HomeMy WebLinkAboutBELOW 40 2018.07.26Dallas County Health and Human Services-Enviro.O~ H:rn Di~
Retail Food Establishment Inspection Report
2377 N. STEMMONS FRWY., RM 607, DALLAS, TX 75207 214-819-2115 FAX: 214-81 9-2~ ctV)~£~
~ ;J_v I;;O\ V I Time out: I License/Permit # I Est. Type /gory
Purpo oflnsoae+~: L J 1-Compliance r l 2-Routine r l 3-Field lnvesti~:ation r l 4-Visit L :..::r 5-0tber T ORE
Establishment I~ (\...) L~CJ I
Contact/Owner Nam~: I ,fl .~ Number of Repeat Violations: __ V\ O If\ V\ \ / J--tft !)l~r of Violations COS: __
I follow-up: Yes
No (circle one)
I \ {)}
Compliance Status: Out= not in compliance IN = in compliance NO = ~bs~d A = not applicable COS= corrected on site R = repeat violati\n /
Mark the appropriate peints in the OUT box for each numbered item Mark './' a che{bna.rk in appropriate box for IN, NO. NA. COS Mark an asterisk ' * ' in app~riate w{ for R
Compliance Status
0 I N N C
U N 0 A 0
T S
0 I
U N
T
0 I
U N
T
N N C
0 A 0 s
N N C
0 A 0 s
/
J
Received by:
{signature)
Priority Items (3 Points) violatiom· Re uire '11trmediate Corrective Action not to exceed 3 days -
Time and Temperature for Food Safety
(F =degrees Fahrenheit)
I. Proper cooling time and temperature
2. Proper Cold Holding temperature( 41 °f/ 45°f )
3. Proper Hot Holding temperature( 135°f )
4. Proper cooking time and temperature
5. Proper reheating procedure for hot holding (165°f in 2
Hours)
6. Time as a Public Health Control; procedures & records
Approved Source
7. Food and ice obtained from approved source; Food in
good condition, safe. and unadulterated; parasite
destruction
8. Food Received at proper temperature
Protection from Contamination
9. Food Separated & protected, prevented during food
preparation, storage, display, and tasting
I 0. Food contact surfaces and Returnables ; Cleaned and
Sanitized at ppm/temperature
II . Proper disposition of returned, previously served or
recondi tioned
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Compliance Status
0 I N N C
U N 0 A 0
T S
Employee Health
12. Management, food employees and conditional employees;
knowledge. responsibilities, and reporting
13. Proper use of restriction and exclusion; No discharge from
eyes, nose, and mouth
Preventing Contamination by Hands
I 14. Hands cleaned and properly washed/ Gloves used properly
/
I I
15. No bare hand contact with ready to eat foods or approved
alternate method properly followed (APPROVED Y N )
Hil!.hlv Susceptible Populations v! 6. Pasteurized foods used; prohibited food not offered
/ Pasteurized eggs used when required
Chemicals
17. Food additives; approved and properly stored; Washing Fruits
& Vegetables
18. Toxic substances properly identified, stored and used
Water/ Plumbing
19. Water from approved source; Plumbing installed; proper
back.flow device
20. Approved Sewage/Wastewater Disposal System, proper
disposal
Priority Foundation Items (2 Points violations Re uire Corrective Action within 10 days
R 0 I N N C
Demonstration of Knowledge/ Personnel u N o A 0 Food Temperature ControV Identification
21. Person in charge present, demonstration of knowledge,
and perform duties/ Certi fied Food Manager (CFM)
22. Food Handler/ no unauthori zed persons/ personnel
Safe Water, Recordkeeping and Food Package
Labeling
23 . Hot and Cold Water available; adequate pressure, safe
24. Required records available (shellstock tags; parasite
destruction); Packaged Food labeled
Conformance with Approved Procedures
25. Compliance with Variance, Specialized Process, and
HACCP plan; Variance obtained for specialized
processing methods; manufacturer instructions
Consumer Advisory
T S
27. Proper cooling method used; Equipment Adequate to
Maintain Product Temperature
28. Proper Date Marking and disposition
29. Thermometers provided, accurate, and calibrated; Chemical/
Thermal test strips
Permit Requirement, Prerequisite for Operation
30. Food Establishment Permit (Current & Valid)
Utensils, Equipment, and Vending
31 . Adequate handwashing fac ilities: Accessible and properly
supplied, used
32. Food and Non-food Contact surfaces cleanable. properly
designed, constructed, and used
26. Posting of Consumer Advisories; raw or under cooked 33. Warewashing Facilities; installed, maintained, used/
foods (Disclosure/Reminder/Buffet Pl ate)/ Allergen Label Service sink or curb cleaning facility provided
Core Items (1 Point) Violations Require Corrective Action Not to Exceed 90 Days or N~t:t Inspection, Whichever Comes First
R 0 I N N C
Prevention of Food Contamination u N 0 A 0 Food Identification
34. No Evidence of Insect contamination, rodent/other
animals
35. Personal Cleanliness/eating, drinking or tobacco use
36. Wiping Cloths; properly used and stored
37. Environmental contamination
38. Approved thawing method
Proper Use of Utensils
39. Utensils, equipment. & linens; properly used. stored.
dried, & handled/ In use utensils; properly used
40. Single-service & single-use articles; properly stored
and used
T S
Print:
Print:
41 .0riginal container labeling (Bulk. Food)
Physical Facilities
42. Non-Food Contact surfaces clean
43. Adequate ventilation and lighting; designated areas used
44. Garbage and Refuse properly disposed; fac ilities maintained
45. Physical facilities installed, maintained, and clean
46. Toilet Facilities; properly constructed, supplied, and clean
47. Other Violations
Title: Person In Charge/ Owner
Business Email:
Form EH-06 (~!1!U9-2015)
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Dallas County Health and Human Services-Environmental Health Division
Retail Food Establishment Inspection Report
2377 N. STEMMO S FRWY., RM 607, DALLAS, TX 75207 214-819-2115 FAX: 214-819-2868
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-TEMPERATURE OBSERVA TJONS J J
I tern/Location Temp Item/Location Temp Item/Location Temp
Item
Number
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OBSERVATIONS AND CORRECTIVE ACTIONS
AN INSPECTION OF YOUR ESTABLISHMENT HAS BEEN MADE. YOUR ATTENTION IS DIRECTED TO THE CONDITIONS OBSERVED AND
NOTED BELOW:
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Title: Person In Charge/ Owner
Samples: Y N #collected
Form EH·n'lo;. -_.5) .....__ I -