HomeMy WebLinkAboutKUBY'S 2018.12.05Dallas County Health and Human Services - Environmental Health Division
Retail Food Establishment Inspection Report
2377 N. STEMMONS FRWY., RM 607, DALLAS, TX 75207 214-819-2115 FAX: 214-819-2868
A
to 5_4 Time in: Time out: License/Permit # CgX) i Est. Type Risk Category Page I of r
Purpose of Inspection: L_J 1-Compliance 0 111 2-Routine F -I 3-Field Investigation F -1 4-Visit 5-Other . /SC E
Establ),skmcnt Nape:
Rt.) s
Contact/Owner me:
Jwis if
* Number of Repeat Violations:
v Number of Violations COS:
..--.1 PhytaVO. s: 4fid it ,L ,„ ru t Zip Code: Phone: Follow-up: Yes
No (circle one)
Compliance Status: Out = not in compliance IN - in compliance NO not observed NA -. not applicable COS - corrected o t site R = repeat violation
Mark the appropriate points in the OUT box for each numbered item Mark '.1' a checkmark 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 C impliance Status i
O I
U N
T
N
0
N C
A 0
S
Employee Health
R O
U N O A
T
I N N C
0
s
Time and Temperature for Food Safety
(F = degrees Fahrenheit)
R
12. Management, food employees and conditional employees;
knowledge, responsibilities, and reporting
I. Proper cooling time and temperature
13. Proper use of restriction and exclusion; No discharge from
eyes, nose, and mouth ,(1
roper Cold Holding temperature(41°F/ 45°F)
Preventing Contamination by Hands V/ 3. Proper Hot Holding temperature(135°F) 3.
l 14. Hands cleaned and properly washed/ Gloves used properly 4. Proper cooking time and temperature
15. No bare hand contact with ready to eat foods or approved
alternate method properly followed (APPROVED Y N )
Vii/
5. Proper reheating procedure for hot holding (165°F in 2
Hours)
Highly Susceptible Populations 6. Time as a Public Health Control; procedures & records
16. Pasteurized foods used; prohibited food not offered
Pasteurized eggs used when required
Approved Source
Chemicals 1/7/
7. Food and ice obtained from approved source; Food in
good condition, safe, and unadulterated; parasite
destruction
//:
17. Food additives; approved and properly stored; Washing Fruits
& Vegetables V
8. Food Received at proper temperature
lg. Toxic substances properly identified, stored and used Protection from Contamination
7
Water/ Plumbing
7 9. Food Separated & protected, prevented during food
preparation, storage, display, and tasting
y 19. Water from approved source; Plumbing installed; proper
backflow device . 10. Food contact surfaces and Returnables ; Cleaned and
Sanitized at ppm/temperature
20. Approved Sewage/Wastewater Disposal System, proper
disposal
1/1/...
11. Proper disposition of returned, previously served or
reconditioned
WNW Priority Foundation Items (2 Points) violations Require Corrective Action within 10 dap 4111
O f
U
T
N
N N C
O A 0
S
Demonstration of Knowledge/ Personnel
R 0 1
U
31"
N
NI S
0 A
C
0
S
Food Temperature Control/ Identification
R
X
/477 \
Proper cooling method used; Equipment Adequate to
Waintain Product Temperature
21. Person in charge present, demonstration of knowledge,
and perform duties/ Certified Food Manager (CFM)
3 28.
/
Proper Date Marking and disposition 22. Food Handler/ no unauthorized persons/ personnel
29. Thermometers provided, accurate, and calibrated; Chemical/
Thermal test strips
Safe Water, Recordkeeping and Food Package
Labeling
Permit Requirement, Prerequisite for Operation
7 23. Hot and Cold Water available; adequate pressure. safe
30. Food Establishment Permit (Current & Valid) 7 24. Required records available (shellstock tags; parasite
destruction); Packaged Food labeled
- Utensils, Equipment, and Vending Conformance with Approved Procedures
I
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
33. Warewashing Facilities; installed, maintained, used/
Service sink or curb cleaning facility provided Y Posting of Consumer Advisories; raw or under cooked
ods (Disclosure/Reminder/Buffet Plate)/ Allergen Label
• Core Items (1 Point) Violations Require Corrective Action Not to Exceed 90 Days or Next Inspection , Whichever Comes First
O U
T
I N
N N
QQQ A
C
0
S
Prevention of Food Contamination
R 0
U
T
I
N
N N
A
C
0
S
Food Identification
R
41.0riginal container labeling (Bulk Food) 34. No Evidence of Insect contamination, rodent/other
animals
., 3 3- - , - ,-PliAlitall'idlitles 35. Personal Cleanliness/eating, drinking or tobacco use
)4 .42. Non-Food Contact surfaces clean Clothsl; properly used and stored 3367..
43. Adequate ventilation and lighting; designated areas used EWiping
contaminationnvironmenta
l
44. Garbage and Refuse properly disposed; facilities maintained
7
38. Approved thawing method
i 45. Physical facilities installed, maintained, and clean Proper Use of Utensils v 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 & single-use articles; properly stored
and used
Received by: /.7„...,....1...7 F ...-- _z___) &.--
(signature)
Print /4 .724_ c 7<.-ete ir......v -
PI'S,e/a/ 4,6wyet_
Title: Person In Charge/ Owner
0 CvAt 6te..-
,:iness Email: inspected yb -"
(signature) ......-.....*was t-s,_ 4 hire' Ie .' fi .'
Form EH (Revised 09-2015) it. /
Dallas County Health and Human Services - Environmental Health Division
Retail Food Establishment Inspection Report
2377 N. STEMMONS FRWY., RM 607, DALLAS, TX 75207 214-819-2115 FAX: 214-819-2868
Establ&neri Nanie:
XI 1 C --.,( A ' /30--
Pralress: c e4 .C. / ate: , I
'del / Pt
, License/Permi # Pages de'
TEMPERATURE OBSERVATIONS
Item/Location Temp Item/Location Temp Item/Location Temp
OBSERVATIONS AND CORRECTIVE ACTIONS .9.qtswyi404.4i0
Item
Number
AN INSPECTION OF YOUR ESTABLISHMENT HAS BEEN MADE. YOUR ATTENTION IS DIRECTED TO THE CONDITIONS OBSERVED AND
NOTED BELOW:
; 4 "
ad
/a/ toter i .
eiNSW /YON ►41 1/ ri v-es 4)/
C le ' '/ye dig& •ID . Cri ae ee J ar °
<-\ a).6,kir"' 4 r (6refe i pips'
"opt 4)5 / 4ovior 4,,, Airt pske 6reao
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Received by: /
(signature)
Print: tO,hezz, r k ti tsy „W.: Title: Per4tpXpreeevner
Inspected :
(signat ,4.5 a7 --N lc ik: c PrOVA960044,eg 4 ..s Samples: Y N # collected
For 0 (Revised 09-201 L