HomeMy WebLinkAboutFood Service Establishment Inspection 00 (9) EHS-106-Rev.06/01 INSPECTION REPORT STATE OF CONNECTICUT DAMTINE INSPECTION ❑ REINSPECTION
FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH ❑ PREOPERATIONAL ❑ OTHER
410 Capitol Avenue,MS#51 FDP,Hartford,CT 06134
NAME OF ESTABLISHMENT ESTABLISHMENT �. jy( � CLASS f T
6c�/`
STREET TOWN
ADDRESS �` (��,� fi� 13h/d 'r 64..,1&-.Q O,
OWNER or INSPECTION /�
OPERATOR �-�j 0_ f DATE and TIME Iv 4 ^0
Based on an inspection this day,the items marked below identify the violations in operation or facilities which must be corrected by the date specified below.
SOURCES OF FOOD EQUIPMENT&UTENSILS:CLEANLINESS VERMIN CONTROL
1 Approved source,wholesome, 4 21 Preflushed,scraped,soaked and racked F43
Presence of insects/rodents 2
nonadulterated 22 Wash water clean,proper temperature 1 Outer openings protected against entrance of 1
2 Original container,properly labeled 1 23 Accurate thermometers provided,dish basket,If used insects/rodents
Sanitization rinse(hot water-chemical)
FOOD PROTECTION 25 Clean wiping cloths 1 FLOORS,WALLS&CEILINGS
3 Potentially hazardous food meets 4 Food-contact surfaces of utensils& 4 Floors:floor covering installed,
temperature requirements during storage, equipment clean constructed as required,good repair,clean
preparation,display,service,and
transportation 27 Nonfood-contact surfaces of utensils& 45 Floors,graded,drained as required
equipment clean 46 Floor,wall juncture covered
4 1 Adequate facilities to maintain product 2 28 1 Equipment/utensils,storage,handling 1 47 Mats removable,good repair,clean
temperature,thermometers provided
5 Potentially hazardous food properly thawed 2 48 Exterior walking,driving surfaces, 1
6 Unwrapped or potentially hazardous food 4 WATER SUPPLY good repair,clean
not reserved FT30_
Water source ade uate safe q 4 4 Walls,ceilings attached,equipment properly
7 Food protected during storage,preparation, Hot and cold water under pressure, 2 constructed,good repair,clean. Wall&ceiling
display,service&transportation provided as required surfaces as required.
8 Food containers stored off floor 50 Dustless cleaning methods used, 1
SEWAGE DISPOSAL cleaning equipment properly stored
9 Handling of food minimized 2 31 Sewage disposal approved 4
10 Food dispensing utensils properly stored 1 32 1 Proper disposal of waste water 1 LIGHTING&VENTILATION
11 Toxic items properly stored,labeled,used 4 51 Adequate lighting provided as required 1
PLUMBING 52 Room free of steam,smoke odors 1
PERSONNEL 33 Location installation,maintenance 1 53 Room&equipment hoods,ducts,vented as required
12 1 Personnel with infection restricted 14 34 No cross connection,back siphonage,backflow 4
DRESSING ROOMS&LOCKERS
CLEANLINESS OF PERSONNEL TOILET FACILITIES 54 Rooms adequate,clean,adequate lockers 1
13 Handwashing facilities provided, 4 35 Adequate,convenient,accessible,designed, 4 provided,facilities clean
personnel hands washed clean installed
14 Clean outer clothes,effective hair restraints 1 36 Toilet rooms enclosed with self-closing door 1
15 Good hygienic practices,smoking restricted 2 37 Proper fixtures provided,good repair,clean HOUSEKEEPING
55 Establishment and premises free of litter,no 1
EQUIPMENT&UTENSILS: DESIGN, HANDWASHING FACILITIES insect/rodent harborage,no unnecessary articles
CONSTRUCTION&INSTALLATION Suitable hand cleaner and sanitary towels or 56 Complete separation from living/sleeping quarters 1
16 Food-contact surfaces designed,constructed, 2 approved hand drying devices provided, and laundry
maintained,installed,located 7 tissue waste receptacles provided 57 Clean/soiled linens stored properly 1
17 Nonfood-contact surfaces designed, 1 58 No live birds,turtles,or other animals 1
constructed,maintained,installed,located GARBAGEIRUBBISH STORAGE&DISPOSAL (except guide dogs)
18 Single service articles,storage,dispensing 2 39 Approved containers,adequate number, 1
19 No reuse of single service article covered,rodent proof,clean NONSMOKING AREAS
20 Dishwashing facilities approved design,adequately 2 40 Storage area/rooms,enclosures— 59 Seats 75 or more:Nonsmoking area provided, 3
constructed,maintained,installed,located properly constructed,clean sign(s)posted at entrance(s),smoking area
1 indicated by sign(s)
41 Garbage disposed of in an approved manner,
at approved frequency QUALIFIED FOOD OPERATOR
DEMERIT SCORE 60 Qualified Food Operator 3
F
X
NZ
VIV
RISK FACTOR VIOLATIONS IN RED 61 Designated alternate 2
62 Written documentation of training program 2
TOTAL RATING Date Corrections Due Signa rson
QS To"q qi IGNED(Inspector)
l D parro
A/P IF
DESCRIBE DEFICIENCIES ON CONTINUATION SHEETS
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INSPECTION REPORT STATE OF CONNECTICUT
FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH
CONTINUATION SHEET
NAME OF ESTABLISHMENT TOWN DATE OF INSPECTION
Inspection Form# Remarks:
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INITIAL(INSPECTOR) �� INITIAL(PERSON IN CHARGE)
Distribution: 1st-White-Health Department 2nd-Yellow-Owner/Manager
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INSPECTION REPORT STATE OF CONNECTICUT TOWN FOOD SNVKX OTABUSHA41NTS DEPARTMENT OF HEALTH SERVICES CJ5c:)—
BENS-106 REV.9/93 150 Washington St.,Hartford,CT,06106 OWNER OR OPERATOR
u 5I WTERLYINSMCTION ❑itEwspEC110N ❑COMMAI it ❑INVESTIGAmN ❑Own
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. H.D. SECT. EST.NO. CHAIN CODE SANIT.CODE YR. I MO. DAY TRAVEL TIME NSPECT.TIM
I.D. 2
1 1 2 1 31 41 3 110 it 12 13 120 21 122 29 24 25 26 27 23
EQUIPMENT AND UTENSILS:
2 SOURCES OF FOOD 7 CLEANLINESS 14 VERMIN CONTROL
1 Approved source wholesome non adukorated 4 1 Preflushed scraped,soaked and racked 1
2 Original container, ro orl labeled i 2 Wash water clean proper temperature 1 42 Presence of insects rodenh 2f
Outer openings protected against entrance of
Accurate thermometers provided,dish basket,2 if used 43 inacts rodenri 1
1 3 FOOD PROTECTION 2 Sonitization rinse hot water-chemicals) 2 15 FLOORS, WALLS, AND CEILINGS
Potentially hazardous food meets temperature 251 Clean wi in cloths 1 Floor,floor covering installed,constrjasnquiromenri during storage,preparation,die• Food contact surfaces of utensils 3 equipment44 re uired ood re air clean3 la ,service,3 trans rtation 4Adequate facilities to maintain product temper- dean 45 Floors ►acted drained as rs uiredaturo thermometers rovided 2 Non-food contact surfaces of equipment and46 Floor wall'uncture covered2 utensils clean3 Potential) hazardous food ro erl thawed 2 ,. 47 Mats removable ood re air clean2 E ui ment utensils store a handlin Unwrapped and potentially hazardous food Exterior walking,driving surfaces.Goorepar,
6 not re•sorved 4 8 WATER SUPPLY 48 clean 1
Food protected during storage,preparation, Walls,ceilings,attached equiprrent,properly
7 display,service and transportation 2 2 Water source adequate,safe 4 -- constructed;good repair,clean.Wall 3 tenting
Hot and cold water under pressure,provided49 surfaces as required. 1
8 food container stored off of the floor 1 p g Dustless cleaning methods used,cleaning
as required 2 g g
9 Handling of food minimized 2 501 equipment ro erl stored 1 ;
10 Food dispensing utensils properly stored 1 9 SEWAGE DISPOSAL 16 LIGHTING
11 Toxic items Proosrly stored labeled used 4 311 Sewa a die osal approved 4 31 Ads unto righting provided as required 1 '`
32 Proper disposal of waste water 1 17 VENTILATION
4 PERSONNEL 10 PLUMBING 572 Room tree of steam smoke odors I
k)
121 Personnel with infection restricted 14 A location installation maintenance 1 Room and equipment hoods,ducts,vented as
CLEANLINESS OF 3 No cross connection back si hone a flow bock 4 53 required 1
5 PERSONNEL 11 TOILET FACILITIES 18 DRESSING ROOMS AND LOCKERS
Adequate,convenient,accessible,designed, Rooms adequate,clean,adequate lockers ,
13 Hand washin facilities provided 4 3S installed 4 5 rovided facilities clean 1
14 Clean outer clothes effective hair restraints 1 36 Toilet rooms enclosed with self-closin door 1 19 HOUSEKEEPING
15 Good h ionic practices,smokingrestricted 2 7 Proper fixtures Provided,good repair,clean 1 r.K
Establishment and premises free of litter,no in.
