HomeMy WebLinkAboutMANE COURSE SMU 2019.04.04Dallas County Health and Human Services -Environmental Health Division
Retail Food Establishment Inspection Report
1377 :\.ST£.\I.\IO:\S FR\\Y.,R'\I 607,DALLAS,TX 75207 214-819-2115 FAX:214-819-2868
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Ris~Category Pag~_of£...--
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Purpo~Jc of hSDcction:I I J -Compliance I "I 2"{{outine I I 3-Field Investi!!atiOn-I 4-Visit I I 5-0thcr T~!SCOAE
Establ iShtr1d()('t{\ll~(~a_1ta~,o'mer Name:I
*>;umber of Repeat \,iolations:__10J----.I ,f >;umber of Violations COS:--II
PhYSi~~t{)\A/£r '"Ifi '{I~~~~(\rul~:\1~~11)2/~I
FolI'm-up:Yes
No (circle one))
-.J:f ~Compliance Statu:Out =not in compliance 1:'11=in compliance '0 =not ob,e"cd riA =not applicable CO!)=corrected on site R =repeat viol~n
Mark the appropriate ooints in the OtT box lor each numbered item Mark ',f a checkmark in approoriate box for 1:\.:"0.:'oIA.COS Mark 3n asterisk'*.in app~e box for R
Priority Items (3 Points)violations Rl'1llire Immediate Correctil'e Actioll /lot to excee{13 (lays
Compliance Stat liS C"mDli.nce Status
0 I N N C Time and Temperature for Food Safe!)'R 0 I N ...('R
U N 0 A 0 L ...0 A 0 Employee Health
T ...•~S (F =degrees Fahrcnheit)T J S
YV I.Proper cooling time and temperature
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IC.;":Ianagement.food employees and conditional employees;
/V knoll kd!le.responsibilities.and reponinIT
./V ~Proper Cold Holding tempcrature(-1 1°F,45'F)vi 13.Proper use of restriction and exclusion:1\0 discharge from
/eves.nose.and mouth
V /3.Proper Hot Holdin!l temperature(135°F)/Prcwntillf!Contamination b"Hands
V "4.Proper cooking tim(,and temperature .//14.Hands cleaned and properly washed/Gloves used properly
~/5.Proper reheating procedure for hot holding (I 6scF in 2 /15.No bare hand contact with ready to eat foods or approved
Hours)V alternate metlwd properlv folloll'ed (APPROVED y N )
/'6.Time as a Public Health Control:procedures &record;,Hiehl"Susceptible Populations
Approwd Sou rcc tV 16.Pasteurized foods used:prohibited food not offered
,Pasteuri7ed eggs used when required
~
v::ood and ice obtaillcd li'OI11appro,ed source:Food in
Chemicals/'"'good condition.safe.and unadulterated:parasite
destruction J
/8.Food Recei,ed at proper temperature .{17.Food additi,cs:appro,cd and properly stored;Washing Fruits.,J J &Ve!!etables
Protection from Contamination X IR.Toxic sub,tanees properlv identified.stored and used
~9.Food Separated &protected.pre'''llled during food Water!Plumbing
j V preparation.storage.displa"and tastinu .I
I-'"•..V 10.Food conratt5'cr1r~.~etun~~Cleaned ali /19.Water Irom appro,ed source;Plumbing installed:proper
",-Sanitized at m!mprrat 1111 11)./back flow de,ice
V'/II.Proper disposition lir'!i:1Umed.pre,iously served or /20.Approved Sewage/Wastewater Disposal System.proper
reconditioncd disposal
Priority Foundation Hems (2 Points violations ReI lIire Corrective Actio"with ill 10 daJ's
0 I N ~C R 0 t N ...-C R
U N 0 A 0 Demonstration of Knowledge!Personnel !:~0 A 0 Food Temperatltre Control/Identification
T "S T ./s
L.-./21.Persoll in charge present,demonstration of kllo\\ledge../27.Proper cooling method used;Equipment Adequate to/and perform duties!Certified Food f'vlanaller (CF:-I)Maintain Product Temperature
iI'00 Food Handler!no unauthori7ed per<;ons!personnel ,28.Proper Date Marking and disposition
Safe Water.Recordkeeping and Food Package /2Y.Thermometers pro,idcd.accurate.and calibrated:Chemical!
