Food Inspection Turning Pt. Ch 521612

8/3/2019 Food Inspection Turning Pt. Ch 521612

1/9

STATE OF FLORIDADEPARTMENT OF HEALTH

COUNTY HEALTH DEPARTMENTFOOD SERVICE

INSPECTION REPORTPURPOSE:

... ROUTiNE == CONSTRUCT. == COMPLAINT == QASURVEY ==THER .................................................... ... ~~-------~

t t1~~,.il,..i:Ii:J ' X ) J ' ,,t,d:::vj''d::i,1".~ ;,_ " ..2 . i::Ll', 0 '.,::;,.c3J','5 .,.,1r';:I' [~J"


2/9

STATE OF FLORIDADEPARTMENT OF HEALTHCOUNTY PUBLIC HEALTH UNIT

Date I' /iZ/J '7-C omments an d In structio ns (C on tin ued fro m P ag e 1 ):

C op y o f R ep ort R ec eiv ed by ~~~Page 2

DH 4104, 4/96[Slock Number: 5744-000-41 O....B)


3/9


COUNTY HEALTH DEPARTMENTFOOD SERVICE

INSPECTION REPORTPURPOSE:

. _ REfNSPECTlON

IncompleteUnsattsfaetory

Correct Violations byZIP' _ _ _ , . 7 , , - , ss.u1 ---""'!:''-I-~'''''_..:~~--.;:'---'----_ J.>HONff.S6/) b8 I' ~ Z -,.17

j . : . . . i~~~l'lf'ICATENUlW~~!iil

l~ r,CDI ! , : ; ; : . : " ' II d l J l i.;.tbl Ii'\" 'cZ:HIi... ;! . Cl:J t ; m i ! r . m . ? m y )i dlJi [. . - - i ~ " .! . , :!U" d b l I

= Hospital= Nursing= Detention= Lounge= Civic= Movie. . . Schoo!= Residen.= Child

= 15. Transportation of foodCJ 16_Poisonous/Toxic materials

= 28. Installation and location= 29. Cleanliness of equipment = 39. Other facilities and operationsTEMPORARY FOODSERVICE EVENTS

2. Stared temperature3. No further cooking/Rapid cooling

PERSONNEL =0. Methods of washingSANITARY FACILITIESAND CONl'ROLS

=7. Exclusion of personnel= 18. Cleanliness= 19. Tobacco use =1. Water supply= 32.!ce= 33. Sewage5. Raw fruit>;6 . P or k cooking = 20. Handwashing= 21. Handling of dishware. Poultry cooking

c::::J 8. Other animal cooking= 9. Least contact/Reheating=10. Food container= I I. B u ff et r eq ui re me nt s

EQUIPMENTIUTENSILS =4. Plumbing= 22. Refrigeration facilities/Thermometers = 35. Toilet facilities= 23. Sinks=4. lee storage/Counter-protector = 36. Handwashing facilities=7. Garbage disposalj 2. Self-service condiments13. Reservice of food

=25. Venti lat ion/Sto rage /Suff ic ient equipment _ 38. Vermin con trol= 26. Dishwashing facilities

= 40. Temporary food service eventsVENDING MACHJNESc:::J 4 1. V e nd in g machinesMANAGER CERTIFICATION

c:::J 42. Manager certificationCERTIFICATES AND FEES=43. Certi ficates and feesINSPECTION/ENFORCEMENT= 44. Inspection/Enforcement

ITEMNUMBERS

COMMENTS AND INSTRUCTIONS(continue on attached sheet)

HEALTHDEr'ARTMENTINSPECTOR: ~~=-;. .......!':.l~~~j...e~~~~'__ PHONc:.~r; ~ 8?i-S9vb_COPY OF RATORTRECEfVElJ BY : --t::~*7~~4--=~"""''--'''''f---''''''----------- DATE' /2- //1

lof

CHiJ!HEADQUARTERS


4/9


Date 9/.2//1 , I de ntif ic at io n N o . l f I [ Q ] - E I I ~ - [fill][fl[J~Comm en ts a nd I nstru ctio ns (C on tin ue d from P ag e 1 ):

C opy of R eport R eceiv ed by (J 1Jt;t~Page 2

DH 4104, 4/96(Stock Number: 5744-000-4104-8)

