HomeMy WebLinkAboutLA MADELEINE 2017.09.13Dallas County Health and Human Services -Environmental Health Division
Retail Food Establishment Inspection Report
2377:\.STE;\L\IO\,S FRW),.,R:\-1607,DALLAS,TX 75207 214-819-2115 FAX:21-1-819-2868
'~3-r1'l Time in:
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Time Ollt:
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Lic~nse/Permit #go41-1
Est.Type
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Risk Category Page _!ofa{;
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Purpose of Inspection:I I I-Compliance I V1 2-Routine I I 3-Field Invcstij!ation I I 4-Visit I I 5-0ther TOTAL/SCORE
ESLAlt11~tA7k LE../P.o.;ctt £I.c.!!.~nvner Name:f1Ck~JL-I
*:\'umbcr of Repeat Violations:__,JfJ £.tJf)'LJY-f ~I1W ./~ull1ber of Violations COS:--
~Physical Address3D 7a Vlrx.k PA11N1ty:M9~~Phoner;./'f ftJ1(p-(/II j Follow-~p:YesINbAJ'\U6JMI .Id No (CIrcle one)
Compliance Status:Out =not in compliance IN =in complia/ce 1\0 =not observed NA =not applicable COS =corrected on site R =repeat violation
Mark the appropriate points in the OUT box for each numbered item Mark ,./.a checkmark in appropriate box for IN,NO.NA.COS Mark an asterisk'*.in appropriate box for R
Priority Items (3 Points)violations Re,uire Immediate Correctil'(!Action II0t to exceul3 days
Compliance Status Compliance Status
0 I N N C Time and Temperature for Food Safety R 0 r N N C RUN0A0UN0A0EmployeeHealthTS(F =degrees Fahrenheit)T S
I.Proper cooling time and temperature V 12.Management.food employees and conditional employees:c.V •....kno\\,ledge,responsibilities.and reporting
tv 2.Proper Cold Holding temperature(41°F/45°F)•.....13.Proper use of restriction and exclusion;No discharge from
eyes,nose,and mouth•...3.Proper Hot Holding temperature(135°F)Pr~ventin2 Contamination by Hands,-""4.Proper cooking time and temperature ..-r 14.Hands cleaned and properly washed/Gloves used properly
••V'5.Proper reheating procedure for hot holding (165°F in 2 .t 15.No bare hand contact with ready to eat foods or approved
Hours)altemate method properlv followed (APPROVED y N )-6.Time as a Public Health Control;procedures &records Hi2hh'Susceptible Populations
Approved Source
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16.Pasteurized foods used;prohibited food not offered
Pasteurized eggs used when required
7.Food and ice obtained from approved source:Food in,,~good condition,safe.and unadulterated;parasite Chemicals
destruction
•...V 8.Food Recei\'ed at proper temperature f 17.Food additives:approved and properly stored;Washing Fruits
&Vegetables
Protection from Contamination 'I 18.Toxic substances properlv identified.stored and used
\<v 9.Food Separated &protected,prevented during food Water/Plumbing
preparation,storage.display,and tasting
J.,.V 10.Food cont~6~leturnables:Cleaned and ",1/19.Water Irom approved source;Plumbing instalted;proper
Sanitized at oom!lperature back flow device
v,..II.Proper dispositio~retumed,previously served or 20.Approved Sewage/Wastewater Disposal System,proper
reconditioned disposal
Priority Foundation Items (2 Points violations Re~lIire Corrective Actioll with ill 10 days
0 I N N C R 0 r N :>\C RUN0A0DemonstrationofKnowledge/Personnel u N 0 A 0 Food Temperature Control!IdentificationTSTS
•..V'21.Person in charge present.demonstration of knowledge,'/'27.Proper cooling method used:Equipment Adequate to
and perform duties!Certified Food Manager (CFM)\••..1/Maintain Product Temperature•..~22.Food Handler/no unauthorized personsl personnel V 2R.Proper Date Marking and disposition
Safe Water.Recordkeeping and Food Package v,v 29.Thermometers provided.accurate,and calibrated:Chemical!
Labelill2 Thermal test stripsv)"Hot and Cold Water available:adequate pressure,safe Permit Requirement,Prerequisite ror Operation_0.
./24.Required records available (shell stock tags:parasite -{30.Food Establishment Permit (Current &Valid)V~destruction):Packaged Food labeled
Conformance with Approved Procedures Utensils,Equipment,and Vending
i 25.Compliance with Variance.Specialized Process,and V 31.Adequate handwashing facilities:Accessible and properlyHACCPpian;Variance obtained for specialized V supplied,usedprocessingmethods:manufacturer instructions
Consumer Advisory IKv 32.Food and Non-food Contact surfaces cleanable,properly
designed,constructed.and used
1 26.Posting of Consumer Ad\'isories:raw or under cooked 33.Ware\\'ashing Facilities:installed,maintained.used/
foods (Disclosure/Reminder/Buffet Plate)!Allemen Lahel Service sink or curb cleaning facility provided
Core Items (1 Point)ViolaTiolls Reqllire Corrective Actioll Not to Exceed 90 Days or Next IIlspecTioll •Wlticltel'er Comes First
0 I N N C R 0 I N Ii C RUN0A0Prel'ention or Food Contamination U N 0 A 0 Food IdentificationTSTs
,,/34.)\io Evidence of Insect contamination,rodent/other yV 41.0riginal container labeling (Bulk Food)animals
.,/35.Personal Cleanliness/eating.drinking or tobacco use Physical Facilities./36.Wiping Cloths:oroperly used and stored '"42.Non-Food Contact surfaces clean"v 37.Environmental contamination •....~43.Adequate ventilation and lighting:designated areas used.,38.Approved thawing method -44 .Garbage and Refuse properly disposed:facilities maintained
Proper Use of Utensils HX'1/.•5.Phvsical facilities installed,maintained.and clean
\,V 39.Ctensils.equipment,&lincns:properly used.stored,(46.Toilet Facilities:properly constructed.supplied,and clean
/dried.&handled!In use utensils:properly used
~v 40.Single-se7 &single-use articles:properly stored •...V 47.Other Violations
and used Ii
Received by:
~~,~~~
PI'jnt:Title:Person In Charge/Owner(signature)"Inspeeted by:rJ...,~~lJi:')I PI'int:1f1,l)~ftt}L-4P~Business Email:(signature)r/~
Form EH-06 (Revised 09-2'i'w..c:\"
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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TEMPERATURE OBSERVATIONS
Item/Location Temp Item/Location Temp Item/Location Temp
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OBSERVATIONS AND CORRECfIVE ACTIONS
Item AN INSPECTION OF YOUR ESTABLISHMENT HAS BEEN MADE.YOUR ATTENTION IS DIRECTED TO THE CONDITIONS OBSERVED ANDNumberNOTEDBELOW:
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Received bpt....--f)71J J l/__~A 1 _/-/{/'c./z.,ftJt.nt:Title:Person In Charge!Owner(si{!naturel J.
Inspected by:vc::7-(;,tlU~rh~Print:~UDY j.JJ7ILLJ pS(si"nature)Samples:Y N #collected
Form EH-06 (Revised O~,,/