HomeMy WebLinkAboutUMPHREY LEE CENTER 2017.12.18Dallas County Health and Human Services -Environmental Health Division
Retail Food Establishment Inspection Report
2377:\.STDUIO:\S FRWY.,R\1607,DALLAS,TX 75207 214-819-2115 FAX:214-819-2868
-I~e/r?/I r I Time in:I Time out:J License/Permit #
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Risk Calegory PageL ofL2f)1l.-({)n fJ 1-1/.f7.I-
PurPose of Inspection:I I l-Compliance I I 2-Routine I I 3-Field Investigation'I I 4-Visit I I SoOther TOTAUSCORE
Esrt;:l/rhn~1(J (J_fp ~1-fPI )t}X;llact,~c~d7Ot1 I *.'Iumber of Repeat Violations:__(j)n..t-m ./;-';umber of Violations COS:--
PhYSiCa~d~ess:(J 1)I Citv'Countv;'/,fi 0111 A Zip Code:l'hone:R~~r0 I FollOW-lip:Yes.dO Lltl V fA h,',/(Jy)(U'1b'1//L _0 ,J.II);-';0 (circle one)-
Compliance Status!IOut=not in compliance IN =in compliance :\'0 =not observed :\,A =not applicable COS =corrected on site R =repeat violation
Mark the appropriate points in the OUT box for each numbered ilem Mark''/'a chockmark in appropriate box for I:\',1'0.NA.COS Mark all asterisk'*'in appropriate box for R
Priority Items (3 Points)violation.\'Re lIire Immediate Correctil'e Action IUlt to exceed 3days
Compliance Status Compliance Status
0 I N r;C Time and Temperature for Food Safety R 0 I N :-;C RUN0A0VN0A0EmployeeHealthTS(F =degrees Fahrenheit)T S
vII'I.Proper cooling time and temperature 12.l\lanagement.food employees and conditional employees;
I knowledge.responsibilities.and reporting
1/2.Proper Cold Holding temperature(41 of/45°F)13.Proper use of restriction and exclusion:No discharge tromV(./eves,nose,and mouthX3.Proper Hot Holding temperature(I3S0F)Preventing Contamination by Hands
t/4.Proper cooking time and tempera11lre ,/14.Hands cleaned and properlv washed/Gloves used properly
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5.Proper reheating procedure for hot holding (165°F in 2 vt 15."'0 bare hand contact with ready to eat foods or approved
Hours)alternate method properlv followed (APPROVED y N )
l./6.Time as a Public Health Control:procedures &records Highlv Susceptible Populations
Approved Source J 16.Pasteurized foods used;prohibited food not offered
Pasteurized eggs used when required
7.Food and ice obtained tram appro"ed source:Food in
good condition,safe,and unadulterated:parasite Chemicals{/destruction
8.Food Received at proper temperature J 17.Food additives;approved and properly stored;Washing FntitsV&Vegetables
Protection from Contamination 1/1 18.Toxic substances properly identified.stored and used
9.Food Separated &protected.pre"ented during food Water/Plumbing1./preparation.storage,display.and tasting
IO.Food contact surfaces and Returnables:Cleaned and 19.Water trom approved source;Plumbing installed:propert./Sanitiled at t'b ppm/temperature V backtlow de,'ice
'"II.Proper disposition of rellimed,previously servcd or
../20.Approved Scwage/Wastewater Disposal System,properVreconditioneddisposal
Priority Foundation Items (2 Points violations Ret tdre Corrective Action withill 10 days
0 I N :01 C R 0 I N ~C RUN0A0DemonstrationofKIlO\\ledge/Personnel 1.:N 0 A 0 Food Temperature Control/IdentificationTSTS
V 21.Person in chargc present,demonstration of knowledgc./"27.Proper cool ing method used:Equipment Adequate toC/~and perform duties'Certified Food Mana~cr (CFM)v'Maintain Product Temperaturev12.Food Handler!no unauthorized persons/personnel (/28.Propcr Date Marking and disposition
Safe Wat('r.Rccordkeeping and Food Package
../29.Thermometers provided.accurate.and calibrated;Chemical!
Labelin2 Thermal test strips
(/~,Hot and Cold Water available:adequate pressure.safe Permit Requirement,Prerequisite for Operation_0.
/'24.Required records available (shellstock tags:parasite vr 30.Fo0'bE~t~b.li~ent}1~nJt ~ren\,f ~1~dpvdcstruction):Pacbued Food lahelcd
Conformance with Appro\'ed Procedures I Utensils,Equi~mcnt,hdVcnd[ng~m vY 25.Compliance with Variance.Specialized Process,and 31.Adequate handwashing facilities:Accessible and properlyHACCPpian;Variance obtained for specialized
•...)"supplied.usedprocessingmethods:manufacturer instructions
Consumer Ad\'isory 32.Food and Non-food Contact surfaces cleanable.properly
v designed.constructed.and usedvr26.Posting of Consumer Ad\'isories:raw or under cooked
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33.Ware\\ashing Facilities:installed.maintained.used/
foods (Disclosure/Reminder/Buffet Plate)'Alleruen Label Ser\'ice sink or curb cleaning facility provided
Core Items (I Point)Violatiolls Require Correctivt'Actioll Not to Exceed 90 Days or Next Inspection,~~1Iicllel'er Comes First
0 I N N C It 0 t N N C RUN0A0PreventionofFoodContaminationl!0 "0 Food IdentificationTSTS
V"34.No Evidence of Insect contamination.rodenllother 41.0riginal container labeling (Bulk Food)
animals ,.).,
v 35.Personal Cleanliness/eating.drinking or tobacco use Phvsical Facilities
[/36.Wipin~Cloths:properly used and storecl v 42.Non·Food Contact surfaces clean
''//"37.En\'ironmelltal contamination .....-43.Adequate ventilation and lighting:designated areas used
V 3g.Appro'ed thawing method v 44.Garbage and Refuse properly disposed:facilities maintained
Proper Use of Utensils L-45.Physical facilitie,installed.mail11ained,and clean
JV 39.Ctensils.equipment.&linens:properly used.stored.46.Toilet Facilities;properly constructed,supplied.and clcan
dried.&handledl In use utensils;properlv used (......V
40.Sli~lc-sen icc &single-usc articles;properly stored
LV 47.Other ViolationsvanduI
Received by:n .Print:An1'1 /})//1 ('r::'Title:Person In Charge/Owner(signature)1-/.4..
Inspected by:r
~U("'I..t1-~;::r-Print:fthr.t;;()1I1()Business Email:
(signature)~{)._,.0"-Form EH-06 (Revised 09·2015)-U 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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Establi~l ~"J -(.t.~~rPhYSiCal Address:
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I TEMPERi\TURE OBSERVATIONS I I
Item/Location Temp Item/Location Temp Item/Location Temp
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OBSERV ATIONS AND CORRECTIVE ACTIONS
Ilem AN INSPECTION OF YOUR ESTABLISHMENT HAS BEEN MADE.YOUR ATrENTION IS DIRECTED TO THE CONDITIONS OBSERVED ANDNumberNOTEDBELOW:
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Received by:><l_)Print:i-7f tn{/Ihh (C Title:Person In Charge/Owner(siQnature)_I '-.Inspected by:/
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Print:('?AJ L :&/~_eJOl /(1.0(siQnature),f_c::j ..........Samples:Y N #collected
Form EH-06(Re~ised09-2015)f}~r -v