HomeMy WebLinkAboutUNIVERSITY PARK ELEMENTARY 2017.03.03Dallas County Health and Human Services -Environmental Health Division
Retail Food Establishment Inspection Report
23771\.STDJ:\oIOi\S FR\VY.,Ri\1 607,DALLAS,TX 7S207 21-t-SI9-21IS FAX:21-t-SI9-2868
D3--3-11-1 Time in 1 Time out:~License!Permit #
1
E>t.Type
1
Risk Category PageL 081-
Purnose of Insnection:I I I-Comnliance I i<1 2-Routine I 3-Field Invl'sti!!ation I I 4-Visit I I SoOther TOTAL/SCORE
Er1l\1lYffl/~IlAPvt:.eLtYj,I C17Jt7lA r:JJ ~I I
*:'iu mber of Repeat Violations:__
./':\lIl1lber of Violations COS:--IPhysicalAddress:6 50'5/v1fJt:tbr-11J1S,~))f}..r0r--I i~lOl Phone:7to<3~6 I Follow-up:Yes
:\0 (circle one)
Compliance Status:Out =not in compliance I.=in compliance :\0 =not obsen ed NA =not applicable COS =corrected on site R =repeat violation
Mark the aDoroDriate ooints in the OI!T box for each numbered item Mark ,./'.a checkmark in aooronriate bo,for 11\'.NO.NA.COS Mark an asterisk'*.in 30nronriate box for R
Priority Items (3 Points)violatiolls Re uire Immediate Correctil'e Action 1I0tto exceed 3 days
Comoliance Status Comolhtncc Status
0 I N N C Time and Temperature for Food Safety II 0 I N "C R
N 0 A 0 t'N 0 A 0 Employee HealthTS(F =degree,Fahrenheit)T ~
I.Proper cooling time and tempemture 11.\1anagement,food employees and conditional employees;Li.--
""kno\\ledge.responsibilities.and reporting
II 1.Proper Cold Holding temperature(41 of/45°F)"'v 13.Proper usc of restriction and exclusion;No discharge from
eves.nose.and rnouth.,,-3.Proner Hot Holding temperature(135°F)Preventin!!Contamination bv Hands
/4.Proper cooking time and temperature -i 1-1.Hands cleaned and properly washed!Gloves used orooerlv
""5.Proper reheating procedure for hot holding (165°F in1 +--1 15.No bare hand contact with ready to eat foods or approved
l..o Hours)alternate method properly followed (APPROVED y N ),6.Time as a Public Health Control:procedures &records HiJ!hlv Suscentible Ponulations
Approved Source V 16.Pasteurized foods used;prohibited food not offered
Pasteurized eg!!s used when required
7.Food and ice obtained Irom appro,ed source;Food in
,I..--'good condition,safe.and unadulterated:parasite Chemicals
destruction
,v 8.Food Recei,ed at propa temperature .r 17.Food additives;approved and properly stored;Washing Fnlits
&Vegetables
Protection from Contamination .x 18.Toxic substances properlv identilied.stored and used.....v 9.Food Separated &protected.prevented during food Water!Plumbing
preDaration.storage,displav.and t3stinu._L-10.Food coni~r~and Returnables:Cleaned and "V 19.Water Irom approved source;Plumbing installed;proper
Sanitized at ppm/temperature backtlolV device
L..--II Proper disposition of returned.previously served or ""'v 10.Approved Sewage/Wastewater Disposal System,proper•....reconditioned disposal
Priority Foundation Items (2 Points violations ReI lIire Corrective A.ctioll withill 10dal's
0 I N :-;C R 0 I II :-;C Rl'N 0 A 0 Demonstration of Knowledge!Personnel U N 0 A 0 Food Temperature ControV IdentiricationTSTs
vJ.....-2!.Person in charge present.demonstration or kno,vledge.•.•V 27.Proper cooling method used;Equipment Adequate to
and oerform duties/Certified Food Manager (CFM)-Maintain Product Temperature
~j_.22.Food Handler/no unauthorized persons/personnel ..18.Proper Date Marking and disposition
Safc Water,Recordkeeping and Food Package .•.•.V "9.Thernlometers provided.accurate.and calibrated:Chemical!