12 HANDWASHING FACILITIES sects rodents harbors a no unnecesso articles 1
EQUIPMENT& UTENSILS: DESIGN, Suitable hand dearer and sanitary towels or Complete separation from living/sleeping
a roved hand drying devices provided,tissue,
b CONSTRUCTION 8 INSTALLATION 38 waste Pecs tadesryro�ided p 1 56 uarters and found 1
57 Clean soiled linens storedproperlyi
Food contact surfaces designed,constructed, 13 GARBAGE 8, RUBBISH STORAGE
16 maintained installed located 2 No live birds,turtles,other animals(except
Non-food contact surfaces,designed,constructed
8 DISPOSAL 58 elite guide dos i
17 maintained installed located 1 Approved containers,adequate number, 20 NONSMOKING AREAS
18 Single service articles storage,die ensin 1 39 covered rodent roof,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 entronce(s), smok- 3
Dishwashing facilities approved design,ads- Disposed of in an approved manner,at ing area indicated by sign(s).
20 uatel constructed maintained installed located 2 1 a roved freauencv1
DEMERIT SCORE FOLLOW-UP RATING ACTIOId.
SIGNED(Intpedor) DATE CORRECTIONS DUE
4 3 2 1 TOTAL d Qf fo4;A"�
'Z ❑ YES-1 ❑ CHAN j lC
❑NO-2 � � [3 DELETESIGNATURE ERS IN CHAR
REMARKS: e2 7—
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DISTRIBUTION: lit-White•Health Department 2nd-Blue•Owner/Manager
HEALTH DEPARTMENT
INSPECTION REPORT STATE OF CONNECTICUT TOWN
FOOD SMVKZ STABUSHMENTS DEPARTMENT OF HEALTH SERVICES SLvI'ucQ/�r�.
EHS-106 REV.9/83 150 Washington St.,Hartford,CT,06106 OWNER OR OPERATOR
QUARTERLY INSPECTION ❑REINSPECTION ❑COMPLAINT ❑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
�- Fr%i 14 Fib elYd
NOTICE:ALL SHADED AREAS ARE FOR OFFICE USE
EST. H.D. SECT. I EST.NO. CHAIN CODE SANIT.CODE YR. MO. DAY TRAVEL TIME NSPECT.TIM
q v61
I.D.
1 1 2 1 31 41 51 61 71 S 19 10 11112 113 14113 116 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 aduherated 4 1 Preflushed seraped,soaked and racked 1
42 Presence of inseds rodents 2
2 Ori inal container properly labeled 1 2 Wash water clean ro er tens erature 1 Outer openings protected against entrance of
Accurate thermometers provided,dish basket, 43 insects rodents i
3 FOOD PROTECTION 2 if used i
24 Sanitization rinse hot water-chemicals 2 :` 15 FLOORS, WALLS, AND CEILINGS
Potentially hazardous food meets temperature " 25 Clean wi in cloths I Floors:floor covering installed,constructed as
requirements during storage,preparahon,dis• "�; 44 required,good repair,clean 1 �?
3 1a ,service,3 transportation 4 Food contact surfaces of utensils 3 equipment
Adequate facilities to maintain product temper- 261 clean 2 45 Floor: graded drained as required 1
4 ature thermometers provided 2 Non-food contact surfaces of equipment and 46 Floor,wall'uncture covered 1
2 utensils clean
L Potentially hazardous food properly thawed 2 F 47 Mats removable ood repair,clean 1 }
Unwrapped and potentially hazardous food _ 24 Equipment/utensils storage handling 1 Exterior walking,driving surfaces.Good repair,
6 not re-served 4 8 WATER SUPPLY 48 clean 1
Food protected during storage,preparation, Walls,ceilings,attached equipment,properly
7 display,service and transportation 2 2 Water source adequate,safe 4 sv:- constructed,good repair,clean.Wall 3 ceiling
Hot and cold water under pressure, r 49 surfaces as required. i
8 Food containers stored off of the floor p provided Dustless cleaning methods used,cleanin
as required 2 "�" 0 g
9 Handling of food minimized 2 501 equipment ro erl stored 1
101 Food disponsina utensils properly stored 1 9 SEWAGE DISPOSAL 16 LIGHTING
111 Toxic items Properly stored labeled used 4 31 Sewa a disposal approved 4 51 equate lichting provided as require i
32 Proper disposal of waste water 1 17 VENTILATION
4 PERSONNEL 10 PLUMBING Room tree of steam smoke odor
121 Personnel with infection restricted 4 331 Location installation maintenance 1 Room and equipment hoods,duds,vented as
CLEANLINESS OF 34 No cross connection back siphon a backflow 4 531 required 1
5 PERSONNEL 11 TOILET FACILITIES 18 DRESSING ROOMS AND LOCKERS
Adequate,convenient,accessible,designed, Rooms adequate,clean,adequate lockers 177
13 Hand washin facilities provided 4 _ 35 installed 4 �; 54 rovided facilities clean i
14 Clean outer clothes effective hair restraints i T 36 Toilet rooms enclosed with self-closina door 1 19 HOUSEKEEPING
15 Good hygionic Practices,smoking restricted 2 7 Proper fixtures provided,cood repair,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,tissuA&E
IV- 56 uarters and laundry1 '
38 waste receptacles provided
Food contact surfaces designed,constructed, 57 Clean soiled linens stored ro eri 1
16 maintained installed located 2 13 GARBAGE & RUBBISH STORAGE No live birds,turtles,other animals(except ,
Non-food contact surf aces,designed,construdeci & DISPOSAL 58 police guide dos)
17 maintained installed located 1 f Approved containers,adequate number, 40 NONSMOKING AREAS
18 Single service articles store a dispensing 1 39 covered rodent roof,clnn 1
Storage areas/rooms,enclosures•properly Seats 75 or more:Nonsmoking area
19 No re-use of single service article 2 40 constructed clean 1 59 provided, sign(s) posted at entronce(s), smok. 3
Dishwashing facilities approved design,ade- Disposed of in an approved manner,at ing area indicated by sign(s).
