HomeMy WebLinkAboutJ.D.s CHIPPERY 2017.08.25Dallas County Health and Human Services -Environmental Health Division
Retail Food Establishment Inspection Report
2377;';.STE.\I.\IO'iS FRWY ..R:'11607.DALLAS,TX 75207 21.t-SI9-2115 FAX:21.t-SI9-2868
D~.~\o_d ,~Time in 1 Time out:~1Liccnsc'Permit"t--ql~I lsI.f)pe I RIsk Catl'g0r~Page 1 of _]!....,.
Purpo~{.of Inspection:I I I-ComDliance I -,,/j 2-Routine I I 3-field IlIvl'stil'ation r J 4-Yisit I I SoOther TOTAUSCORE
Establishment 0Iame:r}\~{)ne'IY I (~;t~n:ftr{,R,(I)nrl I *:\umhrr of Repeat \'iolatiofl~:__....-n'~10 ./\umher of "iolatio",COS:--
Phy~';)t~:;Ts }i I 1 (';vi/]fl "
City Co'un,!y:l,~~,Zip ~~._Phonc:I FollOW-LIp:Yes I,I I '\11,\/fYJ"-1\Ie..;\0 (circle 011<')
Compliance Status:Out 2;not In cOJl1plianc~1;\in compliance :\'0"'"not ob~ened :\'A nut .lpplrcable COS:c rre"ed on site R:repeat,iolation
Mark the aDDTOonateDornts IIIthe OlT box lor each numbered item Mark './'a checkmark in armrootlate box lor 1;\.'\0.".\.COS :llark an asterisk'*.in aDDroonate box for R
Priority Items (3 Points)violations Re lIire Immedia/e Correc/h'e Action/lOt /0 exceed 3d{lYS
Comoliance Status Compliance &tatus
0 I N "C Time and Temperature for Food afety It 0 I '\"c-RU0A0l~0 A 0 Employee HealthT~(F =degrees Fahrcnheit)T S
~I.Proper cooling time and tCl11pcr~lurc ;/12.~Ian.lgcment.food employees and conditional employees:"I kno\\Icd!.!e.responsibilities.and reporting
.J 2.Proper Cold Hlliding tcmpcralUre(.t1 'F 4S-F)/13.Proper use of rc'triction and exclusion;;-';0 discharge from
I,eves.nose.and mOLlth
J 3.Propcr Hot Holdlll!.!temllcralure(135°FI /PrewlltillQ Contamination by Hands-./4"Proner cookinu lil11~and tCl11ncrature V 14.Hands cleancd and properly \\"3shedJ GIQ\cs used oronerlv
./5.Proper rehcating proccdure fllr hot holding (165T III 2 ./I 15.~o bare hand contact with rcady to cat foods or appro\·ed
Hours)allernale method DroDerly 1'0110\\cd (APPROVED Y N I,/6.Time a>a Public Heallh Control:procedure>&record,Hi2hh Susceptible populations
ApproHd Source -:{16"Pa,tcuriLed foods used;prohibited food not offercd
Pastcuri7ed eQ!.!Sused when required
1/7"Food and ice obtaincd from approved >ource;Food in
-.I,good conuition.snk.and unadulterated;parasite Chemicals
destruclion .