Inspector a. iv~ J


5/9

PURPOSE:... ROUTlNE = REINSPECTION= CONSTRUCT. = CHANGE OF OWNER= COMPLA1NT = CONSULTATION= QASURVEY = OTHER= OTHER


COUNTY HEALTH,DEPARTMENTFOOpsEltvIcE

INSP,ECTION REPORT

r l'iAMEOFESTABUSHM.ENT _ - , , 7 - . . : ( / : : . . . - , - f ? - , - ( _ : r v ~ I ~ N = . ~ & _ ._ - - , P o ' - - - ' - = " 7 " " ,.. ~t=~~. :r_ _ _ ! A - - , , , , - l f " " , : : ; _ P _ : J _ : _ P _ f - - " . ' _ " _ " " ' _ " ; _ : " V - - , - _ ~ ~ = c - " . It;~~~~Essl?s-(/ t E ' rJ{}d '(".r/V.{l,M RPu:;rry &YPa i l lQWNERPO c i e ZIP 3 S4 ( ilPERSON IN CHARGE _ : _ t v " - - - " , , ~ _ r _ ~ _ : r : : _ / _ : : ~ Y _ ._ ~ _ . t , , . ~ _ . , _ : : I - = - v . _ . = - N _ . ~ - - , r ' \ _ i ~ _ . . . . : : . I : : : : : : . ~_.p_J~mNE( S G I) (;8' (~ ]-r?11

I . Sources, etc.FOOD PROTECTIONc:::J 2. Stored temperature= 3. No further cooking/Rapid cooling=4. Thawing= 5. Raw fruits

1

= 6. Pork cooking=. Poultry cooking8. Other animal cooking9. Leas! contact/ReheatingFood con ta iner

c::J11. Buffet requirements= 12. Self-service condiments=13. Reserviceof'focd

= 15. Transportation of food=6. Poisonous/Toxic materials = 28. Installation and locationCJ 29. Cleanliness of equipmentitIIt 3O.Methods of washingERSONNEL= 17. Exclusion ofpersonnel= 18. Cleanliness SANITARY FACILITIESAND CONTROLS

, Satisfactory= Incomplete=UnsatisfaeteryCorrect Violaticns by- Next Inspecnon=8:ijO Pill1 oa:

AND OPERATIONS

c::J 19. Tobacco usc =1. Water supply= 32.lcc= 33. Sewage= 34. Plumbing= 35. Toilet facilities= 36. Handwashing facilities= 37. Garbage disposal

= 39. Other facilities and operationsTEMPORARY FOODSERVICE EVENTS= 40. Temporary food service eventsVENDING MACHINES= 41. Vending machinesMANAGER CERTIFICATIONc:J 42. Manager certificationCERTIFICATES AND FEES= 43. Certi ficates and feesINSPECTIONIENFORCEMENT

ITEMNUMBERS

=4. Inspection/Enforcement

=0. Handwashing=1. Handling of dishwareEQUlPMENTfUTENSILSc::J 22. Refrigeration facilities/Thermometers=3. Sinks= 24. Ice storage/Counter-protector=5_Ventilation/Storage/Sufficient equipment., 38. Vermin control=6. Dishwashing facilities


NO !.IVff.r/lltAL. Tff.!? ~ f 7 ' (pAt) r v R . . 1'"' (''.-/Vlpf';R..rmt.rvf !Nf:,r .z.t,

HEAHHDEPARTMENTWSPEITOR Q.~ PHONE. ~ ,1 6'f{ c s : r ; (}CCOPYOFREPORTRECDVED" {;. ~d=== DATE, 9('2-111 ~DH Form 4023, 1/05 (Obsoletes Previous Editions)

CliO/HEADQUARTERS


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I I I I I I I l i STATE OF FLORIDADEPARTMENT OF HEALTH

COUNTY HEALTRDEPARTMENTFOOI)~E-d~tCEINS~ECTIONREPORT

PURPOSE:-. ROUTINE = REINSPECTlON= CONSTRUCT. = CHANGE OF OWNER= COMPLAINT = CONSULfATfON_=A SURVEY = OTHER

- Satisfactory= Incomplete= UnsatisfactoryCorrect Violations by_ Next Inspection= 8:00AM on:

= Nursing= Detention= Lounge= Civic !Movie._ School I I= Residen,= Child= Limited

