HomeMy WebLinkAboutPI KIPPA ALPHA 2018.03.20Dallas County Health and Human Services -Environmental Health Division
Retail Food Establishment Inspection Report
2377:\.STDL"IO.'<S FRWY.,R:Y1607,DALLAS,TX 75207 21-'-819-2115 FAX:214-819-2868
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Da~-'In }({rUn r I Time out:J License/Pamit II I Est.Type I Risk Category Pagc_of L----
PurDose (fIDsnect Ion:I I I-Comnliance I c:./l 2-Routine I I 3-Field Investie:ation I I 4-Visit I I 5-0tIler TOJA(1'c,..."''''•.•
Esta~cnt ~ne:filo~~ContactiOwner ame:
I
*"",umber of Repeat Violations:__(-}J/i )~n(~./:"iumoer of Violations COS:--
PhYSiCaf~s?)C;'I)_h'/It,'v~rT\'lt~~hW;U(e:I Phone:I Follow-up:Yes
:"io (circle one)
Compliance Status!=in complianMO =not ob,ened -Out =not in compliance I ;-IA =not applicable COS =corrected on site R =repeat violation
Mark the aooroori.te ooinL'in the OUT box for each numbered item Mark''/'ncheck mark in appropriate box for 11\,:"0.NA.COS 1\'larkan asterisk'*.in aDDropriate box for R
Priority Items (3 Points)violatiolls Re uire Immel/iate Correclire ActiollllOt to exceed 3days
Comnliance Stahls Comnliance Status
0 I N :-;C Time and Temperature for Food Safety R 0 I ~'i C R
U N 0 A 0 1.:
N IJ'A 0 Employee Health
T 1......-s (F =degrees Fahrenheit)T S
!IV I.Proper cooling time and temperature I 12.1\1anagement,food employees and conditional employees:
/',kno\\ledge,responsibilities,and reporting
L~/1;-2.Proper Cold Holding temper~ture(41 OF!45°F)/13.Proper use of restriction and exclusion:No discharge from
/cves.nose,and mouth
I,./3.Proper Hot Holding tcmperature(135°F)/Preventin2 Contamination bv Hands
•.1/4.Proper cooking time and temperature f /l-l.Hands cleaned and properly washed/Gloves used properly
V 5.Proper reheating procedure ror hot holding (165°F in 2 VII'15.No bare hand contact with ready to eat foods or approved
~Hours)altematc method properlv followed (APPROVED y N )
"v 6.Time as a Public Health Control:procedures &records .".-Highly Susceptible POI)ulations
Approved Source 16.Pasteurized foods used:prohibitcd food not offered
Pasteurized eggs used when required
l/7.Food and ice obtained from approved sourcc:Food in
v'1/good condition.safe.and unadulterated;parasite Chemicals,destruction .~/v 8.Food Received at proper temperature r 17.Food additives:approved and properly stored:Washing FruitsV1/-&Vegetables
/Protection from Contamination /l 18.Toxic substances properlv identified.stored and used
IP 9.Food Scparated &protected.prevented during food Water/Plumbing-preparation.storage.displav,and tasting
lX'/V 10.Food contact surfaces and Returnables:Cleaned and
/1/
19.Water from approved source;Plumbing installed:proper
Sanitized at ppm/temperature backflow device
01 II.Proper disposition ofretumcd,previously served or /20.Approved Sewage/Wastewater Disposal System,proper
reconditioned disposal
Priority Foundation Items (2 Points)violathllls Re.lIire Corrective Actioll withill 10 days
0 I N l'C R 0 I N "C R
U N °l~0 Demonstration of Knowledge/Personnel l:~A 0 Food Temperature Control/IdentificationTSTS1,...••••IZperson in charge present.demonstration ofkI1O\vledgc,1[/27.Proper cool ing method used:Equipment Adequate to
and perform duties/Certified Food Manager (CFM)/tvlaintain Product Temperature
L"'"22.Food Handler/no unauthorized persons/personnel //28.Proper Date Marking and disposition
/Safe Water,Rccordkeeping and Food Package (1/29.Thermometers provided.accurate.and calibrated:Chemical!
