❑ Embargo ❑ Emergency Closure
� \ 7 p
D VoluntaryDisposal 0 Other
PIC i• natur- PrI Page 1 of \ Pages po
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