20 uatel constructed maintained installed Iocated 2 41 approved Ire uen 1
DEMERIT SCORE FOLLOW-UP RATING ACTION SIGNED(Ins or) DATE CWQ�5%ONS DUE
4 3 2 1 TOTAL Q�jv
❑YES-1 ❑CHANGE c ` ' pjfCj
s.� N ❑NO-2 l/ Q ❑DELETE d. SIGNAT RE OF PERSO N CHARGE
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REMARKS: �'O f ftI� o'h �� �' oa^ r•4sx7,41j 7J
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DISTRIBUTION: 1 st-White-Health Department 2nd-Blue-Owner/Manager
HEALTH DEPARTMENT
INSPECTION REPORT STATE OF CONNECTICUT TOWN
POOD SNVKX ISTABUSHMINTS DEPARTMENT OF HEALTH SERVICES X,
EHS106 REV.9/83 150 Washington St.,Hartford,CT,06106 OVYWER OR OPERATOR
a-GWYERLYMISPEC ION ❑RERVSPECTION ❑COMPLAINT ❑INVESTIGATION ❑OTHER
Bared 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
roLt
NOTICE:ALL SHADED AREAS ARE FOR OFFICE USE
EST. H.D. SECT. I EST.NO. CHAIN CODE SANIT.CODE YR. MO. DAY TRAVEL TIME NSPECT.TIM
ID. [ YWffl�
1 2 3 4 5 6 7 • 9 10 11112 13 14 15 16 17 18 19 20 21 In N 23 24 25 26 27 28
EQUIPMENT AND UTENSILS:
2 SOURCES OF FOOD 7 CLEANLINESS 14 VERMIN CONTROL
1 Aporoved source,wholesome non adulterated 14 -- 1 Preflushed scraped,soaked and racked 1 -
2 Ori inal container, ro orl labeled 1 2 Wash water clean proper temperature 1 ]43
Presence of insects rodents 214,
Accurate thermometers provided,dish basket, Outer openings protected against entrance of
insects rodents 1
3 FOOD PROTECTION
23 if used 1 AND CEILINGS
2 Sonitization rinse hot water-chemicals 2 15 FLOORS, WALLS,
Potentially hazardous food meets temperature Floors;floor covering installed,constructed as
roquiremonts during storage,preparation,dis- 2 Clean wi in cloths 1 0 r
3 play,service,3 transportation 4 Food contact surfaces of utensils 3 equipment 44 required, ood repair,clean
Adequate facilities to maintain product temper- dean 45 Floors raded drained as required 1 s
4 ature thermometers provided 2 Non-food contact surfaces of equipment and 46 floor,wall'uncturo covered 1
27 utensils clean
5 Potentially hazardous food properly thawed 2 £i 47 Mats removablegood repair,clean i
Unwrapped and potentially hazardous food 28 E ui mont utensil: store a handlina Exterior walking,driving surfaces.Good repair,
6 not reserved 4 B WATER SUPPLY 48 clean 1
Food protected during storage,preparation, Walls,ceilings,attached equipment,properly 4
7 display,service and transportation 2 # > A Water source adequate,safe 4 ;, constructed,good repair,clean.Wall 3 ceiling
pressure,8 Food containers stored off of the floor P P &
Hot and cold water under rovided , 49 surfaces as required. 1 z o
1
3 as required 2 Dustless cleaning methods used,cleaning t
9 Handlina of food minimized 2 50 equipment ro erl stored 1 t
10 Food dispensing utensils properly stored 1 9 SEWAGE DISPOSAL 16 LIGHTING
11 Toxic items Pr000rly stored labeled used 14 311 Sewa s disposal approved 4 51 Ads uate lighting rovided as required 1 s
321 Proper disposal of waste water i 17 VENTILATION
4 PERSONNEL 10 PLUMBING Room tree of steam smoke odors
121 Personnel with infection restricted 14 331 location installation maintenance 1 Room and equipment hoods,duds,vented as
CLEANLINESS OF 34 No cross connection back si hone a back flow 4 vt- 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 S4 rovided facilities clean i `
14 Clean outer clothes effective hair restraints 1 36 Toilet rooms enclosed with self-closin door 1 s 19 HOUSEKEEPING
15 Good h ionic radices smokingrestricted 2 7 pro er fixtures rovided ood re air,clean 1
Establishment and premises free of litter,no in.
HANDWASHING FACILITIES sects rodents harbors a no unnecessa articles 1
EQUIPMENT& UTENSILS: DESIGN, Suitable hand cleaner and sanitary towels or Complete separation from living/sleeping
approved hand drying devices provided,tissue, r 56 uarters and laundry1
6 CONSTRUCTION 8 INSTALLATION 38 waste receptacles rovided `
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 surf aces,designed,construded & DISPOSAL 58 olice uide dos
17 maintained installed located 1 Approved containers,adequate number, 20 NONSMOKING AREAS
18 Single service articles storage,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) passed at entrance(s), amok• 3
Dishwashing facilities approved design,ads- Disposed of in an approved manner,at ing area indicated by sign(s).
20 uatol constructed maintained installed located 2 1 a roved fro uen 1
DEMERIT SCORE FOLLOW-UP RATING ACTION SIGNED(Inspector) DATE CORRECTIONS DUE
4 3 2 l e( TOTAL /n� ✓/
`FPS ❑ YES-1 ❑CHANGE c 410 /'�`� /C/� - 03S/d am`
.Z Z ¢y [3NO.2 [3 DELETE d. NGNATU f P RSON IN C A E
REMARKS: #I/V- C ee,6h XO`VEe (oar Qf^>:fLf W` &-per 4vC S xl fh
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DISTRIBUTION: 1st-White-Health Department 2nd-Blue-Owner/Manager
HEALTH DEPARTMENT
INSPECTION REPORT STATE OF CONNECTICUT TOWN
FOOD SOWN NSTANUSHMEINTS DEPARTMENT OF HEALTH SERVICES S' �Ld�Y SST
EI1111-106 REV.9/93 1So Washington St.,Hartford,CT,06106 OWNER OR OPERATOR
0—Ot/ARTERLYINS/EC110N ❑MINA ECTION ❑COMPLAMIT [3 wvESTIGAflON ❑OTHER
(lased 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 ESTAWSHMENT STREET ADDRESS
NOTICE:ALL SHADED AREAS ARE FOR OFFICE USE
QNLY-
EST. M.D. SECT. EST.NO. CHAIN CODE 154 SANIT.CODE YR. I MO I DAY TRAVEL TIME NSPECT.Tim
I.D. I q 'Z D y v
1 2 3 4 S 6 7 ! 9 10 11 12 13 14 1S 16 17 15 19 20) 21 22 23124125 26 27 29
EQUIPMENT AND UTENSILS:
2 SOURCES OF FOOD 7 CLEANLINESS 14 VERMIN CONTROL
1 roved source wholesome non adulterated 4 1 Preflushod scraped,socked and racked 1
2 Or' final container r labeled 1 47 Presence of insects rodents 2
Wash water clean proper temperature __ 1 Outer openings protected against entrance of
Accurate thermometers provided,dish basket, 43 insects rodents 1
2 if used I
3 FOOD PROTECTION Sanitization rinse hot water-chemicals) 2 15 FLOORS, WAILS, AND CEILINGS
Potentially hazardous food meets temperature 2 Clean wi in cloths I Floors;floor covering installed,constructed as
requirements during storage,preparation,dis- 44 required, cod repair,clean 1
3 la ,service,&trans Action 4 food contact surfaces of utensils d equipment
Adequate facilities to maintain product temper- clean 2 45 Floors graded drained as required 1
4 ature thermometers provided 2 Non-iood contact surfaces of equipment and 46 Floor wall juncture covered 1
2 utensils clean I
5 Potontioll hazardous food ro erl thawed 2 47 Mats removable good repair,clean 1
Unwrapped and potentially hazardous food 2 Equipment/utensils storage handling1
PP Po IY Exterior walking,driving surfaces.Good repair,
6 not reserved 4 8 WATER SUPPLY 48 clean 1
Food protected during storage,preparation, Walls,ceilings,ottached equipment,properly
7 dis la service and trans Ration 2 2 Water source adequate,safe 4 constructed,good repair,clean.Wall&coiling
