HomeMy WebLinkAboutFood Service Establishment Inspection 00 (4) INSPECTION REPORT STATE OF CONNECTICUT TOWN
FWD SHVICE IISTABUSHMMMTS DEPARTMENT OF HEALTH SERVICES $- (k-1-ti k�5 b
ENS-106 REV.9/93 150 Washington St.,Hartford,CT,06106 OWNER OR OPERATOR
8 OUARTERLYRVSIEC110N ❑REINSPECTION ❑COMPWNT ❑INVESTIGATION ❑01HER
Based on an Inspection this day,the items marked below identify the violations in operation or facilities which must be corroded by the date specified below.
NAME OF ESTABLISHMENT STREET ADDRESS
_ ��"�"� Jr'fyw� Sa✓6 liVccv� 14 ve
NOTICE:ALL SHADED AREAS ARE FOR OFFICE USE
EST. H.D. SECT, EST.NO. CHAIN CODE SANIT.CODE YR. I MO. I DAY TRAVEL TIME NSPECT.TIM
4D.
I 12 3 4 51 61 71 8 19 110 VA 11112 113 rAl 14115 116 r4 17118 119 120 121 122 23 24 25 26 27 28
EQUIPMENT AND UTENSILS:
2 SOURCES OF FOOD 7 CLEANLINESS 14 VERMIN CONTROL
i Approved source wholesome non adulterated 4 1 Preflushod scraped,soaked and racked 1 �r;
42 Presence of insects rodents 2
2 Original container pro orl labeled 1 Wash water clean proper tem temperature 1 - Outer openings protected against entrance of
Accurate thermometers provided,dish basket, 43 insects r
rodents 1
23 if used 1
3 FOOD PROTECTION 24 Sanitization rinse hot water-chemical: p _£ 15 FLOORS, WALLS, AND CEILINGS
Potentially hazardous food meets temperature - 25 Clean wi in cloths 1 Floors,floor covering installed,constructed as
requirements during storage,preparation,dis• 44 required,good repair,clean 1
3 play,service,3 transportation 4 Food contact surfaces of utensils&equipment
Adequate facilities to maintain product temper- clean 2 , , 45 Floors raded drained as required 1
4 ature thermometers provided 2 Non-food contact surfaces of equipment and I6 utensils clean 1 Floor,wall'uncture covered 1
5 Potentially hazardous food properly thawed 2 47 Mats removable ood repair,clean 1
Unwrapped and potentially hazardous food : 2 Equipment/utensils storage handling1 z
PP P Y Exterior walking,driving surfaces.Good repair,
6 not reserved 4 8 WATER SUPPLY 46 clean
Food protected during storage,preparation, Walls,ceilings,attached equipmsnt,properly
7 display,service and transportation 2 2 Water source adequate,safe 4 ;": constructed,good repair,clean.Wall&ceiling
Hot and cold wafer under pressure,provided49 surfaces as required. 1
8 Food containers stored off of the floor 1 p Dustless cleaning methods used,cleaning
3 as re uired 2 g g
9 Handling of food minimized 2 501 equipment ro erl stored 1
101 Food dispensing utensils properly stored 1 9 SEWAGE DISPOSAL 16 LIGHTING
111 Toxic items Pr000rly stored labeled used 4 31 Sewage disposal approved E4 fit. 51 Adequote lighting provided as required 1
32 Pro er disposal of waste water 1 17 VENTILATION
4 PERSONNEL 10 PLUMBING 52TR.m tree of steam smoke odors
12 Personnel with infection restricted 14 : 331 Location installation maintenance 1 Room and equipment hoods,ducts,vented as '
CLEANLINESS OF 3 No cross connection back si Kona a backf low 4go 53 required 1
5 PERSONNEL 11 TOILET FACILITIES 18 DRESSING ROOMS AND LOCKERS
Adequate,convenient,accessible,designed, Rooms adequate,clean,adequate lockers
13 Hand washingfacilities provided 4 35 installed 4 5 rovided facilities clean i MV
14 Clean outer clothes effective hair restraints 1 e 36 Toilet rooms enclosed with self-closin door 1 19 HOUSEKEEPING
15 Good hygienic practices,smoking restricted 2 -
7 Proper fixtures orovided,cood re air clean 1 Establishment and premises free of litter,no in-
12 HANDWASHING FACILITIES sects rodents harbors a no unnecessary articles 1
EQUIPMENT& UTENSILS: DESIGN, Suitable hand cleaner and sanitary towels or Complete separation from living/sleeping
6 CONSTRUCTION & INSTALLATION approved hand drying devices provided,tissue 56 auarters and loundry1 fA
38 waste receptacles provided 1
Food contact surfaces designed,constructed, 57 Clean soiled linens stored roperly
i
16 maintained installed located 2 13 GARBAGE & RUBBISH STORAGE No live birds,turtles,other animals(except ,
Non-food contact surfaces,designed,constructed & DISPOSAL 58 police guide dos) 1 -
17 maintained installed located 1 Approved containers,adequate number, 20 NONSMOKING AREAS
18 Single service articles stores dispensing 1 39 covered rodent proof,clean 1
Storage areas/rooms,enclosures-properly Seats 75 or more:Nonsmoking area
19 No reuse of single service article 2 40 constructed clean 1 59 provided, sign(s)posted at entrance(s), smok- JE4
Dishwashing facilities approved design,ade• Disposed of in an approved manner,at ing area indicated by sign(s).
