HomeMy WebLinkAboutUNLEAVENED 2019.01.10Dallas County Health and Human Services -Environmental Health Division
Retail Food Establishment Inspection Report
2377:\.STL\L\IO:\,S FRWY.,RM 607,DALLAS,TX 75207 214-819-2115 FAX:214-819-2868 ,
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fak \f)1h~i)n:I Time out:JLicense"'e~ln C1 I
Est.Type
I
Ri,~Category PageL of~
Pur lose of In .ncetion:I I-Compliance I V1 2-Routine I I 3-Field Investh:ation I I4-Yisit I I 5-0ther TOT.u.LSCORE
Estarrv;n\~l~/J Vl~d I
Contact/Owner Name:
I
*:"lumber of Repeat Violations:__I~)./,,"umber of Violations COS:--
Physical AI
dbctJ ~L ,~(\;,J)1/~~ounttJh Il{vtl.f:i,°~I Follo\\-up:Ye,
"10 (circle one)
Compliance Status:Out =not in compliance IN =in compliance NO =not\w,.,erved NA =110tapplicable COS =corrected on site R =repeat violation
l\,lark the alJorooriate ooints in the OUT box for each numbered item Mark './'a check mark in appropriate box for 1"1,1'0.:'>IA.COS Mark an asterisk'*.in appropriate box for R
Priority Items (3 Points)"iolations Re uire Immediate Correctil'e Action 1I0tto exeeel13 days
Compliance Stanis Compliance Status
0 I N "('Time and Temperature for Food Safety II 0 I N :-;C R
U N <J A 0 U "110 A 0 Employee Health
T s (F =degrees Fahrenheit)T J S
i/V I;I.Proper cooling time and temperature I 12.lanagement.food employees and conditional employees:
/knowledge.responsibilities.and reportin"
~rI'2.Proper Cold Holding temperature(-1I°F 45°F)/13.Proper usc of restriction and exclusion:No discharge tram
eves.no,c.and mouth
II'/3.Prooer Hot Holding temoerature(135'F)J Preventing Contamination bv Hands
;//4.Proper cooking time and temperature I 14.Hands cleaned and properly washedl Gloves used properly
/V 5.Proper reheating procedure for hot holding (165°F in 2 I 15.No bare hand contact with ready to eat foods or approved
Hours)alternate method properlv followed (APPROVED y N ),6.Time as a Public Health Control:procedures &records Highl\'Suscclltible Populations
Approved Source 1 16.Pasteurized foods used;prohibited food not olTered
Pasteurized e(!!!s used when required1!1 7.Food and ice obtained from approwd source:Food in
IIII'good condition.safe.and unadulterated:parasite Chemicals
destruction /
\I 8.Food Recei,ed at proper temperature I 17.Food additi\es:approved and properly stored:Washing Fruits
&Vegetables
~Protection from Contamination ,/18.To,ic substances properlv identified.stored and used
Vr/9.Food Separated &protected,prevented during t()od Waterl Plumbing
oreparation.storage.display.and tastin~
;)...1/10.Food contactL~t!~~ltllabl~t~AW1 /19.Water from approved source:Plumbing installed:proper
Sanitized at I /tem t~rl backtlow de,ice
V 11.Proper disposition of retumed.previously served or ,/20.Approved SewagefWaste\\,ater Disposal System.properVreconditioneddisposal
Priority Foundation Items (2 Points )violatiolls Re."ire Corrective Actioll withill 10 do)'s
0 ~I}'i c R 0 I N ~C R
U A 0 Demonstration of Knowledgel PerslJnnei u t'I;A 0 Food Temperature Control/IdentificationTSTS
j 21.Person in charge present.demonstration of knowledge.,IV 27.Proper cooling method used:Equipment Adequate to~ancWertorm GL~sl Certified Food Manager (CF~[)Maintain Product Temperature
'J r.Food Handled no unauthorized personsl oersonnel ./V 28.Proper Date Marking and disposition,-
/\..c."._er,Recordkeeping and Food Package J 29.Thermometers provided.accurate,and calibrated;Chemicall
Labeling Thermal test strips
../23.I-Iotand Cold Water available:adequate pressure,safe /Permit Requirement,Prerequisite for Operation
/2-1.Required records available (shcllstock tags:parasite viVdestruction):Packaued Food labeled 30.Food Establishment Permit (Current &Valid)
Conformance with Approved Procedures Utensils,Eqnipment,and \jndingr25.Compliance with Variance.Specialized Process.and L 3
L
+equate handwashing facilities:Acc~ible and properlyHACCPplan:Variance obtained for specialized
process in!.!methods:manufacturer instructions ,//su ied.used
Consumer Advisory ,32.FUod and Non-food Contact surfaces cleanable.properly
J ..//designed.constructed.and used
~
26.Posting of Consumer Advisories:raw or under cooked .)33.'Aoarewashing Facilities:installed.maintained.usedl
foods (Disclosure/Reminder!BuITet Plate)!Aller~en Label Service ,ink or curb cleaning facility provided
Core Items (I Point)Viollltiolls Require Corrective Actioll Not to Exceed 90 DaJ'.~or Next b,spectioll ,JV/tic/,el'er Comes First
0 I N 'I C R ()I N ~C RUN~A 0 P,'e,'ention of Food Contamination U N °V 0 Food IdentificationTSTS
v'V 34.No Evidence of Insect contamination.rodent!other rI 41.0riginal container labeling (Bulk Food)
animals
;//35.Personal Cleanliness/eating.drinking or tobacco usc I Physical Facilities
</.36.Wiping Cloths:properly used and stored ~f 42.'\ion-Foocl Contact surfaces clean
.,//37.En'virOlllllentai contamination '.1 43.Adequate ventilation and ii!!htin£!:dC5i~!Ilated areas lIsed
V 38.Approved thawing method .f 44.Garbage ancl Refuse properlv disposed:t:lcilities maintainecl
/Proner Use of Utensils /45.Physical I·acilitie,installed.maintained.and clean
J ~.ltensils.equipment.&linens:properly used.stored.I -16.Toilet Facilities:properly constructed.supplied.and clean
ied.&handledl [n use utcn,ils:properly used
\II
'-10.Single-se"ice &single-use articles:properly stored 47.Other Violations
and lIsed _I A.
Received by:J Id..A '\~ILPl Print:V\~\\\{Y\fA.-\-\,'\po 1(\I
Title:Person In Charge/Owner
(signature)•
Inspected by:
~
~f~~~_1 (~\Print:h J Business Email:
(signature)~'\r.(\I'\(~~
Form EH-06 Revise~15
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Dallas County Health and Human Services -Environmental Health Division
Retail Food Establishment Inspection Report
2377:'<i.STnnlOl\S FRWY.,R:Y1607,DALLAS,TX 75207 214-819-2115 FAX:214-819-2868
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"TEMPERATURE OBSERVATIONS ('
Item/Location Temp Item/Location Temp Item/Location T~mp
OBSERVATIONS AND CORRECTIVE ACTIONS
Item AN INSPECTION OF YOUR ESTABLISHMENT HAS BEEN MADE.YOUR ATTE TION IS DIRECTED TO THE CONDITIONS OBSERVED AND
Number NOTED BELOW:
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Received by:~j 1 .mnr-~Print:~(>"\\.~-\-hp(\{1 Title:Person In Charge/Owner(signature)/"\)\-\
Inspect~CJI\ML':<N f-lvrl4J4)~a Print:j
(signature Samples:Y N #collected
Form EH-O~d 09-2015)'--"