8 Food containers stored off of the floor I Hot and cold water under pressure,provided 49 surfaces as required. 1'
as required 121 Dustless cleaning methods used,cleaning
9 Handling of food minimized 2 mint Properly stored 1
10 Food dispensing utensils properly stored 1 9 SEWAGE DISPOSAL 16 LIGHTING.
11 Toxic items orocigirly stored labeled used 4 " 3 11 Sewage dis osoI approved 4 51 Ado uate liahtina provided as required 1 _
32 Proper disposal of wastewater 1 17 VENTILATION
4 PERSONNEL 10 PLUMBING
Room tree of steam smoke odors
121 Personnel with infection restricted 4 3 location installation maintenance 1 $ Room and equipment hoods,duds,vented a:
3 No cross connection back siphones backflow 4 I
CLEANLINESS OF53 feguired
5 . PERSONNEL 11 TOILET FACILITIES 18 DRESSING ROOMS AND LOCKERS
Adequate,convenient,accessible,designed, Rooms adequate,clean,adequate lockerE:lm
13 Hand washingfacilities provided 4 35 installed 4 rovided facilitios clean
14 Clean outer clothes effective hair restraints 1 Toilet rooms enclosed with self-closingdoor 1 19 HOUSEKEEPING
15 Good h ionic radices smokingrestricted 2 Pr er fixtures rovided good rs air clean 1 Establishment and premises free of litter,no in-
12 HANDWASHING FACILITIES sods rodents harbors ono unnecessaryarticles III
EQUIPMENT&r UTENSILS: DESIGN, Suitable hand cleaner and sanitary towels orMo
J20
Complete separation from living/sleeping
6 CONSTRUCTION& INSTALLATION aPProvd hand drying devices provided,tissue, quarters and lound 38 wasterote tacles rovided Food contact surfaces designed,constructed, Clean soiled linens stored ro girl 16 maintained installed located 13 GARBAGE & RUBBISH STORAGE�, No live birds,tulles,other animals(except
Non-food contact surfaces,designed,construded DISPOSAL lice uide dos
17 maintained installed located 1 Approved containers,adequate number, NONSMOKING AREAS
18 Single service articles store • dispensing I 3 covered rodent roof,clean
Storage areas/rooms,enclosures-properlySeats 75 or more:Nonsmokingarea
19 No reuse of sin le service article 2 40 constructed clean provided, sign(s)posted at etronce(s), smoke 3
Dishwashing futilities approved design,ode• Disposed of in an approved manner,at ;ng urea indicated by sign(:).
20 uat constructed maintained installed located 2 1 o rev f
DEMERIT SCOREFOLLOW-UP RATING =ACTIONSIGNEDW(Inspisdor) DATE C("CaIONS M
4 3 2 1 TOTAL n3❑ YES•1 /C❑NO.2 2OF RSON ARGE
RE RKs:
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DISTRIBUTION: 1 at White-Health Department 2nd-Blue-Owner/Manager
NEALTH DEPARTMENT
INSPECTION REPORT STATE OF CONNECTICUT TOWN
FC=SERVICE STAMHMENTS DEPARTMENT OF HEALTH SERVICES 5 N W)
8411 106 REV.9/83 130 Washington St.,Hartford,CT,06106 OWNER OR OPERATOR
2oUARITRtYMrSPECiION ❑MI NSPECTION ❑COM►IARVT ❑INVESTIGATION ❑OTHER
Baud on an inspection this day,the Hems marked below identify the violations in operation or facilities which must be corroded by the dare specified below.
NAME OF ESTABLISHMENT STREET ADDRESS
NOTICE:ALL SHADED AREAS ARE FOR OFFICE USE
EST. H.D. SECT. EST.NO. CHAIN COO SANIT.CODE YR. MO I DAY TRAVEL TIME NSPECT.TIM
I.D.
g ! v
1 2 1 31 Al31 61 71 8 191 10 14213 14 13 K118119 120121 122 e23.24 23 26 27 28
2 SOURCES OF FOOD
EQUIPMENT AND UTENSILS:
7 CLEANLINESS 14 VERMIN CONTROL
1 roved source wholesome non adulterated 4 1 Preflushod scraped,soaked and racked 1
2 Ori final container, ro r labeled 1 42 Presence of insects rodents 2
2 Wash water clean proper•r temperature 1 Outer openings protected against entrance of
Accurate thermometers provided,dish basket s
2 if used , 43 imects rodents 1
1
3 FOOD PROTECTION 15 FLOORS, WALLS, AND CEILINGS
24 Sanitization rinse hot water-chomicols _ 2 :1
Potentially hazardous food moots temperature
requirements during storage,preparation,dis- 251 Clean wi in cloths ) Floors;floor covering installed,constructed as
3 play,service,&transportation 4 Food contact surfaces of utensils&equipment '' required,Rood repair clean
clean 2 45 Floors graded drained as required 1 k
Adequate facilities to maintain product temper- �;
IL aturo thermometer provided 2 Non-food contact surfaces of equipment and 46 Floor wall'uncture covered 1
27 utensils clean 1
5 Potemiall hazardous food properly thawed 2 ti 47 Mats removable good repair,clean 1
Unwrapped and potentially hazardous food 2 E ui morel utensils storage handling
PP Po Y Exterior walking,driving surfaces.Good repair,
not re-served 4 $ WATER SUPPLY 48 clean 1
Food protected during storage,preparation, Walls,ceilings,attached equipment,properly
7 display,service and transportation 2 2 Water source adequate,safe 4 constructed,good repair,clean.Wall&ceiling =?
Hot and cold water under ressure, rovideo 49 surfaces as required.