20 uate constructed maintained installed located 2 41 a roved fre uen 1
DEMERIT SCORE FOLLOW-UP RATING ACTION SIGNED(Inspector) DATE COR ECTIONS DUE
4 3 2 1 TOTAL r Qf �VO.1 f f /
❑YES-1 [3 CHANGE c Qf o � [r
[3NO.2 Q ❑DELETE d. SIGNATURE OF PER N IN C RGE
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DISTRIBUTION: lit-White-Health Department 2nd-glue-Owner/Manager
HEALTH DEPARTMENT
INSPECTION REPORT STATE OF CONNECTICUT TOWN
FOOD SNVXX INTABUSHMINTS DEPARTMENT OF HEALTH SERVICES
ENS-106 REV.9/53 130 Washington St.,Hartford,CT,06106 OWNER OR OPERATOR
�ARIERLY INSFEC710N ❑AERVSf ECTION ❑COMPLAWT ❑INVESTIGATION ❑OTHER
Based on an inspection this day,the items marked below Identify the violations in operation or facilities which must be corroded by the date specified below.
NAME OF ESTABLISHMENT STREET ADDRESS
NOTICE:ALL SHADED AREAS ARE FOR OFFICE USE
EST. N.D. SECT. EST,NO. CHAIN CODE SANIT.CODE YR. MO. DAY TRAVEL TIME NSPECT.TIM
I.D. 4 ld c>13 0
1 1 2 3 4 5 6 7 B 9 10 11 12 13 14 15 16 17118 119 120 121 122 23 24 25 26 Z7 Z8
EQUIPMENT AND UTENSILS:
2 SOURCES OF FOOD 7 CLEANLINESS 14 VERMIN CONTROL
1 Approved source wholesome non adulterated 4 1 Preflushed scraped,soaked and racked 1 ;, - ;;
2 Original container,properly labeled 1 2 Wash water clean proper temperature 1 42 Presence of insects/rodents
rodents 2
Accurate thermometers provided,dish basket,
Outer openings protected against entrance of
43 inacts rodents I
2 if used I AND CEILINGS
3 FOOD PROTECTION 2 Sonitization rinse hot water-chemicals) 2 15 FLOORS, WALLS,
Potentially hazardous food meets temperature 2 Clean wi in cloths I Floors;floor covering installed,constructed as
requirements during storage,preparation,dis-
3 play,service,3 transportation
4 Food concoct surfaces of utensils d equipment jL 44 required,good repair,clean 1
Adequate facilities to maintain product temper- clean 2 F��` 45 Floors graded drained as required 1 po
4 ature thermometers provided Nonfood contact surfaces of equipment and 46 Floor,wall'unctuce covered 1
2 utensils clean I °
5 Potential) hazardous food properly thawed 2 47 Mats removable good repair,clean 1
Unwrapped and potentially hazardous food 2 Equipment/utensils storage handlin 1 Exterior walking,driving surfaces.Good repair,
6 not reserved 4 a 8 WATER SUPPLY 48 clean 1
Food protected during storage,preparation, Walls,ceilings,ottached equipment,properly
7 display,service and transportation 2 2 Water source adequate,safe 4 _ constructed,good repair,clean.Wall 6 ceiling
8 Food containers stored off of the floor I Hot and cold water under pressure,provided 49 surfaces as required. 1
3 as required 2 Dustless cleaning methods used,cleaning
9 Handling of food minimized SO a ui ment properly stored
10 Food dispensing utensils properly stored 1 9 SEWAGE DISPOSAL 16 LIGHTING
11 Toxic items Properly stored labeled used 4 311 Sewage dis osal approved 4 51 Ads uate li htin provided as required 1
32 Proper disposal of waste water 1 17 VENTILATION
4 PERSONNEL 10 PLUMBING Room tree of steam smoke odors
12 Personnel with infection restricted 14 A location installation maintenance 1 .;3 Room and equipment hoods,duds,vented as
CLEANLINESS OF
3 No crass connection back si hone a bockflow 4 �" S3 required I
5 PERSONNEL 11 TOILET FACILITIES
18 DRESSING ROOMS AND LOCKERS
Adequate,convenient,accessible,designed Rooms adequate,clean,adequate lockers
13 Hand washingfacilities provided 4 ,, 35 installed 4 54 rovided facilities clean 1
14 Clean outer clothes effective hair restraints i 36 Toilet rooms enclosed with self-closing door 1 ': 19 HOUSEKEEPING
15 Good hyalonic Practices,smokina restricted 2 7 Proper fixtures orovidiscl,good repair,clean 1 Establishment and premises free of litter,no in.
