HomeMy WebLinkAboutSUSHI KYOTO 2018.08.14Dallas County Health and Human Services -Environmental Health Division
Retail Food Establishment Inspection Report
2377;\.STDI'IO:'l'S FRWY .•R'I 607.DALLAS.TX 75207 214-819-2115 FAX:214-819-2868
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~\Y 10 f(ein:I Time out:,/Lice·7rJr --(tJ)J 12,'(I /
Est.Tille Risk Category Page~ofE
PurD ~se of II sncction:I I I-Compliance Hf'l 2-Routine I I 3-FieJd IlIvcsti!!ation I I 4-Visit I I 5-0ther TOTAl/SCORE
ESlablisl~~a~gh '1
V\\loto
Contact/Owner Name:I *~umber of Repeat Violations:__ll)./:\umber of \'iolalions COS:--
Phrsn~~drqs:~I Irjj,S lf~tr\rVl~\h t M'~d~~~~I FoIIO\,·-up:Yes•....
No (circle one)
Compliance Statns:Out =not in complian;e IN =in complia,'~O :not ob>er\'ed l'iA =not applicable COS =corrected on site R =repeat violation
Mark the aDorooriate ooints in the OUT box for each numbered item Mark'a checkmark in anoronriate box for 1:-1.l'iO.NA.COS Mark an asterisk'*.in aooroori"te box for R
Priority Items (3 Points)violations Re lIirl!Immediate Correct;"1!Action 1I0ttO exceel13 days
Comnliance Status Comoliolllce Status
0 ~;6"c Time and Temperature for Food Safety R 0 I N "C RUA0Ul'J A 0 Employee HealthTs(F =degree Fahrenheit)T SVl.Proper cooling time and temperature I 12.Management,rood employees and conditional employees:
/'/kno\\ledge.responsibilities.and reporting
~1/2.Proper Cold Holding temperature(41 of'.J5°F)/13.Proper usc of restriction and exclusion:No discharge Iromveves.nose.and mouthV)/3.Proper Hot Holding temnerature(135°F)/Pre\'entin!!Contamination bv Hands"'1/4.Proper cooking time and tenlllerature .,V 14.Hands cleaned and orooerly \\ashed/Gloves used oroperlvIl5.Proper reheating procedure for hot holding (165°F in 2 (15.No bare hand contact with ready to eat loods or approved
Hours)alternate mcthod properly loll owed (APPROVED y N )
.I 6.Time as a Public Health Control:orocedures &records .Hi!!hly Susceptible POllulations
Approved Source 71 16.Pasteurized loods used;prohibited tood not offered
Pasteurized e~gs used when required
/v 7.Food and icc obtained from appro\'ed source:Food in
good condition.safe.and unadulterated:parasite Chemicals
/destruction ,
I 8.Food Recei \ed at proper temperature 7 17.Food additi,es:approved and properly stored:Washing Fruits
&Vegetables
Protection from Contamination .If 18.Toxic substances properly identified.stored and used1/9.Food Separated &protected.pre\ented during tood Water/Plumbing/~l/preparation.storage.display.and tasting /
V 17 10.Food cOI~a~~,eturnables :Cleaned and ,19.Water trom appro,ed source:Plumbing installed:proper
/Sanitized at m/t>merature j backllow device
/II.Proper dispositiO,~rncd.previously served or /20.Approved Sewage/Wastewater Disposal Systcm.proper
reconditioned disposal
Priority Foundation Items (2 Points violations Ret lIire Corrective Actioll withill 10 daj's
0 I N "r
Dcmonstnlti~CdfJptfiWl~
R 0 I N N C RUNL,9-'-A 0 U N 0 A 0 Food Temperature Control!IdentificationT,S T I,S'V L,21.Per50n in charge prcs~el1lonstration of knowledge.I 27.Propcr cooling mcthod used:Equipment Adequate to
./and oerlorm duties'Certified Food Manaaer (CFM)Maintain Product Temperature--:;22.Food Handler/no unauthoriLed nersons!nersonnel /28.Proner Date Marking and disposition
./Safc Water,Recordkeeping and Food Package ./29.Thermometers provided.accurate,and calibrated:Chemical!
LabeJin!'~Thermal tcst strips7./J'Hot and Cold Water available:adequatc pressure.safe ./Permit Requirement,I"(equisite r.r Operation_J.
/24.Required rccords a\ailable (sbellstock tags:parasitc I~30.Food Establishment Per~-rC?#)~O\Gtdestruction):Packaged Food labeled
I Conformance with Approved Procedurcs /Utcnsils,Equipnu nt,and \'.lding
{25.Compliance with Variance.Specialized Process.and V 31.Adequate handwasbing facilities:Accessible and properlyHACCI'pian:Variance obtained for specialized Ivorocessin>!methods:manufacturer instructions supplied.used
Consumer Advisory /32.Food and Non-tood Contact surfaces cleanablc.properly/./designed.constructed.and uscd-1 26.Posting of Consumcr Advisories:raw or under cooked &I 33.Warewasbing Facilities:installed.maintained.used/
foods (DisclosurefRcmindcrfBulTet Plate)!Allergen Label Service sink or curh cleaninl!facility provided
Core Items (I Point)Violatiolls Reauire Correctill(:Actioll I\'ot ttl Exceed 90 DOl'.'or Next IIISDectioll.Wllicl,e"er Co",es First
0 I N ~C R 0 I ,..•:-<c RNlyA0PreventionofFoodContaminationuN0A0FoodIdentifie'ltionTSTS734.No E\'idence oi'lnscct contamination.rodent/other .."17 41.0riginal container labeling (Bulk Food)animalsV'[.0 35.Personal Cleanliness!eatin~,drinkin~or tobacco use J Phvsical Facilities"~36.Wipin~Cloths:properlv lIsed and stored ,42 .:--Ion-Food Contact surfaces clean'/37.En\irollmental contamination .,"43.AdeQu3te \entilation and li_L~htin.g;desiunated arC35 used-/38.Appro\·ed thawinu method ."44 .Garbage and Refuse properly disposed:facilities maintained
/Proper Use of Utensils .•..45 .Phvsical t:1cilities installed.maintained.and clean1739.Utensils.equipment.&lincns:properly used.stored.,/46 .Toilct Facilities;properly constructed.supplied.and clean>I ,dried.&handled!In use utensils;nroncrlv used ./
./40.Single-service &single-use articlcs:properly stored 47 .Other Violations
and used
Received by:'~J IA·j2~Print:'X(y(i/IP e/j~Title:Person In Charge/Owner(signature)/'~..---~
Inspecte1...ff\V~
•lJv~,r1 Print:7 Business Email:
(signature)1m
Form EH-06 ~IJ09-i015)
Dallas County Health and Human Services -Environmental Health Division
Retail Food Establishment Inspection Report
2377 N.STDI:\-IONS FRWY.,RM 607,DALLAS,TX 75207 214-819-2115 FAX:214-819-2868
ESlablishl11ent~t.tsh ;
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TEMPERATURE OBSERVATIONS ,
Item/Location Temp Item/Location Temp Item/Location Temp
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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 AND
Number NOTED BELOW:
.•~'>M.fVLG r1d ~\(.It m K{}rJ.lLd 'iJ}V (j li)nrtl)llUpj
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Receiv~~-I-h_-'r-~print:An kyO)??/(1jA/t7 Title:Person In Charge/Owner(signalur ~-?"")
Inspecte~:fX U0.~160i t~J~)Yt Prinl VX I -.
(signature)-.../,Samples:Y N #collected
Form EH-O~09-2015)'--.J ~l I ...__"