HomeMy WebLinkAboutKAPPA ALPHA THETA 2018.09.21Dallas County Health and Human Services -EnvirOl:Ull£ntal Health Division
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Retail Food Establishment Ins 1 Repor
t.d._~()'1d&,.'2.377:\.STE\I\IO:\S FR\\\'..101 607.D.\LL\S.TX 7S2(}-2115 FAX'21-t-RI9-2R68 2-~'&'fL eu 1"1.1 I A'ctDazq-.I i(~,l~t I TIlll~L1l1t:I Lic~llsc PCrIll1l!:?)(P ').\I bl.lte'I RI"I..l'~IIt.:E)Page __J_of L__I''ll I
Purpos"of Insp~cli"n:I I I-Compliance I .~outine I I 3-Field "1\esti::ation I -J 4-Vi~il I I 5-0lher TOl~()RE
Establlt~~:~11l{r~6I\d1d -nJ{0fc\ct 0\\ncr \alllc:
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*\umher of Repeat \iolatiofl':__(/./\umher of \iolation\COS:--
Ph)SiCa~ldrLlss:io;'l A\/'\\VC"~\h_.·\t Ct)/tlllt){J n i l/ft_~~~~;rl~I Follu\\-up:Yes1\(")\~/1<0 (cil'de one)I
Compliance tatu>:Out =not i~liance 1:,\~in compliance :'\0 ~~~ed NA ~nOIapplicable COS ~corre led on site R ~rcpeal viola~Mark lhe approprialc roint.in thc Ot.;T 1>0\for each nUllIlxred ilem Mark '__"a che('kmar'IIIaDuropn","rox lor I:\'.:'\0.:'\A.COS "lark an uSlcrbk .*.in <1oorooriatC'box for R
Priorit"Items (3 Points)"iolations Require Immediate Correcti"e Actilln "ot to exceed 3days
Comnliancr Statu,C"IOoliann'Statu,
0 I N ..•.C Tillie and TCII1I,eraturc for Food Safely R 0 I N ....C Rl'N 0 A 0 r N 0 A 0 Emlllu)cc HealthT•...S (F =d"grecs Fahrenheit)T S
/"I.Proper conllllg tllll~:-Inc!tempcrallire I /IC..\I,ln.lgemcnt.food employees and condllional cmployees:...-V kno\\k·d!!c.responslhilities.and rep0nill!.!
",V V ,Proper Cold H,'lding IcmperatureH Iof -15'1'1 j 1/13.Proper LISt'of rc:;trictioll and e"Xclllslon.'\sn dIscharge Crom./I ./1 I.!\.~"i.IH>'\C.and moulh,-,/3.ProneI'~h\{(joldin~tempcrature(13"F)PreHnlin~Contamination bv H:lIldl.v -1 Pr~lna cook il1~time and kmpcr3ture /,1-1.H,lIlds cleaned and properly wa,hedf Gloves used pronerlv•......
f;;:'5.Proper reheallng procedure lor hOI holding (165 'F ill 2 I~I I 15."n bare hand eontaclwilh ready to eat l<lods or appro,'ed~Hour"alternate mel hod Dronedv tollo\\ed I,-\PPROVED y :\IV6.Time ,"a Puhllc Health Control:rroeedures &record,I High"Suscel>lible POllulalions
Approwd SOllrce --r 16.I'a,teurized foods used:prohihited food nor offered IPasteuri/ed c!!!.!s u~ed \\hen r~quiredVI7.Food and ice oblalned ti·otll appro,ed source:Food In
V gOt)d c()tldltilll1.~,If~.allJ utl3dulterat~d:parasit~Chemicals/(k~trllctlon
,/8.Food Recc]\cd at proper tcmpcr:Hllrc I '1 I 17.F(lod additl\os:apprm ed and properl)stored:IAashing Fruils
&Ve!.!ctabl~s
Protl'ctioll frum Contamination ,,-IB.Toxic sub"ances properlv identilied.slored and u,ed
L-V 9.Food Separaled &prolected.pre,elllcd durrng food \\al~rl PlumbingVprct)ar.1tion.storage.di~plm'.and t,3stin!.!