12 HANDWASHING FACILITIES sects rodents harbors a no unnecessaryarticles 1
EQUIPMENT 8 UTENSILS: DESIGN, Suitable hand cleaner and sanitary towels or Complete separation from living/sleeping
b CONSTRUCTION& INSTALLATION approved hand drying devices provided,tissue, ' 5 quarters and laund
38 waste rice tacles provided 1
Food contact surfaces designed,constructed, 57 Clean soiled linens stored properly1
16 maintained installed located q 13 GARBAGE & RUBBISH STORAGE No live birds,turtles,other animals(except '
Non-food contact surfaces,designed,constructed
& DISPOSAL 58 police guide dos 1 §`
17 maintained installed located 1 Approved containers,adequate number, `_-' 40 NONSMOKING AREAS
18 Sin le service articles storage,dispensing 1 39 covered rodent proof,clean i
Storage areas/rooms,enclosures-properly
19 No reuse of single service article 2 Soots a or more:Nonsmoking area
40 constructed clean 1 59
provided, sign(s)posted at entrance(s), smok• i
Dishwashing facilities approved design,ade- Disposed of in an approved manner,at ing area indicated by sign(s).
20 uatel constructed maintained installed located 2 1 approved f►s uen 1
DEMERIT SCORE FOLLOW-UP RATING ACTION SIGNED(Inspedor) DATE CORRECTIONS DUE
4 3 2.3 1 n Lt,r Sa�Ft
2 TOTAL [3 YES.
1 [3 CHANGE c 1 �j' .0 �C
6 2 ❑ NO-2 C) [ 2 [3 DELETE d. SIGNATU ERS N C RGE
REMARKS: 4?Vj
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DISTRIBUTION: 1st•White-Health Department 2nd•Blue•Owner/Manager
HEALTH DEPARTMENT
INSPECTION REPORT STATE OF CONNECTICUT TOWN
ROOD SOVKX I STABUSHMINTS DEPARTMENT OF HEALTH SERVICES tt—,tk '-"_
ENS-106 REV.9/63 150 Washington St.,Hartford,CT,06106 OV4411 OR OPERATOR
MIARTERLYINSPECTION ❑AEIISPECTION ❑COMPLAINT ❑INVESTIGATION ❑OTHER
based on an inspection'this day,the hems marked below identify the violations in operation or facilities which must be corrected by the date specified below.
NAME OF ESTABLISHMENT STREET ADDRESS
C e J-Ultlak.- 'qv<'_
NOTICE:ALL SHADED AREAS ARE FOR OFFICE USE
EST. N.D. SECT• EST.NO. CHAIN CODE SANIT.CODE YR. MO. DAY TRAVEL TIME NSPECT.TIM
I.D.