= 15. Transportat ion of food=16. Poisonous/Toxic materials = 28. Installation and location AND OPERATIONS= 29. Cleanliness of equipment = 39. Other facilities and operations2. Stored temperature3. No further cooking/Rapid cooling= 4. Thawing

=0. Methods of washingSANITARY FACILITIESAND CONTROLS=1. Water supply= 32. Ice =1. Vending machines

PERSONNEL TEMPORARY FOODSERVICE EVENTS17. Exclusion of personnel=18. Cleanliness= 19. Tobacco us e= 20. Handwashing= 21 . Handling of dish ware=40. Temporaryfood service eventsVENDING MACHINES

=3. Sinks= 24. lee storage/Counter-protector= 33. Sewage MANAGER CERTIFICATION=42. Manager certificationQUIPMENTIUTENSILS =4. Plumbing

_ 22. Refrigeration facil it ies/Thermometers = 35. Toilet facilities8. Other animal cooking9. Least contact/Reheating CERTIFICATES AND FEES= 36. Handwashing facilities=7. Garbage disposal = 43 . Certificates and fees= 11.Buffet requirements= J 2. Self- service condiments lNSPECTION/ENFORCEMENT=13. Reserviceoffood

= 25. Vent ila tion/Storage /Suffic ient equipment 8 38 . Vermin con tro l=26. Dishwashing facilities = 44. Inspection/EnforcemeutITEM

NUMBERSCOMMENTS AND INSTRUCTIONS

(continue on attached sheet)

CHD/HEADQUARTEIR.S


7/9


Date _ t " ' i _ C l - , - ~ _ 9 ' _ Y ' _ / t , _ : ; ; r ;_ Identification No.bO~-I1]~-01ZJ~~Comments and Instructions (Continued from Page 1):

ILl C {.MILe: J. (/Jlft:f -'11cf'

[Jr


8/9

.. STATE OF FLORIDADEPARTMENT OF HEALTHCOUNTY HEALTH DEPARTMENTFOOD SERVICEINSPECTION REPORT

PURP~. = ROUTINE .. REINSPECTTON= CONSTRUCT . = CHANGE OF OWNER= COMPLA1NT = CONSULTAT1ON= QASURVEY =THER= OTHER ~_.

=5. Transportat ion of foodc::::J 16 . Poisonous/Toxic materials

= 28. Installation and location= 29. Cleanliness of equipment = 39. Other facilities and operationsAND OPERATIONS2. Stored temperature PERSONNEL =0. Methods of washing3. No furthercooking/Rapid cooling =7. Exclusion of personnel SANITARY FACILITIES= 18. Cleanliness AND CONTROLS5. Raw fruits = 19. Tobacco use = 31. Water supply6. Pork cooking =0. Ilandwashing C] 32. lee7. Poultry cooking = 21. Handling of dishware = 33. Sewage8. Other animal cooking EQUIPMENT/UTENSILS = 34. Plumbing9. Least contact/Rehearing = 22. Refrigeration facilities/Thermometers = 35. ToiletfaciJjties= 23. Sinks=4. lee storage/Counter-pro lector = 36. Handwashing facilities= 37. Garbage disposal11. Buffet requirements12. Self-service condiments = 25. Ventilation/Storage/Sufficient equipment = 38. Vermin control= 26. Dishwashing facilities

TEMPORARY FOODSERVICE EVENTSc:::J 40.-Temporary food service eventsVENDING MACHINES= 4l. Vending machinesMANAGER CERTIFICATION= 42. Manager certificationCERTIFICATES AND FEES=3. Certi ficates and feesINSPECTIONIENFORCEMENT

ITEMNUMBERS .


= 44. inspection/Enforcement

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/" "";'''{J .rl_?7 ....~?"" "'"~~~L_~~~~~~~~~ PHONElYL~'W~,~~Q_~~~~v~~~V~Q __---=-----'----=---"I


9/9

./:-"

7"1/ ! I f i ' : . l,IV6p;e (;E "f f Z . STATE OF FLORIDADEPARTMENT OF HEALTHCOUNTY PUBLIC HEALmUNIT

Date 8/z4/1) Identification No.~~-6f~-~[][]~~Comment s a nd I ns tr uc tio ns (Cont in ue d fr om Page 1):

Inspector a. ~> Page 2

DH 4104, 4/96[Sloel< Number: 5744-000-4104-8)

Documents

Food Inspection Turning Pt. Ch 521612