HomeMy WebLinkAboutDIVE COASTAL 2016.11.23Dallas County Health and Human Services -Environmental Health Division
Retail Food Establishment Inspection Report
2377 N. STEMMONS FRWY., RM 607, DALLAS, TX 75207 214-819-2115 FAX: 214-819-2868
D7/-2'!J-J{p I Time in: I Time out: / I License/Permit # _,-I Est. Type l Risk ~ategory
Purpose of Inspection: L J !-Compliance L _\.1 2-Routine L M 3-Field Investigation ._.(_ J 4-Visit L J 5-0ther
I
* Number of Repeat Violations: __
./ Number of Violations COS: __
Page _ of_
TOTAUSCORE
Compliance Status: Out= not in compliance IN = in compliJ1ce NO = not observed NA =not applicable COS = corrected on site R =repeat violation f
Mark the appropriate points in the OUT box for each numbered item Mark './'a check:mark in appropriate box for IN, NO, NA. COS Mark an asterisk' * 'in appropriate box for R
Priority Items (3 Points) violations Re. uire Immediate Corrective Action 110tlo exceed 3 days
Compliance Status
0 I N N C
U N 0 A 0
T S
Time and Temperalure for Food Safety
(F =degrees Fahrenheit)
I. Proper cooling time and temperature
2. Proper Cold Holding temperature(41°F/ 45°F)
3. Proper Hot Holding temperature( 135°F)
4. Proper cooking time and temperature
5. Proper reheating procedure for hot holding (165°F in 2
Hours)
6. Time as a Public Health Control; procedures & records
Approved Source
7. Food and ice obtained from approved source; Food in
good condition, safe, and unadulterated: parasite
destruction
8. Food Received at proper temperature
Protection from Contamination
1 ....,....v9. Food Separated & protected, prevented during food
I"' preparation, storage, display, and tasting
I 0. Food coot~ .• ~tumables ; Cleaned and
Sanitized at ~ {/ &J,o;L4er;;perature
.
r'. V 11 . Proper dispositio'i'rDfretumed, previously served or
.... reconditioned
R
Priority Foundation Items (2 Points
0 I N u N 0
T
\.;"'
....
"' v
N c
A 0 s
v"'
Demonstration of Knowledge/ Personnel
21. Person in charge present, demonstration of knowledge,
and perform duties/ Certified Food Manager (CFM)
22. Food Handler/ no unauthorized persons/ personnel
Safe Water, Recordkeeping and Food Package
Labelin2
23. Hot and Cold Water available; adequate pressure, safe
24. Required records available (shellstock tags; parasite
destruction); Packaged Food labeled
Conformance with Approved Procedures
1 25. Compliance with Variance, Specialized Process. and
HACCP plan; Variance obtained for specialized
processing methods; manufacturer instructions
Consumer Advisory
R
Compliance Status
0 I N N C
U N 0 A 0
T S ... ...-
I .,....I I I
1
1
Employee Health
12. Management, food employees and conditional employees;
knowledge, responsibilities, and report~g
13. Proper use of restriction and exclusion; No discharge from
eyes, nose, and mouth
Preventinl! Contamination by Hands
14. Hands cleaned and properly washeCI! Gloves used properly
15. No bare hand contact with ready to eat foods or approved
altemate method properly followed (APPROVED Y _ N j
Hi2hly Susceptible Populations
16. Pasteurized foods used; prohibited food not offered
Pasteurized eggs used when required
Chemical!
I 7. Food additives; approved and properly stored; Washing Fruits
& Vegetables
18. Toxic substances properly identified, stored and used
Water/ Plumbing
19. Water from approved source; Plumbing installed; proper
'-back flow device
.¥1--20. Approved Sewage/Wastewater Disposal System, proper
disposal
viohltions Rl!~ 11/re Corrective Action widtin 10 days
0 J N u N 0
T
~ ~
,......
....... .........
~
\,...-v
N
A
c
0 s Food Temperature Control! Identification
27. Proper cooling method used; Equipment Adequate to
Maintain Product Temperature
28. Proper Date Marking and disposition
29. Thermometers provided. accurate, and calibrated; Chemical/
Thermal test strips
Permit Requirement, Prerequisite for Operation
30. Food Establishment Permit (Current & Valid)
Utensils, Equipment, and Vending
3 I . Adequate handwashing facilities: Accessible and properly
supplied, used
32. Food.and Non-food Contact surfaces cleanable, properly
designed, constructed, and used
{'" 26. Posting of Consumer Advisories; raw or under cooked -// 33. Warewashing Facilities; installed, maintained, used!
foods (Disclosure/Reminder/Buffet Plate)/ Allergen Label Service sink or curb cleaning facility provided
Core Items (1 Point) Violations Require Corrective Action Not to Exceetl90 Days or Nl!xtlnspection, Whichnl!r Comn First
0 I N N u N 0 A
T .,,..,
v r
c
0 s Prevention of Food Contamination
34. No Evidence of Insect contamination, rodent/other
animals
35. Personal Cleanliness/eating, drinking or tobacco use
36. Wiping Cloths; properly used and stored
37. Environmental contamination
38. Approved thawing method
Proper Use of Utensils
39. Utensils, equipment, & linens: properly used, stored,
dried, & handled! In use utensils; properly used
Inspected by: ~ / ~ f J ~A fL <4....
(Signature) I ''/~ ( 1 ~ ,._., f' J V
Form EH-06 (Revised"09-201~ I
R 0 I u
T
v
N N C
0 A 0 s Food Identification
41.0riginal container labeling (Bulk Food)
Physical Facilities
42. Non-Food Contact surfaces clean
43. Adequate ventilation and lighting; designated areas used
44. Garbage and Refuse properly disposed; facilities maintained
!""_ 45. Physical facilities installed, maintained, and clean
46. Toilet Facilities; properly constructed. supplied, and clean
47. Other Violations
Title: Person In Charge/ Owner
Business Email:
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Dallas County Health and Human Services -Environmental Health Division
Retail Food Establishment Inspection Report
2377 N. STEMMONS FRWY., RM 607, DALLAS, TX 75207 214-819-2115 FAX: 214-819-2868
EstJvlt tE~J;tL--I p~1oi-s/?hv~IN I fJ~t;t:: I License/Penn it #
TEMPERATURE OBSERVATIONS
Item/Location Temp Item/Location Temp Item/Location
nL .Ac.k. ~\) 2.c(f1
JIJ/JA . '-OtAJS ~7-
p:JT<K-IA./-5°f
I {'A 14\t-·7 Ml --o.v-I
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OBSERVATIONS AND CORRECTIVE ACTIONS
1 Page _of _
Temp
Item AN INSPECTION OF YOUR ESTABLISHMENT HAS BEEN MADE. YOUR AITENTION IS DIRECTED TO THE CONDITIONS OBSERVED AND
Number NOTED BELOW:
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Received b~ ~ ~ v/;7~ Print:/, 1"1awrlU~ 11P!CJu/D Title: Person
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1n Charge/ Owner
(signature) ~ /
Inspected by: ~
(signature) ?J;J)f_,._~ fA~ Print: ,ti~fw. P/JtW,g Samples: Y N #collected
Form EH-06 (Revised 0~ , , I .,
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