V In.Food conta,\'}U,la!jS,.arm l~tziblCS ,.C~~ancd and J 10.\\ater from apprm'cd source:Plumbing instalkd:properVSaniti7edatIJpbmTemc.'Irlt ~·v~.fll (;.-:1 backOo\\de\'ic~yV I I.Proper di'pO>llion of rctllrned.pre,iously sen'ed or /20.Approved Se\\agefWastc\\ater Disposal System,proper•..recondiuoncci di'posal
Priorit\'Foundation Items (2 Points)violations Require Corfeetiv,',lcti(}11wi/hill 10 days
()t '\'\C n 0)1 ;\'\r Rt.:1\0 0 Demonstralion of Knowledge!Personnd l :-;0 0 Food Temp"ratllrc Control/ldentificalionT/S -....!.L s
/I~'~.I'""on in charge I"esent.del)'!jfhl~e~~~~lge.27.Proper cooling melhod used:E~uipmelll Ackqllalc toand[)crlorm dUlie"Certified Fq6c1 \Ia la"e f)J\.lainl.1111 Product TcmJ)er~llllre""Food Handler no unaufhnrJll.'d ocrsoll,)'pertjonncl ./2~.Proper Dale ,\ldrkinu and di,position
Safe \\ater.Rccordkecping and Food Packa~e /29.Thermometer,pnl\ided.accurate.and calihraled:Chcmical./"Labelin::Thermal test strip,/1 .//23 HOI and Cold \.\ater "'ailahle:adclJuate prc>sure.sate /Permit Rcquiren,!nt,Prerequ'sile for Operation
-{2-1.Required record,,I\ailahlc (,hellslock tags:pa,"site %30.Food F:stahli.shmeut ¥'rn ~\'rr ~9~~11~destruction);Packa2ed Food labeledrrConformance\I ith Approycd Procedures Ltrnsils,Equiphtcnt,and 'fe¥ti~g t
25.Compliance \\ith Varranee.SpecialileJ Proec".and
I ...X 31 AdelJuate hanc(\\ashing I'aeilities:Acccs,ible and properlyHACCI'plan:Variance ohtaincd for speclaliled
rroc~S~ilh!mctlwcis:manu fnc.:lurer in ..•rructlolh supplied,used
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Consumer Ad"isory I /3:!.Food and ~on-fooC(Cont,lct surf:lces cleanable.properly
tksignt:d.construcled.and u~edy~6.PO:'ling ofConsulllcr .-\(.1\lsories:r~!\\or under cooked I I 33.\\.11"\\3~hil1g Facilities:installed.maIntained.Llsed,
loods (Disclosure Reminder Burfel Platel'i\lIcr~en Label Scn ice ,ink or eurh eleanine facilitv pro\ided
Core Items (I Point)ViolatiollS Reftl/ire Corrective Actioll Nl)t to £I:Cl'cd 90 Day.•or Next Insoectioll.Wlricllc"er Comes Firs/
0 I N ...C I~0 I 1\..•.C Rt.:..•.0 A 0 Pre,'cntion of Food Contamination r "0 A 0 Food Identifk:tlioflT~S T ~
V V 3-1.0:0 Evidl.!t1cc of Ill:-,ec.:tc.:Ont3tl1I1l3liol1.rotlent'othcr /r -1I.Orrgin;}1 container labeling (Bulk Food Ianil11Jb'
V !/35.Personal ClcanJineI)SICCltlll!:!.drtnk1l1!.!or tonacco ll~C /PhYsical Facilities
II./'36 \Viping Cloths:pronerl,used ,md "or~d J -12.;-"nn-Fond COI1lJct surlace,cleanJ./37 .En\irn11IIIClll.1I (onlJminatJoll ./.n AUt.:quate \clllibtion and li!!htin~:dcsH.!lltltcu arca~u'-JeJ
i:/38.i\pnr(l\cd Iha\\"l~mel hod .•..•"4-1.Garhu""and Rell"e properlv dlspo'ed:fJeilltles mail1lained/Proner l'~e of Ltcnsils /.-15.PI1\..•i(:all~lI.:iltl]('....1Il~I<llkd.lllail1l,llned.dll(J cle.111
'"39.Ltelblb.equlpmenl.&Illlens:propcrl}u>ecl."ored,I /V -1(].Toilet F.I.:lll1tes:prop~rl)-constructed.)lIpplred,and c!can(/drred.8:handled'In lise lItel]>""pnl))"rlv u;ed i
IY 1)0'Single-sen icc &Single-usc art Ides:prlJperly SIPred -17.Olher Violatlun,I nd.u'ed ,,\·1 I rr ~I
R~cehed by:\~~,f\J\)~\)1 V V\xlUJY I f"I Print:rfl(t-tf)\_,L \I\{T{~er(on tK!J:r7~\0,\ncr(signatur(.')I \r-Q J :,e.\'ri·iJ\........>Inspected bv:ml\~~~(~wr ~/fj Print:-1l11~ine\Sf.mail:fsignatLm:)y '\V)
Form EH·06 (Revisec'm)-015)•...\(
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Dallas County Health and Human Services -Environmental Health Division
Retail Food Establishment Inspection Report
2J77:'<.ST['\"IO.\S m\,"y.,R.\16IJ7,DALLAS,TX 75207 21~-819-2115 FAX:21~-819-2868
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;hI"_L '--.,1 TEMPERATURE OBSERVATIONs'./\Item/Location Temp Item/Location Temp Item/Location ,-.Temp
OBSERY.'\.TIO,\"S A:'-'O CORRECTIVE ACTIOi'\S
Item AN I0JSPECTION OF YOCR ESTABLlSH:YIENT I-I.\S BEE:\\IADE.YO()R ATT E:\T I0;-";IS DIRECTED TO THE CO~.JDITIONS OBSERVED ANDNumberNOTEDBELOW:
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\:~A A ,\\)A J)\\.~/l i J P:int:(\/\'\Ctf\\,{i:\'vr\\.\I L ':~~\~tt~tte\AJ{_(signature)-Inspected b~v )'v (j t1-11Y V[~:(signa,ure)I ~t \";:'\Samples:Y N ~collect cdFormEH-06 (R~6<;(2015)-