1
8 Food containers stored off of the floor 1 p P
as required 2 ;k: Dustless cleaning methods used,cleaning
9 Handlingof food minimized 2 50 equipment ro erl stored 1
10 Food dispensina utensils Properly stored I 9 SEWAGE DISPOSAL 16 LIGHTING
11 Toxic items Progerly stored labeled used 4 31 Sewa •dis osal approved 4 :
51 Adequate lighting rovided as required 1
321 Proper disposal of waste water 1 '"`' 17 VENTILATION
4 PERSONNEL 10 PLUMBING 52 Room tree of:team smoke odors
121 Personnel with infection restricted 4 3 Location installation maintenance 1 iry Room and equipment hoods,duds,vented as
CLEANLINESS OF
3 No cross connection back sip hone a backflow 4 x`' S3 required 1
18 DRESSING ROOMS AND LOCKERS
S PERSONNEL 11 TOILET FACILITIES
Adequate,convenient,accessible,designed Rooms adequate,clean,adequate lockers
13 Hand washing facilities provided 4 35 installed 4 S provided,facilities clean 1
14 Clean outer clothes effective hair restraints 136 Toilet rooms enclosed with self-closina door 1 19 HOUSEKEEPING
13 Good hygienic Practices,smokina restricted 2 17 Pro er fixtures Provided,good repair,clean 1 Establishment and premises free of litter,no in.
12 HANDWASHING FACILITIES A sects rodents harbors a no unnecessary articles 1
EQUIPMENT dr 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 laundry1
38 waste race ladesprovided
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 lice uids dos) 1
17 maintained installed located 1 Approved containers,adequate number, 20 NONSMOKING AREAS
18 Single service articles store • die onsin 1 : 39 covered rodent roof clean 1 y=
Storage areas/rooms,enclosures.properly Soots 75 or more:Nonsmoking area
19 No re-use of sin le service article 2 ; 40 constructed clean 1 S9 rovided. sign(s)p posted at entrance(s), amok• 3 ,
Dishwashing facilities approved design,ads- Disposed of in an approved manner,at <; ing area indicated by sign(s). s
20guately constructed mainainod inNolled located 2 ., I a roved frocuencv
1 ,tea
DEMERIT SCORE FOLLOW-UP RATING ACTION SIGNED(Inspedor) DAT �R1t�CT DU S E
4 3 2 1 TOTAL Q 3 D 6 A
[3 YES•1 [3 CHANGE c - Olgl II,[�
3 ❑NO-2 (? ! '7 ❑DELETE d. ATURE OFPWSON4kCHARGE
REA773 t- 4 5ed x y�p * yu s 'f✓t z t- VLLG A i K 1, \44—An L
0 81 t,` 'CM it { ,S e L4-,
M Thor 'Ivor C>l�unttis
DISTRIBUTION: 1 st-White-Health Department 2nd-Blue-Owner/Manager
HEALTH DEPARTMENT
INSPECTION RESORT STATE OF CONNfECTICUT TOWNf
POW SOVICE ISTARUSHAMTS DEPARTMENT OF HEALTH SERVICES -•
EW106 REV.9/83 150 Washington St.,Hartford,CT,06106 Wt*lt OR OPERATOR
O GWYERLYMrSPECIM ❑AEMISPECITON ❑COMPLANT ❑iNvesmATION ❑OTHER
Based on an inspection this day,the Hems 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. M.D. SECT. EST.NO. CHAIN CODE SANIT.CODE �3YR. MO DAY TRAVEL TIME NSPECT.TIM
I.D. 1 11
1 2 1 3 4 5 6 7 8 9 10 I1 12 13LLA 14 1S 16 17 18 19 2i 21 32 33 2t 23 26 27 26
EQUIPMENT AND UTENSILS:
2 SOURCES OF FOOD 7 CLEANLINESS 14 VERMIN CONTROL
1 Approved sours wholesome non aduherated 4 1 Prefiushed scraped,soaked and racked 1
42 Presence of insects rodents 2 f
2 Ori inot container, ro labeled 1 22 Wash water clean proper temperature _ 1 Outer openings protected against entrance of
Accurate thermometers provided,dish basket,2 if used k '43 insects rodents 1
1
3 FOOD PROTECTION 24 Sanitization rinse hot water-chemical: y 15 FLOORS, WALLS, AND CEILINGS
Potentially hazardous food meets temperature *'
requirements during storage,preparation,dis- 2 Clean wi in cloths _ 1 ,r Floors;floor covering installed,constructed as
Food contact surfaces of utensils d equipment 44 required,good repair,clean 1
3 play,service,&transportation 4 closer
Adequate facilities to maintain product temper 2 4S Floors graded drained as required
1
4 ature thermometers provided 2 Non-food contact surfaces of equipment and •;: 46 Floor,wall Puncture covered 1
2 utensils clean
5 Potential hazardous food property thawed 2 47 Mats removable good repair,clean 1
Unwrapped and potentially hazardous food 2 E ui ment utensils store a handlin -; Exterior walking,driving surfaces.Good repair,
L not re served 4 8 WATER SUPPLY 48 dean 1
Food protected during storage,preparation, Wafts,ceflings,attached equipment,properly °s`
7 display,service and transportation 2 2 Water source adequate,safe 4 = constructed,good repair,clean.Wall&ceiling
Hot and cold water under pressure,provided
49 surfaces as required. r
8 food containers stored off of the floor 1 P P Dustless cleaning methods used,cleaning
3 as rs uired 2 �• 0 g �
9 Handling of food minimized 2 9 SO equipment ro rl stored 1
10 Food dispensing utensils properly stored 1 9 SEWAGE DISPOSAL f55s.cts/
LIGHTING
11 Toxic items Properly• stored labeled used 4 31 Sewa o disposal approved 4
Adequate li htin provided as rs uired 1
32 Proper disposal of waste water t VENTILATION
4 PERSONNEL 10 PLUMBING 491 m from of steam smoke odors
12 Personnel with infection restricted 4 3 location installation maintenance 1m and equipment hoods,ducts,vented as
CLEANLINESS OF
3 No crow connection back si hone a bockflow 4uired 1
S PERSONNEL 11 TOILET FACILITIES
RESSING ROOMS AND LOCKERS
Adequate,convenient,accessible,designed, ms adequate,clean,adequate lockers
13 Hand washingfacilities provided 4 `, 35 installed 4 vided facilities clean
14 Clean outer clothes effective hair restraints 1 Toilet rooms enclosed with self-dosin door 1OUSEKEEPING
15 Good hygienic radices smokier restricted 2 7 Proper fixtures Provided,good repair,clean 1 blishment and premises free of litter,no in.
12 HANDWASHING FACILITIES s rodents harborage,no unnecessary articles 1
EQUIPMENT Br UTENSILS: DESIGN, Suitable hand cleaner and sonitor
towels or tZN Com lets separation from living/sleeping
r s P P g/sleeping
6 CONSTRUCTION 3 INSTALLATION approved hand drying devices provided,tissue 5 uarters and found 1
38 waste receptacles provided 1 ;
Food contact surfaces designed,constructed, 37 Clean soiled linens stored properly1
16 maintained installed located 2 13 GARBAGE & RUBBISH STORAGE No live birds,turtles,other animals(except
Non-food contact surf aces,designed,construded DISPOSAL 58 lice vide dos) 1
17 maintained installed located 1 Approved containers,adequate number, y 20 NONSMOKING AREAS
LBSingle service articles store • dispensing 1 39 covered rodent roof clean t <.
Storage areas/rooms,enclosures-properly Seats 73 or more:Nonsmoking area
19 No rs use of sin le Semite article 2 40 constructed clean 1 # 39 provided, sign(s)posted at entrance(s), smok- 3 h
Dishwashing facilities approved design,ads- Disposed of in an approved manner,at ;erg area indicated by sign(s). sr.
