HomeMy WebLinkAboutCVS PHARMACY - MOCKINGBIRD 2017.08.11Dallas County Health and Human Services _Environmental Health Division
Retail Food Establishment Inspection Report
2377~.STOI.\lO,\S FR\\Y.,R:\I607.DALLAS,TX 75207 21.t-SI9-2115 FAX:21.t-SI9-2868
B3.tl-1 r I Time in:I Time out:1License Permit :;7B'6:6 I
Est.f:pe
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RIsk Categor:Page_J of~
Purpose of Insllection:I ~II-Compliance I 1-V2-Routine I I 3-Field Investigation I I 4-Visit I I SoOther TOTAUSCORE
EstabliS2:CIV~e:PhAt?f1A(.;';P&77~C0!1t0lII/11).'4;:HA/?iO I
*Xllmlwr of Repeat Violations:__
v'\lImhcr of Violations COS:--
~Physical Addi3t)/Z.f./Ij (;1(/(fN&R)J 'LA m?YOO~fkf+~51~.~Phonci r ("(""'C -...,'/III Follo"-lIp:Yes,)-I_:-:);{(-)!:'>io (circle one),
Compliance Slatu.:Out =not in compliance l:\i =in compliance \0 nol ob,en cd ;\A =nOl applicable COS =correcled on sile R =repeal \iolalion
Mark the appropnne pomls m the OCT box lor each numb<red item Mark 'v"a check mark in "pproonale box lor 1\."'"0.:"IA.COS \1ark an asterisk'*.in aooropriale box for R
Priority Items (3 Points)violations Re uire Immediate Correcth'e Action IIot to exceed 3 days
Compliance Statu,Compliance Statu,
0 I N "r Time and Temperature for Food Safety R 0 (N "C R
U N 0 A 0 (F =degree,Fahrenheit)L ...•0 A 0 Employee Health
T I T S
V I.Proper cooling time and temperature v-I~.\Ianagement.Il)od employees and conditional employees:
knOll ledge.responsibilities.and reponing
V 0 Proper Cold Holding telllperature(41 OF 45 F),//13.Proper use ofrc,triction and exclusion:No discharge from
eyes.nose.and mouth
y 3.Proper HOI Holdin~temperature(135'F)Preventin!!Contamination bv Hands
v'4.Proper cooking time and temperature '-i 14.1I,lI1ds cleaned and properly washed/Gloves used properly
,/5.Proper reheating procedure for hot holdlllg 1165'F in 2 11 15.;\0 bare hand contact IIith ready 10 eat foods or approved
Hours)altenlatc method properly follolled (APPROVED Y N )
v 6.Time as a Public Health Conlrol.procedure,&records Highh Susceptible Populations
Appro,ed Source +1 16.Pasleurl/ed foods used:prohibiled food nol offered
Pa~teurized c!!!!s used \\hen required
7.Food and Ice obtained li'OJnapprol·ed source;Food in"V good condilion.sate.and unadulterated:para,ite Chemicals
de,lruclion
•....v-8.Food Receil cd at proper tempcraturc
~
17.Food addllivcs;appro;ed and properly stored:Washing Fruils
&Vegetables
Protection from Contaminatiun -18.To,ic substances properlv identilied.stored and used
V-9 Food Separated 8:.protected.prcvented durtng food Water/Plumbing
DrcP3r~llion.storage.dispi3v.and tasting
vI.--10.Food conlacl sur laces and Returnables:Cleaned and LV 19.Water li·om approved source;Plumbing installed;proper
Saniti/ed at ppm/temperature backllow device
.,,/II.Propcr disposilion OfrelUnlcd.previously servcd or ~~2U.Approved Sell age/Wastewater Disposal System.proper
reconditioned dispo,>al
Priority Foundation Items (2 Points violations Re~lIire Corrective Actioll with ill 10 dol'S
0 (""C R 0 I :\"C R
U l'0 A 0 Demonstration of Knowledge/Personnel l 7'0 A 0 Food Temperature Controll Identification
T ~,_!._S
21.Per~on in charge prc~cnt.demonstration of kno\\,ledge.27.Proper cooling method used:Equipment Adequatc to
V and pert(mn dUlie,Ccrtilied Food ~Ianager (CF\I)._\Iaintain Product Temperature
/"Food Handler no unaLithori/ed persons/personnel •....28.Proper Dale :Vlarkin~and disposition--
Safe Water.Reeordkeeping and Food Package \.-/'29.Thermomelcrs pro\ided.accurate.and calibrated:Chemical/
Labelin!!Thermal test strip,
V 1-Hot and Cold Water available;adequate pressure.sate Permit Requirement,Prerequisite for Operation_0.
