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Dallas County Health and Human Services - Environmental Health Division
Retail Food Establishment Inspection Report
2377 N. STENINIONS FRIN Y., RNI 607, DALLAS, TX 75207 214-819-2115 FAX: 214-819-2868
DE 1 ; 10 17til) Tfiye in: Time out: License!Pennit 4 Est. Type Risk Category Pagel_ of J.,...
Purpo of In. pection: I I 1-Compliance 1-712 -Routine 1-1 3-Field Investigation 1-1 4-Visit 5-Other TO - CORE Estab hmentiblime:
H(C161 .-
.1 , ...
I ici Contact/Owner Name: * Number of Repeat Violat'ons:
Y Number of Violations COS: a.'.Ph '1'14'1_ Hri k k 0 , \--A vc 1 Cittil ,j1 um.: 1 Lt. tA 1 Zi dea,(hone: Follow-up: Yes
No (circle one)
Compliance Status: Out = of in compliance IN = in compliance N =, not observed NA = not applicable COS = corrected on site R = repeat violas Mark the appropriate points in the OUT box for ch numbered item Mark 'V' a c eckmark in appropriate box for IN, NO. NA. COS Mark an asterisk ' * ' in appropriate box for R
Priority Items (3 Points) violations Require Immediate Corrective Action not to exceed 3 days
Compliance Status J
I
Comp lance Status
0 1
U N OAO
T/
N N C
S
Time and Temperature for Food Safety
(F = degrees Fahrenheit)
R 0
U N T
I N
0 „on,
N
A
C
0 s Employee Health
R
I. Proper cooling time and temperature
r
f "
12. Management, food employees and conditional employees;
knowledge, responsibilities, and reporting
X /
2. Proper Cold Holding temperature(41°F! 45'F) 13. Proper use of restriction and exclusion: No discharge from
eyes. nose, and mouth
f--" 3. Proper Hot Holding temperature(135°F) Preventing Contamination by Hands --' 4. Proper cooking time and temperature f../:,. 14. Hands cleaned and properly washed, Gloves used properly 5. Proper reheating procedure for hot holding (165°F in 2
Hours) I/
15. No bare hand contact with ready to eat foods or approved
alternate method properly followed (APPROVED Y N ) 6. Time as a Public Health Control: procedures & records 7 -Highly Susceptible Populations
Approved Source v 16. Pasteurized foods used; prohibited food not offered
Pasteurized eggs used when required
I./
7. Food and ice obtained from approved source; Food its
good condition. safe, and unadulterated; parasite
destruction Chemicals
/
8. Food Received at proper temperature 17. Food additives: approved and properly stored: Washing Fruits
& Vegetables
Protection from Contamination V 18. Toxic substances properly identified. stored and used
L./
9. Food Separated & protected, presented during food
preparation, storage • and tasting Water/ Plumbing
/ 10. Food contict tr./ ace • ne'Retuma •s Clegn4d,p4 ,
m/ mperatu Sanitized at ) ( ( 1 (2)1 i
,
IC6. V 19. Water from approved source; Plumbing installed; proper
backflow device
11. Proper disposition med, prey' usly served or
reconditioned /
20. Approved Sewage/Wastewater Disposal System, proper
disposal
Priority Foundation Items (2 Po nts) violations Reinke Corrective Action within /0 days
O I
U
T/
N
N N C
O A O
S
Demonstration of Knowledge/ Personnel
R o
U
T
147 N
A O
C
S
Food Temperature Control/ Identification
R
27. Proper cooling method used: Equipment Adequate to
Maintain Product Temperature / 21. Person in charge present, demonstration of knowledge,
and perform duties/ Certified Food Manager (CFM)
l7
28. Proper Date Marking and disposition 5g 22. Food Handler.' no unauthorized persons/ personnel
29. Thermometers provided, accurate, and calibrated; Chemical/
Thermal test strips
Safe Water, Recordkeeping and Food Package
Labeling
• 23. Hot and Cold Water available; adequate pressure, safe Permit Requirement, Prerequisite for Operation
/
24. Required records available (shellstock tags: parasite
destruction); Packaged Food labeled 30. Food Establishment Permit (Current & ' li j K1
Conformance with Approved Procedures Utensils, Equipment, and Ven ng
//
31. Adequate handwashing facilities: Accessible and properly
supplied, used
/ 25. Compliance with Variance, Specialized Process, and
HACCP plan; Variance obtained for specialized
processing methods: manufacturer instructions
32. Food and Non-food Contact surfaces cleanable, properly
designed. constructed, and used
Consumer Advisory ,
I/
/
33. Warewashing Facilities; installed, maintained, used/
Service sink or curb cleaning facility pros ided
26. Posting of Consumer Ads isories; rass or under cooked
foods (Disclosure/Reininder'Buffet Plate)/ Allergen Label
Core Items (I Point) Violations Require Corrective Action Not to Exceed 90 Dap or Next Inspection , Whichever Comes First
0 1
V N
N
O
N
A
C
O
S Prevention of Food Contamination
R 0 1
U
T
N
N
0
N C
A 0
S
Food Identification
R
/ 41.Original container labeling (Bulk Food)
N/T
A 1 - 34. No Evidence o Insect continji
animals II'
fluid, odent/other
IL \
Physical Facilities
v,/
35. Personal Cleanliness/eating, drinking or tobacco use
42. Non-Food Contact surfaces clean
/7
36. Wiping Cloths; properly used and stored
43. Adequate ventilation and lighting; designated areas used 37. Environmental contamination :1(7
44. Garbage and Refuse properly disposed; facilities maintained 38. Approved thawing method
)(45. Physical facilities installed, maintained, and clean Proper Use of Utensils
46. Toilet Facilities; properly constructed, supplied, and clean 7 39. Utensils, equipment. & linens; properly used, stored,
dried. & handled/ In use utensils; properly used
47. Other Violations 40. Single-service & • le-use articles; properly stored
and used 1°9
Received Print
(signature) eitiiby: te, 4 Title: Person In Charge/ Owner
- a cinspected by:
(signature) \ k ia 1 /.._ , O t: Business Email:
Form EH-06 (Revise 0 5)
;or Dallas 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
Establish 4,..r nt Namk idk iL, 1 _
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Physiln i i\..i °L. (i \ t 1 6
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License/Pe
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TEMPERATURE OBSGIYATIONS
Item/Location Temp Item/Location Temp Item/Location Temp
_--
OBSERVATIONS AND CORRECTIVE ACTIONS Item
Number
AN INSPECTION OF YOUR ESTABLISHMENT HAS BEEN MADE. YOUR ATTENTION IS DIRECTED TO THE CONDITIONS OBSERVED AND NOTED BELOW:
Z o 1C)i - L6c SAY yl i 1 4N--cin t i-6 -h,-IR e to r-
-K -b 1(1 .6'6 i-rci Lto )-h L.Io., k( (-( c.-___i__ ( q \/o)rory_( 12e_1i-x,_) ( 6/ .sed I Cy) ci oor )
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..: C Uo n cv L.( 1/u 4N.1 Lit n -r ( (-IL( •_)
Received by: 4/1 k It< (signature)
'rent:
zetir
Title: Person In Charge/ Owner
Inspected
(signature I .....)
int:
I
•
Samples: Y N # collected
Form EH-06 (mod 09-2015)