HomeMy WebLinkAboutFood Establishment Inspection Reports AMC ,,
TOWN OF YARMOUTH BOARD OF HEALTH ;
1146 ROUTE 28 `j
FOOD ESTABLISHMENT INSPECTION REPORT SOUTH YARMOUTH, MA 02664 it4m Code C -Critical Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTION Date
Name
f Date Type of Operation(s) Type of Inspection N . Reference R Red Item PLEASE PRINT CLEARLY Verified
t f lei Food Service $ Routine -
Address 8b }V U Retail U Re-inspection it
A-re.4.4.
GI Kitchen Previous inspection 1 M t>
Telephone ..
0 Mobile Date:
HACCP Y/N ❑ Pre-operation ge[2 1"" G/ 0Owner 6err'y ❑ TemporaryL�- "�L ��''�
�/�if'!�/ U Suspect Illness
Time 0 Caterer ,,t G b n k "SS47" _♦ 6L
Person in Charge (PIC) CIBed & Breakfast U General Complaint
In: U HACCP
Inspector /91/ /1, 074;.prcAzefOut: Permit No. U Other
WA(...V . -:r..,,. 12 e-c.e. %C2Iik .94_44cale-r,
Each violation checked requires an explanation on the narrative page(s) and a citation of specific provion(s) violated. S
Non-compliance with: "'"Cry ,-% V i_.1ne-,Lt S C
Violations Related to Foodborne Illness Interventions and Risk Factors (Red Items) Anti-Choking .Tobacco
Violations marked nay pose an imminent health hazard and require immediate 590.009 (E) 0 590.009 (F) ❑ LLIAL
corrective action as determined by the Board of Health. '"' -1r
FOOD PROTECTION MANAGEMENT ❑ 12. Prevention of Contamination from Hands 'i° �
rt4S, ‘Ca0 ie_ce- 4-t) i- :=, C.)0C-JNOC).?
❑ 1 . PIC Assigned / Knowledgeable / Duties 0 13. Handwash Facilities
EMPLOYEE HEALTH - PROTECTION FROM CHEMICALS
cel k 0c' c=
O 2. Reporting of Diseases by Food Employee and PIC ❑ 14. Approved Food or Color Additives • _ Om...6/2p j l k
❑ 3. Personnel with Infections Restricted/Excluded 0 15. Toxic Chemicals u)..,N to � = r i e,--rin ,c'
FOOD FROM APPROVED SOURCE TIME/TEMPERATURE CONTROLS(Potentially Hazardous Foods) IAA 0'C ) 4- -V t4 sheA4
❑ 4. Food and Water from Approved Source ❑ 16. Cooking Temperatures
0 5. Receiving/Condition ❑ 17. Reheating - `1°^r't 3(54-if
0 6. Tags/Records/Accuracy of Ingredient Statements 0 18. Cooling : t;4 +'e S 6o od
0 7. Conformance with Approved Procedures/HACCP Plans ❑ 19. Hot and Cold Holding erb KS icroc;i ,..
PROTECTION FROM CONTAMINATION ❑ 20. Time as a Public Health Control
❑ Separation/Segregation/Protection REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS HSP l v ^s 5 e.t._ t��-i`'�°' _ k} '-'^ -k-- C..4),„ SLC
8. (HSP)
❑ 9. Food Contact Surfaces Cleaning and Sanitizing 0 21 . Food and Food Preparation for HSP C{ NicArie., , rNP cAte' 4-- . C-44<---
0
,j<--..❑ 10. Proper Adequate Handwashing CONSUMER ADVISORY _• fir-y S t cc-r ? - N
L.
La 11 . Good Hygienic Practices ❑ 22. Posting of Consumer Advisories
Ca✓CCA- jrq c C2C7Cier
Violations Related to Good Retail Practices (Blue Items) Number of Violated . Provisions Related to S S C I (' G• •• 0 2,C
Critical(C)violations r1ked must be corrected immediatelyFoodborne Illnesses Interventions and Risk t"
or within 10 days as determined by the Board of Health. Factors (Red Items 1-22): SPCti---1 .4 Ave No cl
Non-critical (N) violations must be corrected immediately c 1ec a -9ifirwtt • p;�..
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/ Ems^ / C.. ..2 col ,
23. Management and Personnel (Fc-2>(5so.003) federal Food Code. This report, when signed below by a / a A•ti, Xifrisapor-oe
Board f Health member or its agent constitutes an order of
24. Food and Food Protection (FC-3)(590.004) 9
the Board of Health. Violations not corrected are subject to '1-,,i t cap d :S--G e €cAi .4 P neoct
25. Equipment nil -4
q p entarid Utensils s (Fc )(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 gto a hearing!' Your request ' be eito
Y right !' must be�
27. Physical Facility (FC-6)(590.007) in writing and submitted to the Board of Health at the aboveDiscussimmith-Pereefrifreitarge: Correction Action Required: CI No ❑ Yes
28. Poisonous or Toxic Materials (FC-7)(590.008) address within 10 days of receipt of this order. ` A � .
❑ Volunta Com .Bance O Employee Restriction /
. -- c • O rY P i Eusin29.,, Special Requirements (59o.00s) DATE t�� RE-INSPECTION. � W�� � �/ °f �i�° ) �' �. �
30. Other C11 . 5•1e '` ti O Re-inspection Scheduled O Emergency Suspension
Insp i s gnat e Print 3 ❑ Embargo ❑ Emergency Closure
A -447
p‘..,6 Q %-v\ct,t- �.
1 /titli O VoluntaryDisposal Cl Other
IC Si • n tur- Prin Page � of � Pages po