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Home My WebLink AboutFood Establishment Inspection Reports TOWN OF YARMOUTH BOARD OF HEALTH -- ..... -- 1146 ROUTE 28 FOOD ESTABLISHMENT INSPECTION REPORT SOUTH YARMOUTH, MA 02664Item Code C -Critical Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTION Date Name _ j - re:4?c+ct,0-6-.4.--st--- Date Type of Operation(s) Type of Inspection No. Reference R -Red Item PLEASE PRINT CLEARLY Verified j21 Food Service Routine Address #62/2/tiAv / Li Retail U Re-inspection /2/ i U Residential Kitchen Previous Inspection ---C-e c') c- C Telephone , l4` Date: Li Mobile Owner HACCP YIN U Temporary LI Pre-operation LA-JAL-I< , ,%') c---N,- -\-enrz._ Li Caterer ❑ Suspect Illness --T-F, ---;G c) a PIC � Time U General Complaint Person in Char g (PIC) L7 e ///e9c .,t1 CI Bed & Breakfast In: U HACCP iir` c .11acsrze y.:4. �Cf C 0 -- ; Inspector 0A-Aif ?ezvtr4tx/eOut: Permit No. U Other ‘4 ,-" y 1 p c.,...NA. :_st-t/Lc, vz_. if;."to c, Each violation check requires an explanation on the narrative page(s) and a citation of specific provision(s) violated. Non-compliance with: C 1 c , k'2'_C--- Goo o Violations Related to Foodborne Illness Interventions and Risk Factors (Red Items) Anti-ChokingTobacco Ge-e-01 c Qcte_-‘ 11 0`) F Loot<C Co cr./ 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. td' t e 1-i c ew C \ter-,r-. FOOD PROTECTION MANAGEMENT Li 12. Prevention of Contamination from Hands GI 1 . 9 1 . PIC Assigned / Knowledgeable / Duties ❑ 13. Handwash Facilities ,/ , ` .4 EMPLOYEE HEALTH PROTECTION FROM CHEMICALS LA/A,<k-' ` (7-^"''p"' t S ti ' \--' -e O 2. Reporting of Diseases by Food Employee and PIC ❑ 14. Approved Food or Color Additives 45�,t_,. i c 1.--40,,k S`c V\-- ---%, Li 3. Personnel with Infections Restricted/Excluded ❑ 15. Toxic Chemicals -Ye ,.� 1 . .. s.-. t S 0 or ---� c�, .., FOOD FROM APPROVED SOURCE TIME/TEMPERATURE CONTROLS(Potentially Hazardous Foods) 1.),,,, ov, p..,..tocx. N.,cc#c c,v,,,, ❑ 4. Food and Water from Approved Source ❑ 16. Cooking Temperatures Cl 5. Receiving/Condition U 17. Reheating 0 -''-s% "'s' c.?Ci cr4 ❑ 6. Tags/Records/Accuracy of Ingredient Statements ❑ 18. Cooling Id LockS, � 15 r-_,\CS -- Sc c, ❑ 7. Conformance with Approved Procedures/HACCP Plans ❑ 19. Hot and Cold HoldingcitS � PROTECTION FROM CONTAMINATION ❑ 20. Time as a Public Health Control r)ct- \. n-vi*, C-9--if ",'\ � ❑ 8. Separation/Segregation/Protection REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS (HSP) 3,4.,a. �(�.r' 'GL. ❑ 9. Food Contact Surfaces Cleaning and Sanitizing ❑ 21 . Food and Food Preparation for HSP 1C'� tos GO c.) ❑ 10. Proper Adequate Handwashing CONSUMER ADVISORY 1 U 11 . GoodHygienic � Q�� ,�,�' � � Practices ❑ 22. Posting of Consumer Advisories PCSN.4CZYWA5 Violations Related to Good Retail Practices (Blue Items) Number of Violated Provisions Related to 600 p 1 cX.At-peet, SE- pcizos Critical(C)violations marked must be corrected immediately Foodborne Illnesses Interventions and Risk or within 10 days as determined by the Board of Health. Factors (Red Items 1-22): ,V)-7 u Ct- IAA St* '+r-'A-d S S Non-critical (N) violations must be corrected immediately Neort- Cts Cz.--,,1 014 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/ C;? � lc. t in ) 23. Management and Personnel (FC-2)(590.003) federal Food Code. This report, when signed below by a 6 a 4. \ \ S-1-yko. -4-xnc1 ctzsu° 4-t, c lcv'�✓-�. 0 Board of Health member or its a ent constitutes an order of 24. Food and Food Protection (FC-3)(590.004) g # ''�► �° � OF Board of Health. Violations not corrected are subject toH-cyt- �� t^ I 25. Equipment and Utensils (FC-4)(590.005) fines per Yarmouth Board of Health. If aggrieved by this e must be request. Your hearing.to a htt 26. Water, Plumbing and Waste (FC-5)(590.006) order, Y 9 9 q you have a right re QtAp\C"-1--C2 i t MfeS litaAte. 27. Physical Facility (FC-6)(590.007) in writing and submitted to the Board of Health at the above Discussion with Person in Charg r Correction Action Required: ❑ No ❑ Yes A 1.,\ c-trucA 28. Poisonous or Toxic Materials (FC-7)(590.008) address within 10 days of receipt of this order. t �` �� ❑ VoluntaryCompliance ❑ Employee Restriction / 29. Special Requirements (590.009) DATE OF RE-INSPECTION: (2 b tom, c p Exclusion 30. Other ❑ Re-inspection Scheduled ❑ Emergency Suspension Inspecto ' ig urej144,...y.:4A Print poiiii r . _._ ige Li Embargo ❑ Emergency Closure PIC's n ` P i1-14-1/c,e. of Pa es ❑ Voluntary Disposal ❑ Other 9 (- r r,# APage9 r' TOWN OF YARMOUTH BOARD OF HEALTH 1146 ROUTE 28 FOOD ESTABLISHMENT INSPECTION REPORT SOUTH YARMOUTH, MA 02664 Name _ Date Type of Operations) Type of Inspection -, J Food Service Routine �•�� ) F -J (J Address 4 1 �� f 1 1 �� ( U Retail U Residential Kitchen yU Re -inspection Previous Inspection Telephone U Mobile U Temporary U Caterer U Bed & Breakfast Date: U Pre-operation U Suspect Illness J General Complaint U HACCP Owner HACCPY/N Person in Charge (PIC) ` Time In: Inspector / - Out: Permit No. U Other_ Each violation checked rbquires 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) U 590.009 (F) U corrective action as determined by the Board of Health. FOOD PROTECTION MANAGEMENT ❑ 12. Prevention of Contamination from Hands ❑ 1. PIC Assigned / Knowledgeable / 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 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 (F44)(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 (590009) 30. Other PROTECTION FROM CHEMICALS ❑ 14. Approved Food or Color Additives ❑ 15. Toxic Chemicals TIME/TEMPERATURE CONTROLS (Potentially Hazardous Foods) ❑ 16. Cooking Temperatures ❑ 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 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 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: inspector' s1 i ure J' Print 1 O No PIC'&Signature'_ Print i Page _ of Pages Item Code C - Critical Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTIONI Date No. Reference R -Red Item PLEASE PRINT CLEARLY Verified r� f t_ r^ Ym i, c� #� UIN:' Q A Discussion with Person in Charge: Correction Action Required: O No ❑ Yes Compliance ❑ Employee Restriction ❑ Voluntary/ Com P Exclusion ❑ Re -inspection Scheduled ❑ Emergency Suspension ❑ Embargo ❑ Emergency Closure ❑ Voluntary Disposal ❑ Other