20 quately constructed maintained installed located 2 1 approved fnauencv1
DEMERIT SCOREFOLLOW-UP RATING ACTION SIGNED(Inspedor) DATE CgR C]�ONS DU ,.
4 3 2 1 OTAL AS TO a
'1 ❑YES.1 ❑CHANGE c �f',j'j
❑NO-2 (� rJ ❑DELETE d. A71aT OF R IN CHARGE
REMARKS: % r ( (;��Y d � hCa"ct s 1k4 A f`A
� 5'or�j� `�7`oc... Ir �✓l� oe
ad'— rJ11, ,rwarl- s4al. C 4 ble jh ntoL-1G1
DISTRIBUTION: 1 at-White-Health Department 2nd-Blue-Owner/Manager
HEALTH DEPARTMENT
INSPECTION REPORT STATE OF CONNECTICUT TOVM
FOOD SDRVKZ NSTANUSHMENTS DEPARTMENT OF HEALTH SERVICES '5"
�'EMS/-106 MY.9/E3 130 Washington St.,Hartford,CT,06106 OWNER OR OPERATOR
{�OUARTERLYINSPEGflON [3mINS/ECTION ❑COM
PLAINT ❑INVESTIGATION ❑OTNER
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
Or, P+.4. pt-b I t.,L F;f<-& l v�
NOTICE:ALL SHADED AREAS ARE FOR OFFICE USE
EST. H.D. SECT. EST.NO. CHAIN CODE SANIT.CODE YR. I MOO DAY TRAVEL TIME NSPECT.TIM
LD. I I I I I I MI D
112 3 4 S 6 7 B 9 10 I1 12 13 14 1S 16 17 1B 19 3i 21 22 23 24 23 26 27 2B
EQUIPMENT AND UTENSILS:
2 SOURCES OF FOOD 7 CLEANLINESS 14 VERMIN CONTROL
1 roved source wholesome non adulterated 14 1 Preflushed roped,sc soaked and racked 1
2 Original container, ro r labeled 1 "41 42 Presence of insects rodents 2
Wash water dean proper temperature _ 1 •�� `T
Outer openings protected against entrance of
Accurate thermometers provided,dish basket, 43 insects rodents 1
2 if used 1 '
3 FOOD PROTECTION h 15 FLOORS, WALLS, AND CEILINGS
24 Sanitization rinse hot water-chemicals 2
Potentially hazardous food meets temperature 2 Clean wi in cloths 1 Floors,floor covering installed,constructed as
requirements during storage,preparation,dis- Food contact surfaces of utensils d equipment 44 required,good re air,clean 1 =
3 play,service,6 transportation 4
clean 2 45 Floorsgraded drained as required
Adequate facilities to maintain product temper-
1
Non-food contact surfaces of equipment and
4 temper-
ature,thermometers provided 2 ., 46 Floor,wall'uncture covered
2Jd 1
utensils clean 1 � =
S Potentially hazardous food properly thawed 2 47 Mats removablegood repair,clean 1
Unwrapped and potentially hazardous food 2 E ui morel utensils store a handlin 1h` Exterior walking,driving surfaces.Good repair,
6 not re-sorved 4 8 WATER SUPPLY 48 dean 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 d ceiling ; .
Hot and cold water under pressure,provided
49 surfaces as required.
8 food containers stored off of the floor 1 P P
as re uired 2 �, Dustless cleaning methods used,dsaning
9 Handlin of food minimized 2 50 equipment ro erl stored
10 Food dis onsin utensils pro erl stored 1 9 SEWAGE DISPOSAL 16 LIGHTING
11 Toxic items Properly stored labeled used 4 31 Sewa a dis osal a roved 4 " ' S1 Ade cease li htin provided as required 1
32 Proper disposal of waste water 1 '' 17 VENTILATION
4 PERSONNEL 10 PLUMBING 521 Room tree of steam smoke odors
121 Personnel with infection restricted 4 34 Location installation maintenance 1 Room and equipment hoods,ducts,vented as
CLEANLINESS OF
34 No cross connection back si o hono a bock flow 4 53 required 1
5 . PERSONNEL 11 TOILET FACILITIES
18 DRESSING ROOMS AND LOCKERS
Adequate,convenient,accessible,designed, Rooms adequate,clean,adequate lockers
13 Hand washin facilities provided 4 35 installed 4 .- S4 rovided facilities clean 1
14 Clean outer clothes effective hair restraints 1 Toilet rooms enclosed with self-closingdoor 1 19 HOUSEKEEPING
13 Good hygienic practices,smoking restricted 2 7 Proper fixtures Provided.good repair,clean 1 `` Establishment and premises free of litter,no in-
12 HANDWASHING FACILITIES sects rodents harbors s no unnecessary articles 1
EQUIPMENT 8r UTENSILS: DESIGN, Suitable hand cleaner and sanitary towels or Complete separation from living/sleeping
approved hand drying devices provided, or
6 CONSTRUCTION &INSTALLATION PP ry g P 56 uarters and found 1
38 waste receptacles 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 k
Non-food contact surf aces,designed,constructed & DISPOSAL 58 police guide dos) 1 ?'
17 maintained installed located 1 Approved containers,adequate number, r'. 40 NONSMOKING AREAS
39 covered rodent proof,clean 1
18 Single service articles store • dispensing 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), amok- 3
Dishwashing facilities approved design,ads- Disposed of in an approved manner,at ing area indicated by sign(s).
20quote constructed maimoinsid installed located 2 ' 1 agarovied fi uancv
DEMERIT SCORE FOILOWUP -RATING ACTION SIGNED(Inspedor) / DATE CORRECTIONS DUE
4 3 OTAI A !l
Y ❑ YES-1 ❑CHANGE c R.
4.J
�,{ Y Lf ❑NO-2 G l� ❑DELETE d. SIGNrE�PER CrMj1A �
REMARKS: f r ®gyp I J 4 st I�k i h Y-W 2L,7 C 00i reP
TZ
QH T Nit a.-^. ? Cie" 407 _WY'I *joint �e
DISTRIBUTION: 1 st-White-Health Department 2nd-Blue-Owner/Manager
HEALTH DEPARTMENT
INSPECTION REPORT STATE OF CONNECTICUT TOWN ROOD SMV10 OTABUSHMENTS DEPARTMENT OF HEALTH SERVICES 1 U.."; 1'4 JS e"'
ENS-106 REV.9/43 130 Washington St.,Hartford,CT,06106 OWNER OR OPERATOR
M15ZOTERLYINSPECTION ❑A NVSPEC710N ❑COMPLAINT ❑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. H.D. SECT. EST.NO. CHAIN CODE SANIT.CODE YR. I MO. DAY TRAVEL TIME NSPECT.TIM
Y1 13
1 �2 _3 4 3 61 71 t 19 10 11 12 13 14 13 I6 17118 119 120 121 122 23 24 25 26 27 2t
EQUIPMENT AND UTENSILS:
2 SOURCES OF FOOD 7 CLEANLINESS 14 VERMIN CONTROL
1 Approved source wholesome non adulterated 4 11 Preflushed scraped,soaked and racked 1
2 Ori final container, ro @,rly labeled 1 2 Wash water clean proper temperature 1 42 Presence of insects rodent 2
Outer openings protected against entrance
Accurate thermometers provided,dish basket, 43 insects/rodents23 if used I
1
3 FOOD PROTECTION 24 Sonit zation rinse hot water-chemical: 2 15 FLOORS, WALLS, AND CEILINGS
Potentially hazardous food meets temperature Floors,floor covering installed,constructed as
requirement during storage,preparation,dis- 2 Clean wi fie cloths 1 g
3play,service,3 trans rtahon 4 Food contact surfaces of utensils&equipment 44 required, ood repair,clean i <>
Adequate facilities to maintain product temper.