;/24.Required records a\ailable (shell stock lags:parasite ••....10.Food Establishment Permit (Current &Valid)destruction):Packal!ed Food labeled
Conformance with Approved Procedures Utensils,Equipment,and Vending-I I 1/[25.Complwnce \I ith Variance.Sp~cialiled Proc~ss.and .~V 31.Adequate hand\\'ashing tacilities:Acccssible and properlyHACCPplan:Variance obtained for speciali/cd
processing I11cthod~:ll1~nufacturer instructions ,uppl,~d,u,ed
Consumer Ad\isor}"32.Food and 'Jon-food Contact surfaces cleanable.properly
de:.-.igned.constructed.and used/f :!6.Posting ofCollsumcr A(_h i~orie~:ra\\0r undc:r cooked
""
•....•...33.\Vare\\'a:,hing Facilities:installed.maintained.used/
[(lOd,IDi,closureIReminder'8uftet Plate)1 Allergen Label Scn icc sink or curh cleaning facility provided
Core Items (I Point)Violatiolls ReQllire Corrective Actio/l Not to l:-xceed 90 Days or Next Illspectioll •WlIicl,el'er Comes First
0 (":-.;(({0 I N "C R
I!N 0 A 0 PreHntion of Food Contamination r "0 \0 Food Identification
T S T ~
v"34.~o E\idcnce of 111;:,('(;1contaminution.r()d~1l['nthl.![",V 41.0nginal conlainer labeling (Bulk Food)
animals
./35.Personal Ckalllinc~s catln!!.drink in!!or tohaceo usc Phvsical Facilities
&/36.WiplIlC:Clolhs:proper"l"ed and ,wred ./4~.:-O:on-Food Contact surfaces clean
J J7 En\lronmental cOlltaminatl(li1 v'..n.Adequate I entilation and lighting:designated arcas used
V II'JR.""pprol cd tlMII in~method v 44.Garbagc and Relll,e properlY di;posed:facilities maintained
Proper l se of l:tcnsib ....-45 .Ph\'sical t:1cilitics in,talled.mainlained.and clean
/39.[.;ten,ib.equipment.&Imcn,;properl)l"C(1.~tored.(,46.Toilct Faciliti~s:properly constructed.supplied.and clean
Ii /dned.&handled,In u,e uten,ils:properll u,ed
"II 41l.Sll1gl~-,cn ice &single-lbe artIcle,;properly st()rcd c./47.Otller Violations
and u~ed
Rcccived b)1'~4 prir~\/?I Title:Person In Charge/Owner
(~lgllature)A ,JrLV1(I (.~(",\f (I (1 '1
Inspected by:~~l~fhS Print:I HufuJ flfJtutpS Rlisine~~Email:
(r.,lgIMlurl')[
Form EH·06 Revised 09-~O15"0/,{
Dallas County Health and Human Services -Environmental Health Division
Retail Food Establishment Inspection Report
2377 N.STF.MMONS FRWY .•RM 607.DALLAS.TX 75207 214-819-2115 FAX:214-819-2868
EstabL:'\tsc I Ph~al Address:~1ockLA.LJ I (t~S~~c:PAlLf--17~/g~~I Pag~f.:l..-Ol2 ,~iiD
TEMPERATURE OBSERVATIONS
Item/Location Temp Item/Location Temp Item/Location Temp
.rt -
J"f-eFI2,l_41°f J/
I ,
OBSERVATIONS AND CORRECTIVE ACTIONS
Item AN INSPECTION OF YOUR ESTABLISHMENT HAS BFEN MADE.YO R ATrENTION IS DIRECTED TO THE CONDITIONS OBSERVED AND
Number NOTED BELOW:
~~QJ-Oh-J b--f+crrw .sh2Lr-fA.,.,f?EIh II iJ./1lE'P711(~,,
Received b))'/.~~_~~Print:Title:Person In Charge/Owner
(signalure)1-~~_~.---~/\
Inspected by:I~W ).UU~~Vj~Print:VuJDv (11tu.t PS Samoles:Y N(signature)#collected
Form EH-06 (Revised O~-201'5y I ,I