HomeMy WebLinkAboutFood Establishment Inspection Reports o
TOWN OF YARMOUTH O
}BARD OF HEALTH
1146ROUTE 28 ,
FOOD ESTABLISHMENT INSPECTION REPORT SOUTH YARMOUTH, MA 02664
z Item Code C -Critical Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTION Date
Name 4 cio^ �, Date Type of Operation(s) Type of.Inspection No. Reference R -Red Item •
PLEASE PRINT CLEARLY Verified
Food Service - Routine , e iO 1l-‘ ,ec.-A /� � t �"? K)C.20,41 Address Q ,�}1/ / / •�
K /�-,�- C� � �� U Retail U Re-inspection
revious Inspection
Telephone36 -- jii 0 Residential Kitchen p /37LIS ft 62_____ lej -
f �J� / 0 Mobile I . /
Owner HACCP YIN Temporary 0Preoperation ;r'� .7" i14/`''�'' . r /n --AI 4P r`�....
SiOff' ��� 7
U Suspect Illness
e ( Time 0 Caterer p 0 �..‘ ( '� 1 ,' CSj--, j"' C_- ,, �% ' �""
Person in Charge (PIC) A1o7t)
U General Complaint0 Bed & Breakfast�� ` Ina �-a- U HACCP �' ir y1 . '-i-l3 17 C.-ke°'4,--etarnt +. _SeA,L•at C.X10/�
Inspector /� J J . �c�� Out: Permit No./f��-E� ❑ Other {
Each violation checked requires an explanation on the .narrative page(s) and a citation of specific provision(s) violated.
Non-compliance with: .... ; . (6Ci �. c k c3c.,4 V r"",/,2,,, -r.‘ , t
Violations Related to Foodborne Illness Interventions and Risk FactorsI
Red Items)) Anti-Chokin9 Tobacco
Violations marked may pose an imminent health hazard and require immediate 590.009 (E) 0 590.009 (F) 0 . 1.
corrective action as determined by the Board of Health. .,5. •,‘ -A on 0 r Qc.,-
FOOD PROTECTION MANAGEMENT 0 12. Prevention of Contamination from Hands l\< N^
..‘ -\-20 cy,‘ I'm'a\ttri..
0 1PIC Assigned / Knowledgeable / Duties 0 13. Handwash Facilities
EMPLOYEE HEALTH PROTECTION FROM CHEMICALS c1 ocn L if LQc....Ver viz-0"C
O 2. Reporting of Diseases by Food Employee and PIC 0 14. Approved Food or Color Additives
O 3. Personnel with Infections Restricted/Excluded 0 15. Toxic Chemicals t r. r...,‘,36:0„xi" 5 ,Ac„ c3 ts
eke ‘ Q
FOOD FROM APPROVED SOURCE TIME/TEMPERATURE CONTROLS(Potentially Hazardous Foods)
Food and Water from Approved Source 0 16. Cooking Temperatures
O 5. Receiving/Condition 0 17. Reheating _ . e) CAe C.0.1Lica _,`,S 6
O 6. Tags/Records/Accuracy of Ingredient Statements 0 18. Cooling -\ '-/r-e-1 \ CA-17
-17
0 7. Conformance with Approved Procedures/HACCP Plans 0 19. Hot and Cold Holding .
PROTECTION FROM CONTAMINATION 0 20. Time as a Public Health Control
0 8. Separation/Segregation/Protection REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS (HSP)
O 9. Food Contact Surfaces Cleaning and Sanitizing 0 21 . Food and Food Preparation for HSP _ if;/ 1 Ce* _r A 5 /16-'9-- ��Q.
0 10. Proper Adequate Handwashing CONSUMER ADVISORY
404e--il'
�,�-,�
LI11: food Hygienic Practices 0 22. Posting of Consumer Advisories
Violations Related to Good Retail Practices (Blue Items) Number of Violated Provisions Related toI^; '
el-7 cis , ,
Critical(C)violations marked must be corrected immediately Foodborne Illnesses Interventions and Risk ! kiea5 / r s
or within 10 days as determined by the Board of Health. (Red Red Items 1-22): 6e- (-'-' .,o/ s'- /47,. /47271
Non-critical (N) violations must be corrected immediately t
or within 90 days as determined by the Board of Health. Official Order for Correction: Based on an inspection today,
i C N the items checked indicate violations of 105 CMR 590.000/ t s` c-' ea'- ' ! e 1)&L4 lvt (3
23. Management and Personnel (Fc-2)(590.003) federal Food Code. This report, when signed below by a \/ó4'r roc.)501
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 / k Tor i<. _01 / /4/, tcrez-14
►
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 \\, C1 "' j
27. Physical Facility (Fc-6)(590.007) in writing and submitted to the Board of Health at the above Correction •
Action Required: 0 No ❑ Yes
address within 10 days receipt of this order. Discussion with Person in Charge: '
28. Poisonous or Toxic Materials (Fc-7)(590.008) y p 0 Employee Restriction /
29. Special Requirements (590.009) DATE OF RE-INSPECTION: n,/.0,7/ 0 Voluntary Compliance Exclusion ,
30. Other
'' 0 Re-inspection Scheduled 0 Emergency Suspension
Inspe• • ' IEP . i • .ture Print - r ;'‘'--
4----fr0 Embargo 0 Emergency Closure
�. - - .- � ce." I ❑ Other
PIC's e /i Print Page ` of Pages a( ,4 N ,,C ,v\ Voluntary Disposal
Airs, 0 Dis sa
t