Labeling Thermal test strips
V -23.Hot and Cold Water available;adequate pressure.safe Permit Requirement,Prerequisite for Operation
"
"-I.Required records a"ailable (shellstock tags;parasite 1 30.Food Establishment Permit (Current &Valid)destruction):Packa2ed Food labeled
Conformanc('with Approved Procedures Utensils,Equipmcnt,and Vending
~
15.Compliance with Variance.Specialized Process,and
31.Adequate hand\\"ashing facilities:Accessible and properlyHACCPplan;Variance obtained for specialized ••••1..0-
orocessing methods:manufacturer instructions supplied.used
Consumer Advisory "'V 3~.Food and Non-rood Contact surl'lces cleanable.properly
designed.constructed.and used
f"26.Posting or Consumer Ad,isories;raw or under cooked ....'"33.Warcwashing Facilities;installed,maintained,used/
roods (Disclosure/Reminder/Buffet Plate)1 Allen!en Label Service sink or curb cleaning C1cility provided
Core Items (I Point)Violutiolls Reqllire Corrective Actiollll,'ot to Exceed 90 Dal's or Next Illspectioll.IH,iclle"er Comes First
0 I "\:-;C II 0 I II "C RU0A0PreventionofFoodContaminationl:~0 A 0 Food IdentificationTSTS
~'"34.No Evidence of Insect contamination.rodent/other •..v 41.0riginal container labeling (Bulk Food)
I•animals
.I,_35.Personal Cleanliness/eatine.drinkinl!or tobacco usc PhYsical Facilities/,-36.Wiping Cloths:properly used and stored •..41 .Non-Food Contact surfaces clean.I'37.Em'ironmental contamination ..••43.Adequate ventilation and lighting:designated areas used-
II 38.AoorOl'ed thawing method y 44.Garbage and Refuse properly disposed:facilities maintained
Proller l'se of Utensils v 45.Physical facilities installed.maintained.and clean
V.....l..o
39.L:tensils.equipment.&linens;properly used.stored..46.Toilet Facilities:properly constructed.supplied.and clean
dried.&handled!In usc uten,ils;properly lbed I,II 40.Single-sen ice &single-use articles;properl)stored .-47.Other Violations
and \Ised.~•,
Received by:}k (~j~-It)PtJ/~Print:Title:Person In Charge/Owner
(signature)
Inspected by:~.,~~~S print:KvDV p h ~L..l."A-VS Bu,incss Email:
(si!!nature)
Form EH-06 (Revised 09-2""'-"'_./,I I
Dallas County Health and Human Services -Environmental Health Division
Retail Food Establishment Inspection Report
2377 N.STF:MMONS FRWY.,RM 607,DALLAS,TX 752()7 214-819-2115 FAX:214-819-2868
E1Jt/~~:t rA,,-I<E~I PhY35dO~~rt'E:m5r I ({J~~a~/.~I License/PerInit #I Pagc_or_
TEM PERATURE OBSERVATIONS
Itcm/Location Temp Itcm/Location Tcmp Item/Location TempMI!J\<r 6N.-u,Ilf3 0 r
•.•••A~I.A Ino"FI
OBSERVATIONS AND CORRECTIVE ACTIONS
Item AN INSPECTION OF YOUR ESTABLISHMENT HAS BEEN MADE.YOUR ATf'ENTION IS DIRECTED TO THE CONDITIONS OBSERVED ANDNumberNOTEDBELOW:
J-/5 LLelrN prJllJL IAi /;JALk IN Pt7ecz£i?I I -
,'"..~-,
Received b¥i(u ~.!;UY__~Print:Title:Person In Charge/Owner(siL!natllrcl ~-
Inspected by:ffC7 ~Nt 0 ().--M/~'::>Print:l'\vDy Ph)L...W '05(signature)U _~Samples:Y N #collectedFormEH-06 (Revised 09-2~I I f