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HomeMy WebLinkAboutFood Establishment Inspection Reports 4 f .0 TOWN OF YARMOUTH BOARD OF HEALTH FOOD ESTABLISHMENT INSPECTION REPORT 1146 ROUTE 28 SOUTH YARMOUTH, MA 02664 Date Item Code C -Critical Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTION Name ""` if Tc;g.%.12P11Date Type of Operation(s) Type of Inspection No. Reference R -RPM Item PLEASE PRINT CLEARLY Verified �. Food Service A Routine Address - i /4/ U Retail v Re-inspection t, tir C'.Q'�,+•/� '�► C``e. \ ce "' Ca«�G: i/Y ❑ Residential Kitchen Previous Inspection pr4 r--1Telephone Date: LI Mobile Ownera L b AA fft . 11f� HACCP Y/N U Temporary U Pre-operation { . �. --.44 , Re-CS-Ns-floaCk-"CYL U Suspect Illness 0 Caterer Person in Charge (PIC) Time 0 Bed & Breakfast U General Complaint -�•• "", ��►� L4/A 1.- K '•' In: U HACCP -1 .,,, ...•.o- Inspector ��;� rr' J r RA•"441,01/0 Out: Permit No. U Other Each violation chec d requires an explanation on the narrative page(s) and a citation of specific provision(s) violated. ' A.710 _.' ' `�' Non-compliance with: IN LA.JC.A.. L....\*. ce,,Q,Qop,j, Violations Related to Foodborne Illness Interventions and Risk FactorsRed Items)) Anti•Choking Tobacco o� Violations marked may pose an imminent health hazard and require immediate 590.009 (E) ❑ 590.009 (F) U "Tegoe,„ .•"' 1 O ''t" 4C:44. corrective action as determined by the Board of Health. .2 • C-Se-,LAN\ _S.,-\cc . Ca. FOOD PROTECTION MANAGEMENT ❑ 12. Prevention of Contamination from Hands '0 t 51- ,.1C4.. S 1-t C4Z !•'t`, Cpm,. T© r li-NciS ❑ 1 . PIC Assigned / Knowledgeable / Duties ❑ 13. Handwash Facilities (-- EMPLOYEE HEALTH PROTECTION FROM CHEMICALS l �` 1 A - i S � `^ '- I Be ❑ 2. Reporting of Diseases by Food Employee and PIC ❑ 14. Approved Food or Color Additives c,,,1 , "' \ c , "V\ ❑ 3. Personnel with Infections Restricted/Excluded ❑ 15. Toxic Chemicals a\\ c c 0 FOOD FROM APPROVED SOURCE TIME/TEMPERATURE CONTROLS(Potentially Hazardous Foods) � � „•, ... CI 4. Food and Water from Approved Source ❑ 16. CookingTemperatures C/ t- ? c aVIS PP P ❑ 5. Receiving/Condition ❑ 17. Reheating a `f- L T S n' -; •) ❑ 6. Tags/Records/Accuracy of Ingredient Statements ❑ 18. Cooling �„ --re, t, f ❑ 7. Conformance with Approved Procedures/HACCP Plans ❑ 19. Hot and Cold Holding 9 PROTECTION FROM CONTAMINATION CI20. Time as a Public Health Control -re,,,,* 3 8 rv. 1 - I �' CI8. Separation/Segregation/Protection REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS (HSP) H mac'---.' ``,to -r>iN ,- 5 Dom, ❑ 9. Food Contact Surfaces Cleaning and Sanitizing ❑ 21 . Food and Food Preparation for HSP c:)-- ..t 9 f I. ❑ 10. Proper Adequate Handwashing CONSUMER ADVISORY v-" Imi I CZ$Z AI C S G=CI)CD ❑ 11 . Good Hygienic Practices ❑ 22. Posting of Consumer Advisories "1'c 2 ,W -t cJ-. , Q.:' '' C-^ c <.. Violations Related to Good Retail Practices (Blue Items) Number of Violated Provisions Related to 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): 66 C i" p"..,, c C,4\5 r € cam- *".%M, ‘".3- Non-critical (N) violations must be corrected immediately c+r3104CitCom= c.�i�' - 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/ S.,5 t'V" - e Pre"CII, --- -t,' c z 23. Management and Personnel (FC-2)(590.003) federal Food Code. This report, when signed below by a f czA e C" ct,‹ . Board of Health member or its agent constitutes an order of 24. Food and Food Protection (FC-3)(590.004) the Board of Health. Violations not corrected are subject to r eii pc &cot* 25. Equipment and Utensils (FC-4)(590.005) r Yarmouth B and of Health. If aggrieved bythis fines peo gg 26. Water, Plumbing and Waste (FC-5)(590.006) order, you have a right to a hearing. Your request must be lPc4-t- Cc & CJêa. 0 - 27. Physical Facility (FC-6)(590.007) in writing and submitted to the Board of Health at the aboveBicaussimmitaCorrection Action Required: CI No ❑ Yes 28. Poisonous or Toxic Materials (FC-7)(590.008) address within 10 days of receipt of this order. Pe43 ;b0ASbagge; " ❑ VoluntaryCompliance ❑ Employee Restriction / 29. Special Requirements (590.009) DATE OF RE-INSPECTION: ' enfek P Exclusion 30. Other ❑ Re-inspection Scheduled 0 Emergency Suspension ALA . j4i ' t1A. N as 01 VW _ poipg.,,,, � EmergencyClosure Ins• r , Print ❑ Embargo 0 PIC's nat Print_ Page A of Pages 0 Voluntary Disposal 0 Other ' � • � C � .4 � � .4 c ro '. ' > � ❑ ..C. 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