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Dallas County Health and Human Services -Environmental Health Division
Retail Food Establishment Inspection Report
2377:\.STE.'I:\IO:\S FRWY .•R\I 607,D.\LLAS.TX 75207 21-l-S19-2I 15 FAX:21-l-SI9-2868
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)'lInfOse f InSllection:I I-Compliance I /:2-Routine I 3-Field 1I1\esti!!:ltioll I I 4-\"i~it r 1 5-0ther T~ORE
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('_"I_i(_"_"_:~~~~!0)'I\l.j)l vL-rl\-t-t~v \.JL,.-(,../'\lImuer of \iolations COS:_
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Comp(iance SWill":Out not in compliance 11"in cumplbncc '0 not ob,c"cd N.\n,1Iapplicable COS corrected on site R rcpeal \iola~
\-lark the appropri,lIc (l\JlIlt~in the OLT b(I'({'r each numbercJ lIelll Mark''/'a rh«I.IllJrk in Jnnrooriate ,'Ox for 1:'1'.'0.:-IA.COS Mark an aSleri,k '*.in appropriate Po.for R
Prioritv Items (3 Points)violatiolls He uire IlIIlIIcditlle Correct;,'e Actioll lIotto exceed 3 tlays
Complianc('Staill.
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Time and Temperalure for Food Safely
(F =cl~gree,Fahrenh~,t)
I.Proper cooling time and temperature
2.Propa Cold Holding tempcrature(41 OF,-I:i'F)
3.Proper Hot Hoidilll!temperature(135°F)
-I.Proper cookin!(time and temperature
5.Proper rehcating procedure I(lf hot Iwlding (165°F in 2
Hours)
6.Tllne as a Puhlic Heallh Control:procedures &record,
ApprO\ed Source
7.Food and ice obtained rrom approved source;Food in
good condition,safe.and unadulterated:parasile
destruct ion
8.Food Received at proper temperature
Protection from Contamination
9.Food Separated &protected,prevented dunng food
preparalion.stora"e.displav,ancltastin!(
10.Food conlacl surt"ces and Relurnables :Cleaned and
Saniti7cd at ppm/temperature
Compliance Status
o t l'•••Ct:•.•0 A 0
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Employee Health
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12.t-Ianagemcnl.rood cmployees and conditional emplojees;
kllO\\ledge.responsibilities,and rcporting
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13.Proper Lise ofre~triction and exclusion:No discharge from
c\·c~.nose.and mOllth
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PreHn!i,,,,Conlllmination bv Hands
14.Ilands cleaned and properly washed!Gloves used properl'
15.1\0 bare hand contact \\ith ready to cat foods or appro,ed
alternate Illethod uronerlv follo\\ed (<\PPROVED Y N )
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R 0 I :-.'I C
L 'I 0 I A 0
T ;/SPreventionofFoodContamination
Hi!!h"Susccntible Ponulations
16.P.'steuri/ed food,used;prohibiled rood not ofrered
Pao;..tclIri7cd C'!!!..!SlIsed when required
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Chemicals
17.Food add,til es;appro\ed and properly stored:Washing Fruits
&Ve!1ctdhlcs
(8.To~ic substance,properlv identified.stored and used
Water!Plumbing
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(9.WaleI'Irolll apprO\ed source;Plumbing installed:proper
narkllo\\dc\icc
~O.Approved Scwage/Waste\\ater Disposal System.proper
di,oosal
II.Pruper disposition of retumed.previously served or
reconditioned
Demonstratioll of Knowlcdgc!Per~onnel
Prioritv Foundation Items (2 Points)viotatiam Rt',Iti,."Correct;"e ~Cfi{J/1withill 10 days
--------------------------------------------+--~I.Per~ol1 in charge present,demonstration ofkno\\'kdge .
and perlorm dllties'Certitied Food 1\lanal!cr (CF\I)
::1.Food Handler'no unaulhorized persons!personnel
Sar.,Water,Recordkeeping and Food Package
Labelin!!
~3.Hot and Cold Water available:adequate pres,ure.safe
24.Re,!uired record,a\'ailahk (shelblock tags:parasite
de"ruction):I'ackal!cd Food laheled
Confnrmance "ith Appro\cd Procedures
25.Comphance 'vith \arianee,Specialized I'roce5"and
HACCI'pian;Variance obtained (or speeialiled
proccssillt!methods:manufacrurer instruction"
Consumer Advisory
~~~~~_!,__,_s ~-I-_
27.Proper cooling method used:Equipment Ade'!uate to
i\laintain Product Temoeraturc
Food Temperature ControV Identification
2H.Proper Date rvlnrkin~and di~nosi(ion
~l).Thcrl11t)mcl('r~provideJ,accurate.and calihrated:Chemical
Therm."tcst stno,
I'ermit R):'ttN·l')nel!!.~rer{quiSite for Operation
Ltcnsil~,EquipnJnt,and Vending
31.Adequate handlV",hillg facilities:Acce%ible and properly
,uppl ied.used
32.Food and :-':on-food Contact sur",ces cleanable.propcrly
designed.constructed.and u,ed
26.PO~ling ofCol1'iutncr Advisorie~:raw or under cooked 1/33.\Van.:\\ashing Facilities:installed,maintained.used/
foods (DisciosureIReminder/Buffet Pl3te),Allerl!cn Label Sen ice sink or curb cleaning ('acilitv rro\'idcd
Core Hems (1 Point)Viotutiom Require Corrective ActifJJll\'ot to Exceed 9(}Dar .•or SextlJlspectioJl.IHlicitel-er COllie.•Fir,t
40.Single-,ervice &single-usc articles:propcrly stored
and uscd
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Food Identification
Print:
34.1\0 Evidence of Insect contamination,rodent/other
animals
35.Personal Cleanlinessleatilll!.drinking or tobacco lI~~
36.Wipine Cloths;properly usecl and stored
37.Environmt:lllai contamination
38.<\ppn)\ed Iha\\inl!method
Proper l se of L'tensils
39.Utclbils.cquipmelll,&linen,;properly l"ed.stored.
dried,&handledl In ust:utcnsib:nrol)crly L1~cd
4 (.Original container labeling (Bulk Food)
Phvsical Facilities
42.:-':on-Food Contact surlnces clean
43."decluate \cmilation and liQhtinl!:desillnatcd areas used
-1-1.(jarhalle and Rcfu,e Dronerl\'di,no,ed;t:,cilitles mailllallled
-15.Ph"ical 1(lcil,ties ilhtalled,maintained.and clean
46.Toilet factlitlc>:properly con:'iructed.supplied.and clean
47.Other Violations
Received bv:/:J ./
("gnalurqy\/4 P''7../L---
Insp€~bii ~':I L';.L I
higk>lu,{:)_)of I(1.11 ~ii)(,j,-1'-rrt-f1
BIJ~inc~~Email:
8 Title:Person In Charge/0"ncr
Form EH-06 (ReVised 09-2015)