HomeMy WebLinkAboutHILLSTONE 2017.03.21Dallas County Health and Human Services -Environmental Health Division
Retail Food Establishment Inspection Report
2377 \'.STDI.\lO\'S FRWY .•R.\o1607,DALLAS,TX 75207 21~-819-2115 FAX:214-819-2868
Dao -~/-f1r Time in:I
Time out:I Liccnse/Pennit #Z70~I
Est.Type
I
Risk Category Page!.__of~
/
Purpose of Inspection:I I I-Compliance I VI 2-Routine I I 3-Field Investi!!ation I 14-Visit I I 5-0ther TOTAUSCORE
Estab~r!N I Contact/O\\ner Namc:
I
*.'iumber of Repeat Violations:__
j G",('lumber of Violations COS:--::rPhysicalf60S(JD t}-P!76SllJJV If/IIj'fYlJIEAYf7l t---+~r;11tnI Phone:(/1/-PtGi I I Follow-up:Yes
'10 (circle one)
Compliance Statu>:Out =not in compliance IN =in cOIJ,liance ;\0 =1I0tobsen ed 1"1\=nN applicable COS =corrected on site R =repeat violation
Mark the appropriate points in the Ot:T box for each numbered item Mark .,/'a checkmark in aDllroDriate box for 1:"1.NO.!'IA.COS Mark an asterisk'*'in appropriate box for R
Priority Items (3 Points)violations Reqllire immediate Correctit'e Actitm lIot to exceed 3 days
Conlllliallce Statlls Call1llli"nce Status
0 I 1'1 N C Time and Temperature for Food Safety Il 0 I ..•'i C R
1'1 0 A 0 l 1\0 A 0 Employee Health
T S (F =degrees Fahrenheit)T S
•....v I.Proper cooling time and temperature LV 12.Managem~nt,food employees and conditional employees;
v'knowledge.reslJonsibilities.and reporting
1/0 Proper Cold Holding tempcrature(41 °Fi -15°F)LV 13.Proper use of restriction and exclusion;No discharge from
V eves.nose.and mouth,3.Proper Hot Holding temperature(135°F)Preventin!!Contamination by Hands.,.-I.Proper cooking time and temperature 14.Hands cleaned and DroDerly washed/Gloyes used properly
\.'...-5.Proper reheating procedure for hot holding (165°F in 2
~V
Vi5.No bare hand contact with ready to eat foods or approved
Hours)alternate method properly follo\\'ed (APPROVED Y N )
•...•..6.Time as a Public Health Control:procedures &records Hi~hh'Suscentible Ponulations
AplHowd Source
~
16.Pasteurized foods used:prohibited food not offered
Pasteurized eu!!s used when required
7.Food and ice obtained from approved source;Food in
.•..V good condition.safe.and unadulterated:parasit~Chemicals
destruction
\..".""8.Food Received at proper temperature vi-'17.Food additives;approved and properly stored;Washing Fruits
&Vegetables
Protection from Contamination ....t'"18.Toxic substances Drooerly identified.stored and used
V 9.Food Separated &protected,pre\·ented during food Waterl Plumbing
\.-preparation.storage.display,and tasting
V 10.Food conta,!i'J'ces and Returnables;Cleaned and VI--19.Water from approved source;Plumbing installed:proper
I,...Sanitized at oom/tel11Deraturc backllow device
.....v-II.Proper disposition of retunled.previously served or
V'V 20.Approved Sewage/Wastewater Disposal System,proper
reconditioned disposal
Priority Foundation Items (2 Points violatiolls Re(lIire Corrective Actio"withill /0 dal's
0 I 1'1 'i C R 0 I N ~C R
U 1'1 0 A 0 Demonstration of Knowledge/Personnel l:N 0 A 0 Food Temperature Contrail Identilication
T S _!_~~s
".",,-~I.Person in charge present.demonstration of knowledge,V •...27.Proper cooling method used;Equipment Adequate to
"/and perform duties/Certified Food l'vlana~er (CF:YI)ivlaintain Product Temperature•...22.Food Handler/no unauthori7ed oersonsl oersonnel •...•..28.PrODcr Date Markin~and disoosition
Safe Water,Rccordkceping and Food Package V V ~9.Thermometers provided.accurate.and calibrated:Chemical!
