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Dallas County Health and Human Services -Environmental Health Division
Retail Food Establishment Inspection Report--2377;-';.STDL\lO;-';S FRWY .•R:\I 607,DALLAS.TX 752U7 2 I.t-8 I9-2 I 15 FAX:21.t-819-2868
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Risk Category Page \--.oeL:.-._:)
PurDO e of InSllection:I I I-ComDliance I VI l-Routine I I 3-Field 1m cstigatioll I I 4-Visit I I 5-0ther TOTAL/SCORE
Establic
l\lTfr;l1~t ~'\)I Contact/Oll'ncr "'allle:I *:\ullIher of Rcp~at Violations:__(("I(yy,/,J 1 ,/:\U111bcr of Violations COS:---Physical A~S9\J 1)~IL~Uhl.v Jtdf\-CoVr'(11 ~:r{,phone'Follow-up:VesN.,'V .'",.:\0 (drl'll'une)
Compliance Status:O:'~t in compli.:~~'Ii =in cornplioncc ;>10 not ~~scl"\'cd 'A z not applicable COS correct~d on site R repeJt viola~
Mark the annropriate points in the OUT boo for c;lch numbere"rn Mark'v'•a checkl11Jrk in annrupriate box for I:".:\0.!'IA.COS Mark an asterisk'*.in annropriatc box for R
Pl'iol'itv Items (3 Points)violaliolls Re "ire Immediale Corre('til'e AClion 11111 to I'xceel13 days
Comllli"nce StalllS Comnliance Status
0 I N N C Time and Temperature for Food Safety Il ()I N 'I C Rl'~"A ()V N (I A 0 Employee HealthTS(F =degrees Fahrenheit)T ,/S
CI I.Proper cooling time and temperalure .11'I~.I'vlanagement.food employees and conditional employees;
././knowledge,responsibilities.and reporting
.;2.Proper Cold Holding temperature(41 °FI 45°F)I 13.Proper usc of restriction and exclusion:No discharge Irom1./~eves.nose.and mouth
-//3.Prooer Hot Holding temperature(135°F),/PrcHutin2 Contamination by Hands.•./4.Proper cooking time and temperature ,1-1.Hands cleaned and properly wash eel!Gloves used orooerlv
,I 5.Proper reheating procedure for hot holding (165°F in ~l'15.No bare hand contact with ready to eat foods or approved
I,Hours)alternate method properlv followed (APPROVED Y N ),6.Time as a Public Health Control:procedures &records Hi!!hly Susccotible POllulations
Approwd Source r 16.Pasteurized foods used;prohibited food not offered
Pasleurized e~(!s used when requiredV7.Food and ice obtained from approved source:Food in
/good condition,safe,and unadulterated;parasite /Chemicals
1/destruction
/8.Food Received at proper temperature ~17.Food additives:appro;ed and properly stored:Washing Fruit>~&Ve~etables7ProtectionfromContaminatiollA18.To,ic substances properlv identified.stored and used
/9.Food Separated &protected,prevented during food Waterl Plumbing
oreparation.storage.displav.and tasting
/10.Food contact surfaces and Returnables;Cleaned and ..•..1/19.Water from approved source;Plumbing installed;proper
Sanitized at DD111/ten1J)erature backtlow device
,V II.Proper disposition or returned,previously served or _,.Y 20.Appro\'ed Sewage/Wastewater Disposal Systcm,proper
reconditioned disposal
Priority Foundation Items (2 Points)violaliollS Rl'lllire Corrective ACTioll lVithin 10 days
0 I 'I 'I C Il ()I "'I C RlN0A()Demonstration of Knowledgel Personnel l"'I 0 A ()Food Temperature Control!IdentificationTST-'S,/2 I.Person in charge present.demonstration of knowledge.,v 27.Proper cooling method used:Equipment "dequate to
and perform dutiesl Certified Food Manager (CFvl)~I'\olaintain Product Temperature
(22.Food Handler/no unauthorized Dersonsl personnel ,2~.Proper Date Marking and disposition
Safe Water,Rccordkeeping and Food Package ..V 29.Thermometers provided.accurate.and calibrated;Chemical!
Labeli1l2 Thermal test strips
",,1/7'Hot and Cold Water available:adequate pressure.safe ,/Permit RJ!IT1 "'CI ent,Prerequisile for Operation_J.
/24.Required records available (shell stock tags:parasite
~30.Food Estabk..n:PerrytVC !"'Y:f~I~1)destruction):Packaged Food labeled ent
Conformance with Approved Procedures Utensils,Lquipmcnt.and Vending
.....r 25.Compliance with Variance.Specialized Process.and ,/'31.Adequate hand\\ashing facilities:Accessible and properlyHACCPplan;Variance obtained for speciali7ccJ
processine methods:manufacturer instructions suppl ied.used
y-Consu mer Advisory /32.Food and l'<on-food Contact surfaces cleanable.properly
designed.constructed.and used.-r 26.Posting of Consumer Ad_isories:raw or under cooked /33.Warewushing Facilities:installed.maintained.used/
foods (Disclosure/Reminder/BufTet Plate)'Allergen Label Service sink or curb cleaning f:lcility provided
Core Items (I Point)Viollltio/ls Re({Ilire Corrective Actio/ll\'ot ttl t:'.,'l:ceed90 Dal's or Next fllspectio/l ,'''7,ic/'I'I'er COllies First
0 I ~:\C R 0 I "N C RN0.,\0 Prevention of Food Contamination lO N ()A 0 Food IdentificationTSTSV34.No Evidence of Insect contamination.rodcnllother ,/41.0riginal container labeling (Bulk Food)v'/animals•.•.17'35.Personal Cleanliness/eating.drinkin\!or tobacco use Phvsical FacilitiesV36.Winin!!Cloths:properly used and stored /42.i\on-Food Contact surfaces clean
/1/37.Environmental contamination ..43.Adequate ;entilation and lighting;designated areas used/38.Anoroved thawine method "..44.Garbage and Refuse properlv disposed:facilities maintained
Prollcr lise of lItensils 1 45.Physical facilities installed.maintained.and clean
IV 1/39.L'tcnsils,equipment.&linens:properly used.stored,/41\.Toilet Facilities;properly constructed,supplied,and clean,dried.&handledl In.use utensils;properlv used
V ~lgle-Serv~Single-USe articles;properly stored 47.Other Violations,cd _
Received bY;L,"/-''/$L-Prin~tM~.J(Title:Person In Charge!Owner(signalUrc),~A )(·N\_~V 0
Inspcct~mw Ih (~\r·)-vho/ll (LA Print;I Business Email:
(signature \"t
Form EH-~s;d 09-2015)
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
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Estatshve~NM I P~~IL-
l((fj City/St te:L)~'License/permit #I Page _!of -L
rn'(\)l)j I I 1)(/I~vi.G J v;:-.•......r TEMPERA TURE OB~V ATION.~
Item/Location /Temp Item/Location L-Temp Item/Location Ttmp,
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OBSERVATIONS AND CORRECTIVE ACTIONS
Item AN INSPECTION OF YOUR ESTABLISHMENT HAS BEEN MADE.YOUR ATTENTION IS DIRECTED TO THE CONDITIONS OBSERVED AND
Number NOTED BELOW:
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Received bY(c L ~r ,pr"~)~l~AI/1It...'1 J))~-~l~.2J Title:Person [n Charge/Owner
(signature)-".-r _,
[nspe~~~IfYllf'S(\)hn-f1rt1.If P ;ht:I
(signatll ~),;/Samples:Y N #collected
Form EH-d&l Wvised 09-2015).-