/'Labelin2 ./Thermal test stripsj./1"Hot and Cold Water al'ailable:adequate pressure.safe /Permit lequiremen/,Prerequisite for Operation.J _0 .
/~4.Required records a,ailable (shcllstock tags:parasite Yl 30.Food E~iS~+Pt91f~r~&Valid)y destruction):Packaged Food labeled
Conformance with Approved Procedures IJtensitl.,E4uipruent;and Vending
{~5.Compliance lI·ith Variance.Speciali7cd Process.and V 31 Adequate hand\\'ashing facilities:Accessible and properlyHACCPplan:Variance obtained for speeialiLed V :...-supplied,usedprocessingmethods:manufacturer instructions ./
V Consu mer Advisory 1/'"3~.Food and Non-food Contact surtuees cl~anable.properly
/designed.constructed.and used "/
1 26.Posting ofConsulller Ad,isories:rail'or under cooked t 3~.Warell ashing Facilities:installed,lllain~ned.used!
foods (Di,closure/RemindcrIBuffet Platc)Alleruen Lahel Scn ice sink or curb cleaning facility pro,idea
Core Items (1 Point)ViolaTiolls Require Corrective Aetion Not to Exceed 90 Dal's or NexlllI<pection.Whic/Jel'er COnies First
0 I
~
~C R 0 I N "C R
U A 0 Prcnntion of Food Contamination 1:"0 A 0 Food IdentificationTST/s
I II 3-1.No Evidence or Insect contal1l1l1atiol1.rodent 'other /"41.0riginal container labeling (Bulk Food)
animals V
jV 35.Personal Cleanliness/catin~.drinking or tobacco u;,c /Phvsical Facilities
/36.Wining Cloths:propcrly used and sl(lred V /42.Non-Food Contact surfaces clean
1 ./37.EI1\ironmcllw!contamination l//.43.AdeLluate ,entilation and lighting:designated areas used
./38.Appro,ed thall inu method '"V 4-1.Garbage and Rcfu<;e properly disposed:facilities maintained
Proper lIse of Ull'nsils v'/-15.1'111<;ical L1cilities installed.maimaincd.and clean
/39.Ctensils.equipment.&linen<;:properly used.storcd.,,/46.Toilet Facilitics;pn>perl)constructed.supplicd.and clean"/dried.&handled In use utensil,:properlv used
/40.Single-,enice &,ingic-u,e arllcles;properl}stnred -17.Other ViQlation,,and used
Received by:
(~f 1_I)-rO /'~.Y n,!-Print:r ()U.M\rllA ()~v..f.'-J
Title:Person In Charge!Owner
(signature)
Inspected by:tf\J ~Ln (Ar~-~Lf1 Ie ~t:
t Bu,incss Email:
(signature)I
Form EH-06 (Revis~201S)--
Dallas County Health and Human Services -Environmental Health Division
Retail Food Establishment Inspection Report
2377 N.STE:\IMOI\S FR\VY.,RiVl607,DALLAS,TX 75207 214-819-2115 FAX:214-819-2868
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Establl
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•TEMPERA TURE OBSERVATIONS .~
Item/Location Temp 1tern/Location Temp Item/Locatio~Temp
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OBSERV AnONS AND CORRECTIVE ACTIONS
Item AN INSPECTION OF YOUR ESTABLISHMENT HAS BEEN MADE.YOUR ATTENTION IS DIRECTED TO THE CO DITIONS OBSERVED AND
Number NOTED BELOW:
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Received by:'"n :M +-l r IA'\O~V~Print:'"N *\1 R-r-\I Title:Person In Charge/Owner(signature)I I 1.11 1'.(\(
Inspected by:J Il'"Mll~('"tVl-~~~f~
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(signature)~Samples:Y N #collected
Form EH-06 (Revis~15 -