clean 45 Floors graded drained as required 1 .<
4 oture thermometers provided 2 Non-food contact surfaces of equipment and 2 utensils clean 16 Floor,wall'undure covered 1 .K
5 Potentially hazardous food properly thawed 2 47 Mats removablegood repair,clean
Unwrapped and potentially hazardous food 2 E ui ment utensils store a handlin 1 .p Exterior walking,driving surfaces.Good repair,
6 not re-served 4 8 WATER SUPPLY 48 clean 1 `
Food protected during storage,preparation, Walls,ceilings,attached equipment,properly
7 display,smite and transportation 2 2 Water source adequate,safe 4 constructed,good repair,clean.Wall 6 ceiling
8 Food containers stored off of the floor 1 Hot and cold water under pressure,provided 49 surfaces as required. 1
as required 2 ri' Dustless cleaning methods used,cleaning
9 Handlin of food minimized 2 50 equipment properly stored 1 '
10 Food dis ensin utensils properly stored 1 9 SEWAGE DISPOSAL 16 LIGHTING
11 Toxic items properly stored labeled used 4 311 Sewa a disposal a roved 4 -_ 31 Ads uate li htin rovided as required
1 `s
32 Proper disposal of waste water 1 17 VENTILATION
4 PERSONNEL 10 PLUMBING 572Room tree of steam smoke odors
121 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 hone a backflow 4 53 required 1 s
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 S rovided facilities clean 1
14 Clean outer clothes effective hair restraints 1 36 Toilet rooms enclosed with self-closina door 1 19 HOUSEKEEPING
15 Good hyalonic practices,smoking restricted 2 _ 7 Proper fixtures Provided.good re air clean j 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 uarters and laundry
1
38 waste receptacles provided ;
Food contact surfaces designed,constructed, 57 Clean soiled linens stored properly
16 maintained installed located 2 g 4 13 GARBAGE & RUBBISH STORAGE No live birds,turtles,other animals(except
Non-food contact surf oces,designed,construdea 8, DISPOSAL 58 olice uide dos
17 maintained installed located 1 Approved containers,adequate number, '; 20 NONSMOKING AREAS
18 Single service articles storage,dispensing disponsing 1 39 covered rodent proof,clean 1
Storage areas/rooms,enclosures-properly Seats 75 or more:Nonsmoking area
19 No re-use of sin le service article 2 40 constructed clean 1 59 provided, sign(s) posted at entronce(s), smok- 3
Dishwashing facilities approved design,ads- Disposed of in an approved manner,of ing area indicated by sign(s).
201guately constructed maintained installed located 2 1 approved fir auency1
DEMERIT SCORE FOLLOW-UP RATING ACTION SIGNED(Inspector) DATE C�1RRECTIONSS DUE
4 6 3 2 1 TOTAL t ?169 Ora
❑YES•1 ❑CHANGE c t /
ry �J ❑ NO-2 01113 13 DELETE d. SIGNATUR OF PER N IN CHA E
CA
REMARKS: —cleee ? 17®-1t
` LI LkN/sX I At k k22- CZ eml aA L' a ! 1„ 3 i✓t�"' �`�i�t'" �s ar
*2 4, G1 elim me-W xl t ceo- W q 17e&al 7'� a�N'c�.. c.Li.r,411l
DISTRIBUTION: 1st-White-Health Department 2nd-Blue-Owner/Manager
HEALTH DEPARTMENT
INSPECTION REPORT STATE OF CONNECTICUT TOWN
FOOD SOVICE ESTABLISHMENTS DEPARTMENT OF HEALTH SERVICES ftii ads 0
HIS-106 REV.9/83 130 Washington St.,Hartford,CT,06106 OWNER OR OPERATOR
MOLIARIERLNRVSPECIM ❑REINSFECTION ❑COMPiAMNT ❑INVESTIGATION ❑07NER
Based on an inspection this day,the Hems marked below identify the violations in operation or facilities which must be corroded by the date specified below.
NAME OF ESTABLISHMENT STREET ADDRESS
J"_ F IaA PO b I ToLA,--_ F f I Lt& 0 1 t<
NOTICE:All SHADED AREAS ARE FOR OFFICE USE
EST. H.D. SECT. EST.NO. CHAIN CODE SANIT.CODE YR MO- DAY
TRAVEL TIME NSPECT.TIM
LID. p�. T V 7
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17118119 12N0 121 122 23 24 25 26 27 28
EQUIPMENT AND UTENSILS:
2 SOURCES OF FOOD 7 CLEANLINESS 14 VERMIN CONTROL
1 Approved source wholesome non advk*roted 4 1 Pr•flushed scraped,soaked and racked 1
2 Original container, ror labeled 1 42 Presence of insects rodents 2
2 Wash water clean proper temperature 1 - Outer openings protected against entrance of
Accurate thermometers provided,dish basket '; 43 insects'rodents 1
65
23 if used
3 FOOD PROTECTION 1 S FLOORS, WALLS, AND CEILINGS
24 Sanitization rinse hot water-chemicals) 2 �€
Potentially hazardous food meets temperature 251 Clean wi in cloths 1 Floors;floor covering installed,constructed as
requirements during storage,preparation,dis• Food contact surfaces of utensils 3 equipment 44 re uired ood re air clean 1
3 lay,service,&transportation 4
Adequate facilities to maintain product temper- clean r 45 Floors71
raded drained as required 1
4 ature thermometers provided 2 Nonfood contact surfaces of equipment and '€ Ib Floor,wolf'uncture covered 1
2 7 utensils clean
5 Potentially hazardous food properly thawed 2 1 47 Mats removablegood repair,clean 1
Unwrapped and potentially hazardous food =' 2 E ui moot utensils store a handlin 1 Exterior walking,driving surfaces.Good repair,
L not re-served 4 B 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 3 ceiling
Hot and cold water under reaure, rovided 49 surfaces os required.
8 food containers stored off of the floor 1 P p Dustless cleaning methods used,cleaning
as required 2 9 g
tlOf
dlinof food minimized 2 SO a ui ment ro erl storedd dis onsin utensils ro erl stored 1 9 SEWAGE DISPOSAL16 LIGHTING
c items pr000rly stored labeled used 4 . ` 31 Sewage dis oral approved 4 S1 Ado uate lighting rovided as rs uired Mn
32 Proper disposal of waste water 1 17 VENTILATION
4 PERSONNEL 10 PLUMBING52 Room tree of steam smoke odors "
12 Personnel with infection restricted 4 __ 3 location installation maintenance 1 Room and equipment hoods,duds,vented as
3 No cross connection back si hone a backflow 1 S3 required 1
CLEANLINESS OF 1 DDRESSING ROOMS AND LOCKERS
S . PERSONNEL 11 TOILET FACILITIES
Adequate,convenient,accessible,designed Rooms adequate,clean,adequate lockers
13 Hand washingfacilities provided 4 35 installed 4 5 rovided facilities clean 11
14 Clean outer clothes effective hair restraints 1 Toilet rooms enclosed with self-closin door 1 19 HOUSEKEEPING
1S Good hygienic Practices,smoking restricted 2 7 Proper fixtures arovided.nood re air clean 1 " Establishment and premises free of litter,no in.