1 1 2 1 31 4 S 6 71 10 11 12 13 14 1S 16 17 18 119 120 121 122 23 24 23 26 27 2B
EQUIPMENT AND UTENSILS:
2 SOURCES OF F000 7 CLEANLINESS 14 VERMIN CONTROL
1 Approved source wholesome non aduherated 4 1 Preflushed scr aped,soaked and racked 1
2 Ori final container,properly labeled 1 2 Wash water clean proper temperature 1 42 Outer oepenings protected against entrance of
of insects rodents 2
Accurate thermometer provided,dish basket,
Outer o
2 if used 1 43 insects/rodents 1
3 FOOD PROTECTION 60
24 Sanitizotion rinse hot water-chemicals 2 15 FLOORS, WALLS, AND CEILINGS
Potentially hazardous food meets temperature 2 Clean wi in cloths 1 Floors,floor covering installed,constructed as
requirements during storage,preparation,dis• 44 required,good repair,clean 1
3 ploy,service,&transportation 4 Food contact surfaces of utensils&equipment
Adequate facilities to maintain product temper- 61 clean 2 45 Floors graded drained as required 1
EI
Non-food contact surfaces of equipment 4 ature thermometer provided 2 and 1 v== 46 Floor,wall juncture covered
2 utensils clean
5 Potentiallyhazardous food ro erl thawed 2 47 Mats removable good repair,clean i
Unwrapped and potentially hazardous food 2 Equipment/utensils store a handling
PP po Y Exterior walking,driving surfaces.Good repair,
6 not re•sorved 4 8 WATER SUPPLY 48 clean 1 = .'
Food protected during storage,preparation, Walls,ceilings,ottoched equipment,properiy
7 display,service and transportation 2 2 Water source ado uote safe 4 constructed,good repair,clean.Wall&ceiling
Hot and cold water under r provide
49 surfaces as required. 1 a
8 Food containers stored off of the floor 1 p essu►e, d
3 as required 2 Dustless cleaning methods used,cleaning
9 Handlingof food minimized 2 SO a ui mdnt properly stored 1 r
10 Food dispensing utensils properly stored 1 9 SEWAGE DISPOSAL AlLIGHTING
11 Toxic items Properly stored labeled used 4 31 Sewa a die osal a roved e uate li htin rovided as re uired32 Pro er die osal of waste water VENTILATION
4 PERSONNEL 10 PLUMBING .52 oom tree of steam smoke odors
121 Personnel with infection restricted 4 3 Location installation maintenance 1 Room and equipment hoods,ducts,vented as
CLEANLINESS OF
3 No cross connection back si hone a backflow 4 3 33 required 1
5 PERSONNEL 11 TOILET FACILITIES 18 DRESSING ROOMS AND LOCKERS
Adequate,convenient,accessible,designed, Rooms adequate,clean,adequate lockers '
13 Hand washing facilities provided 4 35 installed 4 =z 54 provided,facilities clean i _;
14 Clean outer clothes effective hair restraints 1 36 Toilet rooms enclosed with self-closin door 1 •: ! 19 HOUSEKEEPING
15 Good hygienic Practices,smokina restricted 2 7 Pro er fixtures Provided.cood repair,clean i Establishment and premises free of litter,no in.
12 HANDWASHING FACILITIES sects rodents harboraee,no unnecessary articles 1
EQUIPMENT& UTENSILS: DESIGN, Suitable hand cleaner and sanitary towels or Complete separation from living/sleeping
6 CONSTRUCTION & INSTALLATION approved hand drying devices provided,tissue, 5 uarters and laundry1
38 waste rece tacles provided
Food contact surfaces designed,constructed, 57 Clean soiled linens stored properly1
16 maintained installed located 2 13 GARBAGE & RUBBISH STORAGE No live birds,turtles,other animals(except
Non-food contact surfaces,designed,constructed
DISPOSAL 58 olive uide dos 1 ~`
17 maintained installed located 1 Approved containers,adequate number, 20 NONSMOKING AREAS
39 covered rodent roof,clean 1
18 Single service articles storage,dispensing 1 Storage areas/rooms,enclosures•properly
19 No reuse of single service article 2 40 constructed clean 1 59 Seats 75 or more:Nonsmoking area
provided, sign(s) posted at entrance(s), smok- 3
Dishwashing facilities approved design,ado- Disposed of in an approved manner,at ing area indicated by sign(s).
20 uatel constructed maintained installed located 2 41 approved frs uen 1
DEMERIT SCORE FOLLOW-UP RATING ACTION 31GNED(Inspedor) DATE CQpRRRECTIONS DUE
4 3 2 1 TOTAL ([� SDvK Pj
❑ YES-1 ❑CHANGE c 6Sf
Z n (f ❑ NO.2 �> ❑DELETE d. 'NATURE OF P
REMARKS: C— l
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DISTRIBUTION: 1st-White-Health Department 2nd-Blue Owner/Manager
HEALTH DEPARTMENT
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