VI 8.Food Rccei\ed al proper temperalure vi'17.Food addit1\es;apprmed and properly slored:Washing Fruits
&Ve!!ctJbl~s
Protection from Contamination ,,/1 Ig To,ic sub'>wnces Droperlv idenlilied.stored and used/9.Food Separated &prolected.pre\ented during load '"ater/Plumbing./Dreoaralion.storage.disolay.and tasling
10.Food contact surlncCn~RClUrnables :Cleaned and vi i'r Water from apprmed source:Plumbing installed;proper1/SaniliLcd at <,.....,.,t~1I'mnerature backtlo\\de\ice
II.Proper di'posii\on or rcturned.pre\'iously ser\ed or 1/20.ApprOl ed Se\\age Wastewater Disposal System.proper\vi reconditioned V disposal
Priority Foundation Items (2 Points "iola/ions ReI llire Corrective Actioll lVi/hill 10 dal's
0 I N ~c-R 0 I ""('Rl'N 0 A 0 Demonstration of Knowledge/Penonnel l '\0 A 0 Food Temperature Comrol/IdentificationTS-----T ~----'--~_J._
21.Person 111 charge present.demonstration of knO\\ledge,1/27.Proper cooling method used;Equipment Adequale toviandDcrformduties'Certilied Food \·Iana!!er (CF\I)V ~IJil1tain Product Temoernturc
./"Food Handler no unauthoriLed Derson.,nersonnel L.I 2X,ProneI'Dale .\Iarklng and disposition
Saft,\'rater.Rccordkeeping and Food Pat'kagc V ~9.Thermomcters pro\idcd.accurate.and calibrated:Chcmical
Labelinl>V Thermal te,t slriDs
t/?'Hot and Cold Wolter U\ailable:adcquate pressure.safe Permit Requirement,Prerequisite for Operation_j,
V 24.Required records a\ailable (shcllstock tag>:parasite \J 3().Food Establishment Permit (Current &Valid)dellt'uction I:Packaued Food labeled
-n LJ
Conformance"ith Approved Procedures Vtcnsils,Equipmcnt,and Veuding
~5.ComplIance \\ith Variance.Speciali7cd Process.and 31.Adcquate hand\\ashlng facilities:Accessible and properlyHACCPpian:Variancc obtained for specialized
processilH.!I11clhod~:manut:1clllrer il1struction~vi suppl ied.u,ed
Consu mer Ad,isory 17 3~.Food and :\on-rood Contact surfaces cleanahle.properly•..•...deSlgncd.conslructed.and used
V 26.Posting ofConsulllcr Ad\Isorics:fa\\or under cooked [/33.\Varc\\:1shillg Facilities:in::,talled.maintained.lIsed/
lood,(DiE-closure Reminder'Buffel Plate)Aller!!en Label t...-'Sen ice sink or curb cleaninQ facility provided
Core Items (I Point)Violatiolls Real/ire Corrective Action Sot to Exceed 90 Days or Nex!Jllsoccrioll .IH,icllel'er Cumes Firs/
0 t :-."c R 0 I :-."c-Itl'N 0 ,\0 Prel'ention of Food Conlamination l'"0 II 0 Food IdentificationTsT~
v'34.:--;0 E\idence of Insect contamination.rodelll'olhcr 1/41.0riglnal containcr labeling (Bulk Food)
animals Iv
,/35.Per\onal Cleanlmcs~eatll1!.!.drlllki11!..!or tohacco u~c -Phvsical Facilities
l~36.\'Inin!!Cloths:oroDcrh u>ed and >tored r:r-42"'-on-Food Contact surf;tces clcan
I 37.Em ironml.!lltai COllw.J11[J1atton v 43.Adeuuate \cntilatl0n and liuhting:designated areas usedIIu'3X.AllnrO\cd lh:1\\in!.!method ../44.Garbage and Rclttse properl)dispo,ed:facilIties maintatned
Propcr l'se of Vtensils ,j 45.Ph"icalincilllies Installed.mallllained.and clean
/39.Ltcnsib.equipmcnt.&linens:propcrl\used.,lOred.:/'46"Toilet Faeilitie;:propcrly con>lructed,suppllcd.and clean
dried.&handled In use utensib:oroDerh uscd
.J .to.~.zlc-,en ice &.,ingle-use article;:properly stored ./.1'.Other VIolations
a16 ;i.VJ
Received by:/7)~/Pril1t:S4M rl SW£:d>S Titl/:{e.r~~en Chargr~wner(signature)5>.,Nt 61,,__
Inspected by:-J(/.I/~"f)f f(_pril1PA't...,,/~--~/,17 Bu~ille!ts Email:
(:-.igIlJture)._...,-~"",'1 _
Form EH-06 (Revised 09-20iS)-I ,
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
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EstablU;nt151ci 5 I Phr/&{/tsIr};WA~I9JJJTv./7t.;z1-I L~1?2Jt#I Page~lJ
TEMPERATURE OBSERVATIONS
Item/Location Temp Item/Location Temp Item/Location Temp
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;;1"¥1d It.?if Il.'/-'V'
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OBSERVATIONS AND CORRECTIVE ACTIONS
Item AN INSPECTION OF YOUR ESTAI3L1SHMENT HAS BEEN MADE.YOUR AlTENTION IS DIRECTED TO THE CONDITIONS OBSERVED ANDNumberNOTEDBELOW:
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Rece:t~L.~,,-::)Print:5.Ai?_A-~S tt ll2.(1)'5 Ti~:Pt;son In lhal'ge/Owner(s;,mat r ;--')V 1"1 ~"f.:.
Inspected?ff_:'Wl1'v1 printfld ,trh c(_(s;lmature)•tv Ii/U Samples:Y N #collected
Form EH-06 (Rev;sec ~-2015)I I