12 HANDWASHING FACILITIES sects rodents harbors °no unnecessaryarticles 1
EQUIPMENT&UTENSILS: DESIGN, '.
Suitable hand cleaner and sanitary towels or Complete separation from living/sleeping
6 CONSTRUCTION& INSTALLATION opproved hand drying devices provided,tissue Squarters and laundry1
38 waste rec• tacles provided 1
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 surf aces,designed,construded DISPO AL 38 elite uide dos 1
17 maintained installed located 1 Approved containers,adequate number, ' 20 NONSMOKING AREAS
18 Single service articles store • dis ensin 1 39 covered rodent roof,clean 1
Storage areas/rooms,enclosures-properly Seats 75 or more:Nonsmokingarea
19 No reuse of singleg service article 2 : 40 constructed clean 1 59
provided. sign(s)posted at entrance(s), smoke 3 x .
DIshwashing facilities approved design,ade• Disposed of in an opproved manner,at ing oreo indicated by sign(s). F
20quatch constructed maintained installed loeoted 2 1 a roved fnagency1 = _
DEMERIT SCORE OLLOWUP RATING ACTIOESIGNED(Inipodor) DATE CORRECTIONS DUE
4 3 2 1 TOTAL ❑YES-1 O4T �1f ❑CHAN❑ NO.2 e1 G ❑DELET OF PER HARGEy,1V 7 �— `REMARKS: i? 3$ . 474.0 -i-Dwe IX fir ed �fifin T k ,J- n 0 C lea t
DISTRIBUTION: 1 st-White-Health Department 2nd-Blue-Owner/Manager
HEALTH DEPARTMENT
EHS-10rAev.06/01 INSPECTION REPORT STATE OF CONNECTICUT b-Z"UTINE INSPECTION ❑ REINSPECTION
FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH ❑ PREOPERATIONAL ❑ OTHER
410 Capitol Avenue,MS#51 FDP,Hartford,CT 06134
NAME OF ESTABLISHMENT
ESTABLISHMENT .T }—t 4Z' pub CLASS Lt C
STREET TOWN /
ADDRESS �� �;fr� 5tVd
OWNER or INSPECTION
OPERATOR DATE and TIME
Based on an inspection this day,the items marked below identify the violations in operation or facilities which must be corrected by the date specified below.
SOURCES OF FOOD EQUIPMENT&UTENSILS:CLEANLINESS VERMIN CONTROL
1 Approved source,wholesome, 4 21 Preflushed,scraped,soaked and racked 42 Presence of insects/rodents 2
nonadulterated 22 Wash water clean,proper temperature 1 43 Outer openings protected against entrance of 1
2 Original container,properly labeled 1 23 Accurate thermometers provided,dish basket,if used insects/rodents
24 Sanitization rinse(hot water-chemical) 2
FOOD PROTECTION 25 Clean wiping cloths 1 FLOORS,WALLS&CEILINGS
3 Potentially hazardous food meets 4 26 Food-contact surfaces of utensils& 44 Floors:floor covering installed,
temperature requirements during storage, equipment clean constructed as required,good repair,clean
preparation,display,service,and
transportation 27 Nonfood-contact surfaces of utensils& 1 45 Floors,graded,drained as required
equipment clean 46 Floor,wall juncture covered
4 Adequate facilities to maintain product 28 Equipment/utensils,storage,handling 1 47 Mats removable,good repair,clean
temperature,thermometers provided
5 Potentially hazardous food properly thawed 2 48 Exterior walking,driving surfaces, 1
6 Unwrapped or potentially hazardous food 4 WATER SUPPLY good repair,clean
not reserved 29 Water source adequate,safe
q 4 49 Walls,ceilings attached,equipment properly
7 Food protected during storage,preparation, 30 Hot and cold water under pressure, 2 constructed,good repair,clean. Wall&ceiling
display,service&transportation 2 provided as required surfaces as required.
8 Food containers stored off floor 50 Dustless cleaning methods used, 1
SEWAGE DISPOSAL cleaning equipment property stored
9 Handling of food minimized 2 31 Sewage disposal approved 4
10 Food dispensing utensils properly stored 1 32 1 Proper disposal of waste water 1 LIGHTING&VENTILATION
11 Toxic items properly stored,labeled,used 14 51 Adequate lighting provided as required 1
PLUMBING 52 Room free of steam,smoke odors 1
PERSONNEL 33 Location,installation,maintenance 1 53 Room&equipment hoods,ducts,vented as required
12 1 Personnel with infection restricted 14 34 No cross connection,back siphonage,backfiow 4
DRESSING ROOMS&LOCKERS
CLEANLINESS OF PERSONNEL TOILET FACILITIES 54 Rooms adequate,clean,adequate lockers 1
13 Handwashing facilities provided, 4 35 Adequate,convenient,accessible,designed, 4 provided,facilities clean
personnel hands washed,clean installed
14 Clean outer clothes,effective hair restraints 1 36 Toilet rooms enclosed with self-closing door 1
15 Good hygienic practices,smoking restricted 2 37 Proper fixtures provided,good repair,clean HOUSEKEEPING
55 Establishment and premises free of litter,no 1
EQUIPMENT&UTENSILS: DESIGN, HANDWASHING FACILITIES insect/rodent harborage,no unnecessary articles
CONSTRUCTION&INSTALLATION 38 Suitable hand cleaner and sanitary towels or 1 56 Complete separation from living/sleeping quarters 1
16 Food-contact surfaces designed,constructed, 2 approved hand drying devices provided, and laundry
maintained,installed,located tissue waste receptacles provided
57 Clean/soiled linens stored properly 1
17 Nonfood-contact surfaces designed, 1 58 No live birds,turtles,or other animals 1
constructed,maintained,installed,located GARBAGEfRUBBISH STORAGE&DIS I(except guide dogs)
18 Single service articles,storage,dispensing 2 39 Approved containers,adequate number, 1
19 No reuse of single service article covered,rodent proof,clean NONSMOKING AREAS
20 Dishwashing facilities approved design,adequately 2 40 Storage area/rooms,enclosures- 59 1 Seats 75 or more:Nonsmoking area provided, 3
constructed,maintained,installed,located properly constructed,clean sign(s)posted at entrance(s),smoking area
1 indicated by sign(s)
41 Garbage disposed of in an approved manner,
at approved frequency QUALIFIED FOOD OPERATOR
DEMERIT SCORE r62
Qualified Food Operator 3
4 3 2� 1 RISK FACTOR VIOLATIONS IN RED Designated alternate
Written documentation of training program 2
TOTAL RATING Date Corrections Due Signature of Person in charge
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dt �of� R SIGNED(Inspector)
DESCRIBE DEFICIENCIES ON CONTINUATION SHEETS
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INSPECTION REPORT STATE OF CONNECTICUT .
FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH
CONTINUATION SHEET
NAME OF ESTABLISHMENT TOWN DATE OF INSPECTION
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INITIAL(INSPECTOR) Q v INITIAL(PERSON IN CHARGE) NOT i it! C act r e
Distribution: 1st-White-Health Department 2nd-Yellow-Owner/Manager
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