HomeMy WebLinkAboutCVS PHARMACY 2018.07.24Dallas County Health and Human Services-Environmental Health Division
Retail Food Establishment Inspection Report
2377 N. STEMMONS FRWV., RM 607, DALLAS, TX 75207 214-819-2115 FAX: 214-819-2868
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~j Z <-/ i'Zd r~ in: I Ti me out: J License/Permit # I Est. Type I Risk Category Pagq_ of _L-f--
Purpose ofh spection: l J 1-Compliance L!-:::1 2-Routine L J 3-Field Investigation L J 4-Visit L J 5-0tber TOTAUSCORE
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* Number of Repeat Violations:__ /2)
.f Number of Violations COS:__ /")
I Phone: I Follow-up: Yes { L,_
No (circle one) \
Compliance Status: ,~not ;;;-compliance lN = in complian~O = 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\da 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 Corrective Action not to exceed 3 days
Compliance Status
0 I N N C
UN O_..A 0
T / S
/
V/
V/
vj
I
/
/
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 Hold ing temperature(l35°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
~· Food Separated & protected, prevented during food
/ preparation, storage, display, and tasting
\1 /10. Food contact surfaces and Returnables ; Cleaned and
/ Sanitized at ppm/temperature
/ II. Proper disposition of returned, previously served or
reconditioned
R
Priority Foundation Items (2 Points
0 I u N
T
,I
N N C R
0 A 0 Demonstration of Knowledge/ Personnel
/
s ./
/-1-Person in charge present, demonstration of knowledge,
1/ .)l'hd perform duties/ Certified Food Manager (CFM)
,/ 22. Food Handler/ no unauthorized persons/ personnel
Safe Water, Recordkeeping and ·Food Package
La be line
23. Hot and Cold Water available; adequate pressure, safe
24. Required records available (shell stock tags; parasite
destruction); Packaged Food labeled
Conformance with Approved Procedures
Y 25. Compliance with Variance, Specialized Process, and
HACCP plan; Variance obtained for specialized
L processing methods; manufacturer instructions
/
Consumer Advisory
Compliance Status
0 I N 'N C
UN .Q"AO
T / S
I ,
I V I I
I
/
Employee Health
12. Management, food employees and co
1
nditional employees;
knowledge, responsibilities, and reporting
13. Proper use of restriction and exclusion; No discharge from
eyes, nose, and mouth
/ Preventine Contamination by Hands
14. Hands cleaned and properly washed/ Gloves used properly
15. No bare hand contact with ready to eat foods or approved
alternate method properly followed (APPROVED Y N )
Hiehly Susceptible Populations
16. 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
backflow device
20. Approved Sewage/Wastewater Disposal System, proper
disposal
violations Re 11ire Corrective Action within 10 days
0 I N N C
UN OIA 0
T V S
Food Temperature Control/Identification
/ ....
lv
/
/
J.:· 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 Rf9!irement, Prerequisite for Operation
Ute~sils, Equi)inent, and Vending
3 1. Adequate handwashing faci lities: Accessible and properly
supplied, used
V 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 Plate)/ Allergen Label Service sink or curb cleaning faci lity provided
Core Items (1 Point) Viollllions Require Co"ective Action Not to Exceed 90 Days or Ne.xt lnspectio11 , Whichever Comes First
0 u
T
I N N'
I/
I/
N C
A.. 0 s
/
Received by:
(signature)
Prevention of Food Contamination
34. No Evidence of Insect contamination, rodent/other
animals
35. Personal Cleanli ness/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
Inspected by~J · :"' \
(signature) 1--"r \ hr.:\ 1 <;..A
Form EH-OG~).sed 09-2015) I
R OINNC ,-
~ N 0 A X Food Identification
II 4I.Original container labeling (Bulk Food)
Physical Facilities
42. Non-Food Contact surfaces clean
v, 43. Adequate ventilation and lighting; designated areas used
/ f/ 44. Garbage and Refuse properly disposed; facilities maintained
45. Physical facilities installed, maintained, and clean v 46. Toilet Facilities; properly constructed, supplied, and clean
47. Other Violations
Print: C::. L. .Jo..v ic.r osorv,; o Title: Person In Charge/ Owner
Print: Business Email:
R
R
R
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Dallas County Health and Human Services -Environmental Health Division
Retail Food Establishment Inspection Report
2377 N. STEMMONS FRWY., RM 607, DALLAS, TX 75207 214-819-211 5 FAX: 214-819-2868 ..., ,_,
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Item/Location { Temp Hem/Location ......_... Temp Item/Location ...._.. Temp
OBSERVATIONS AND CORRECTIVE ACTIONS
Item AN INSPECTION OF YOUR ESTABLISHMENT HAS BEEN MADE. YOUR ATTENTION IS DIRECTED TO THE CONDITIONS OBSERVED AND
Number NOTED BELOW:
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Received by(\ ~/~ Print: Scv.r~ ~osor~.· o Title: Person In Charge/ Owner
(signature) i e.r
Inspe~Ye~ I (signatu e) r\\ ~ h«N hv~~ ~nt:1~( Samples: Y N #collected
FormE~ ~vised 09-2015) -I
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