Labelhl!!.Thermal test strips
,v 0'Hot and Cold Water available;adequate pressure,safe Permit Requirement,Prerequisite for Operation_J.
V'"
24.Required records available (shellstock tags:parasite Jr 30.Food Establishment Permit (Current &Valid)destruction):Packa!!ed Food labeled
Conformance with Approved Procedures Utensils,Equipment,and Vending
III {25.Compliance \\'ith Variance.Specialized Process.and
t.V lAl'Adcquate handwashing L1cilities:Accessible and properlyHACCPpian;Variance obtained for speciali/cd .•.•.
proccssincr methods;manufacturer instructions ./
supplied.used
Consu mer Ad,isory II'32.Food and ~on-food Contact surfaces cleanable.properly
designed.constructed,and used
1 26.Posting of Consumer Ad\·isories:ra\\'or under cooked .,.'-33.Warc\\'ashing Facilities:installed.maintained.used/
foods (Disclosure/Reminder/Buffet Plate)/Allergen Label Service sink or curb cleaning facilitv provided
Core Items (I Point)Viol(/tiolls Require Corrective Actioll Not ttl Exceed 90 Days or Next illsoect;QII ,WI,ic/,e,'er Comes Fir.~t
0 I :'I N C It 0 I 1'1 'i C f{
U N 0 "0 P"cvention of Food Contamination U 1'1 0 A 0 Food Identilication
T s T S
v'1--34.;-';0 Evidence of Insect contamination.rodent/other (...-h 41.0riginal container labeling (Bulk Food)
animals_,35.Personal Cleanliness/eating,drinking or tohacco use Phvsical Facilities
II'36.Wiping Cloths:properly used and stored •...•4:.1"on-Food Contact surfaccs clean•..'"37.Environmental contamination V 43 .Adeauate ventilation and lif!htin~;desiunated areas used
"3R.Approvcd th,1\\ing methud -,/44.Garbage and Refuse prooerly disposed:facilities maintained
Prall.'r Use of Utcn~i1s ,/-15.Phvsical facilities installed.maintained.and clcan
""39.Ltcnsils.equipment.&linen,,:properly used.stored.1,/46.Toilet Facilities:properly constructed.supplied.and clean
V ",dried.&h.ill1dkd'In usc utensib;properly used
I;V ~~-sen ice ,\singlc\c article,;properly stored /47.Othcr Violations
a'.cd!__
Recei\'edb~l,II I t\\!...-\I 1'1 Print:Title:Person In Charge/Owner
(signature)••A
Inspected bY:tfJ,_(rA.Q~.~1\Ih<;Print:~~pAfU-4I~S Business Email:
(signatun:)
Form EH-06 (Revised 09-2~I ,J
Dallas County Health and Human Services -Environmental Health Division
Retail Food Establishment Inspection Report
2377 N.STEM MONS FRWY.,RM 607,DALLAS,TX 75207 214-819-2115 FAX:214-819-2868
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TEMPERA TURE OBSERVATIONS
Item/Location Temp Hem/Location Temp Itcm/Location Temp
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OBSERVATIONS AND CORRECTIVE ACTIONS
Item AN INSPECTION OF YOUR ESTABLlSHME T HAS BEEN MADE.YOUR ATTENTION IS DIRECTED TO TilE CONDITIONS OBSERVED ANDNumberNOTEDBELOW:
,5 1,."/,,f3 )rttg I-hh.l 0 71'1 n1f-'tt -r
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/'·,1\1\\J \
Rtceived by:~",I .!\v \\>'{L.:\\N Print:Title:Person In Chargc/Owner(signature)'......-:'"\A ~
Ins peeted by:Vii-~~~Print:flu (:).),PhlW_j 0>(signature)~Samples:Y N #collected
Form EH-06 (Revised 09-~-.
J 7