-Labeling Thermal test strips
CI /V23.Hot and Cold Water available:adequate pressure.safe /Permit Requirement,Prerequisite for Operation
V 24.Required records available (shellstock tags:parasitc V1 30.Food Establishment Permit (Current &Valid)destruction):Packaged Food labeled
I"Conformance with Approved Procedures t /Utensils,Equipment,and Vending
~
25.Compliance with Variance.Specialized Process.and ~
HACCP pian:Variance obtained for specialized ~/31.Adequate handwashing facilities:Accessible and properly
pr¢;essing methods:manufacturer instructions suppl ied,used
j
/Consumer Advisory X 32.Food and Non-food Contact surfaces cleanable.properly
.I /designed.constructed.and used
\(26.Posting of Consumer Advisories:raw or under cooked ./33.Warewashing Facilities:installed.maintained,used/
foods (Disclosure/Reminder/Buffet Plate)'Allergen Lahel Scrvice sink or curb cleaning facility provided
Core Items (I Point)Violatiolls Reallire Corrective Actioll N{)t to Exceed 90 DaJ's or Next b,spectioll.JH,icl,el'f!T Comes First
0 I N N C R 0 I N N Va R
U N 0 A 0 Prevention of Food Contamination t:l'°IP Food Identific:ltionT/S T S
Iv 34.No Evidence of Insect contamination.rodent/other ./41.0riginal container labeling (Bulk Food)l/animals
V /35.Personal Cleanliness/eating.drinking or tobacco use /Phvsical facilities
i/V V 36.Wiping Cloths:properly used and stored ,.../42.;-.Jon-Food Contact surfaces clean
V /37.Environmental contamination IV /"/43.Adequate ,·entilation and lighting:designated areas used
I '0 38.Appro,ed tha\\ing method ~).•.H Garbage and Refuse properly disposed;facilities maintained
/Proner Use of Utensils 11\/45.Physical facilities installed.maintained.and clean
IX V 39.Utensils.equipment,&linens:properly used.stored.V 46.Toilet Facilities;properly constructed.supplied.and clean/dried.&handled/In use utensils:properlv used ../
.;40.Single-service &singlc-use articles:properly stored 47 .Other Violations
and used
Received by:I/"-/-;l-/~,Print:!-r~t.f i /;;1 I !--"Title:Person In Charge/Owner
(signature)
Inspected bf1(\v {~~.~IU Print:v Business Email:
(signature)Irv;:d;~.
Form EH-06 (Revised 0'-2015 \t
Dallas County Health and Human Services -Environmental Health Division
Retail Food Establishment Inspection Report
2377 N.STE,\"'IO;'l;S mWY.,R:VI607,DALLAS.TX 75207 21.t-819-2115 FAX:214-819-2868
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Esta61:vfll Nt1~~J ~\()~lYSiCal Ad~~UifA'/I Citttu ~~l h-r~;:~#I PageLcfL_
I I \TEMPERATURE OBSERVATIONS (-Item/Location Temp Item/Location Temp Item/Location Temp
OBSERV ATIONS AND CORRECTIVE ACTIONS
Item AN INSPECTION OF YOUR ESTABLISHMENT HAS BEEN MADE.YO R ATTENTION IS DIRECTED TO THE CONDITIONS OBSERVED ANDumberNOTEDBELOW:
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Received bJ ~/,.)t~p~nt:rrLd W~(lp Title:Person In Charge/Owner
(signature).
Inspe~~lY:\rv{(I~htt1--bft.h 1(/~t:
.
(sigl1atu Samples:Y N #collected
Form EH-06 :RevIs d 09-2015)~-~.I,