HomeMy WebLinkAboutLUMEN FRONT ROOM 2017.09.12Dallas County Health and Human Services -Environmental Health Division
Retail Food Establishment Inspection Report
2377:".STDL\IO:"S FRWY.,R:\,I 607,DALLAS,TX 75207 214-819-2115 FAX:214-819-2868
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~~J~-1"1--1 Time in:1 Timeout:/1 License/Permitifif ff/~7/1 Est.Type 1 Risk Category Page I oW
PurDose of Inspection:I I I-Compliance I lA 2-Routine I I 3-Field Investij!ation I I 4-Visit I I 5-0ther TOTAUSCORE
Estall/Jp/l5J:mmr iltfll1 I Contaat,O\\"ner Name:h1.Jb8'~d*:'\umber of Rep.at Violations:__SUmw.'-.-'>'1 ,/Number of Violations COS:__
Physict!/?J1 ffiLJ-tr1eoT I !Jllfl1lwwmmdrCj I Phon~)t-f:?ll9-fJ~FolI()w-~p:Yes~.-'No (cIrcle one)
Comilliance Status:Out =not in compliance IN =in compl~lllce 1'\0 =notobserved A =not applicable COS =corrected onsite R =repeat violation
Mark the aooraoriate noints intheOUT box foreachnumbered item Mark ,,/.acheckmark in appropriate box for IN.J';O.NA.COS Mark an asterisk'*'in aODrooriateboxfor R
Priority Items (3 Points)violations Re uire Immediate Correctil'e Action 1I0tto exceed 3 days
Compliance Status Compliance Status
0 I N Ii C Time and Temperature for Food Safety R 0 I N l'C R
U N 0 A 0 U N 0 A 0 Employee Health
T S (F =degrees Fahrenheit)T S
VI<I.Proper cooling time and temperature '"12.Management.food employees and conditional employees;
.V kno"ledge.responsibilities,and repOI1in~
t..-v 2.Proper Cold Holding temperature(4 I°F/.J5°F)•......-13.Proper use of restriction and exclusion;No discharge from
eves.nose.and mouth
1..1 3.Proper Hot Holding temperature(135°F)'"Preventing Contamination by Hands,~4.ProDercookinl!time and temperature •..14.Hands cleaned and properly washed/Gloves used orooerly
V 5.Proper reheating procedure for hot holding (16S0F in 2 ,il.....)·....IS.No bare hand contact with ready to eat foods or approvedIIHours)alternate method properlv followed (APPROVED y N )
V 6.Time as a Public Health Control:orocedures &records Highly Susceptible POilUlations
Approved Source vf-16.Pasteurized foods used;prohibited food not offered
Pasteurized e2[!Sused when required
7.Food and ice obtained fromapproved source:Food in
IV-good condition,safe,and unadulterated;parasite Chemicals
destruction
LV 8.Food Received at proper temperature vt 17.Food additives;approved and properly stored;Washing Fruits
&Vegetables
Protection from Contamination VI 18.Toxic substances properly identified.stored and used•...9.Food Separated &protected.prevented during food Water/Plumbing
V preoaration.storage,disolay.and tasting~10.Food contffl;YJres and Returnables;Cleaned and 19.Water IrDlnapproved source;Plumbing installed;proper
Santtlzed at oem/temperature Vh backfiow device
",1/II.Proper disposition of returned,previously served or .vy-20.Approved Sewage/Wastewater Disposal System,proper
reconditioned disposal
Priority Foundation Items (2 Points violations Re,"ire Corrective Actioll withi"10 days
0 I N N C R 0 I N N C R
U N 0 A 0 Demonstration of Knowledge/Personnel u N 0 A 0 Food Temperature ControU IdentificationTsTS
V 21.Person in charge present,demonstration of knowledge......,"'"21-Proper cooling method used:Equipment Adequate to/,..••..and perform duties/Certified Food t\.lanager (CFM)t\.laintain Product Temperature
v 22.Food Handler/no unauthorized oersonsl personnel v 28.Proper Date Marking and disposition
Safe Water,Recordkeeping and Food Package V"•....29.Thermometers provided.accurate.and calibrated:Chemicall
Labeling Therma I test strips
..-t bA .23.Hot and Cold Water available:adequate pressure.safe Permit Requirement,Prerequisite for Operation-
,,/(~rf'_24.Required records available (shellstock tags:parasite f 30.Food Establishment perrni~urr~Valid)-t/'destruction);Packaged Food labeled
Conformance with Approved Procedures •....
Utensils,Equipment,and Vending
{25.Compliance with Variance.Specialized Process,and 31 Adequate handwashing facilities:Accessible and properlyHACCPplan:Variance obtained for specializcd ••....supplied.usedprocessinl!methods:manufacturer instructions/~,Consumer Advisory ~~32.Food and Non-food Contact surfaces cleanable.properly
designed.constructed.and used
~'{11~V26.Posting of Consumer Advisories:raw or under cooked v'33.Warewashing Facilities;installed.maintained.used/
foods (Disclosure/Reminder/BuITet Plate)!Allergen Label Service sink or curb cleaning facility pro,ided
Core Items (I Point)Violatiolls Reqllire Corrective Action N()t III Exceed 90 DOl'Sor Next Illspectioll.Whicl,el'er Comes First
0 I N N C R 0 I N N C RUN0A0PreventionofFoodContaminationuN0;\0 Food IdentificationTSTS
34.No Evidence of Insect contamination.rodent/other V"41.0riginal container labeling (Bulk Food)
V animals..-3S.Personal Cleanliness/eating.drinking or tobacco use Physical Facilitiesv36.WiDin~Cloths:orooerly used and stored v 42.Non..Food Contact surfaces clean,v 37.En\·ironmental contamination V 43.Adequate ventilation and lightin~:designated areas used
II'38.Aooroved thawinl!method I 44.Garbage and Refuse properly disposed:facilities maintained
Pruner Use of Utensils ,.•...4S.Physical facilities installed.maintained.and clean
\/)39.Utensils.equipment.&linens:properly used.stored.y 46.Toilet Facilities:properly constructed.supplied.and clean
dried.&handled/In use utensils:properlv used
IV 40.Single-service &single..use articles;properly stored .I 47.Other Violations
-and used ~
Received~(/~~>V-+Print:
~-_Title:Person In Chargel Owner
(signature)"A
Inspected by:
~IJWUA_~1M Print:~\.)D-1 PhltU'd~Business Email:
(signature)
Form EH..06 (Revised 09·201.5../I I ,
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
Itemli,.ocation Temp ltemlLocation Temp ltemlLocation TempTh<r___'-I}/(~fl..lo{-if/
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OBSERVATIONS AND CORRECTIVE ACTIONS
Item AN INSPECTION OF YOUR ESTABLISHMENT HAS BEEN MADE.YOUR ATTENTION IS DIRECTED TO THE CONDITIONS OBSERVED ANDNumberNOTEDBELOW;
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Received by'1";L'-./~---Print:tv\:t_h_\-s N,Title:Person In Charge/Owner(signature)_./'\A \~tl,V\(,.,2--
Inspected by:lK-+VA V1,f;?J\(h S Print:f'lUJJY f-Jh I~05'(signature)Samples;Y N #collected
Form EH-06 (Revised 09-2~~,-f I