HomeMy WebLinkAboutFood Service Establishment Inspection 51 (4) INSPECTION REPORT TOWN
FOOD SERVICE ESTABLISHMENTS STATE OF CONNECTICUT
EHS-106 8/93 DEPARTMENT OF
PUBLIC HEALTH OWNER OF OPERATOR
150 Washington Street,Hartford, CT 06106
eI QUARTERLY INSPECTION ❑ REINSPECTION ❑ COMPLAINT ❑ INVESTIGATION ❑ OTHER
Based on an inspection this day,the items marked below identify the violations in operation of facilities which must be corrected by the data specified below.
NAME OF ESTABLISHMENT STREET ADDRESS
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NOTICE:ALL SHADED AREAS ARE FOR OFFICE USE ONLY.
EST. H.D. SECT. #S1O. CHAM12
T31
NIT.CODE YR. MO. DAYU23
L TIME INSPECT.TIME
LD. � 0 ? In
1 2 3 4 5 6 79 10 11 15 16 17 18 19 20 21 224 25 26 27 28
2 SOURCES OF FOOD 7 EQEUIIPME1NETSSND UTENSILS: 14 VERMIN CONTROL
1 Approved source,wholesome,non-adulterated 4 21 Preflushed,scraped,soaked and racked 1 42 Presence of insects/rodents 2
2 Original container,property labeled 1 22 Wash water clean,proper temperature 1 Outer openings protected against entrance of
3 FOOD PROTECTION 23 Accurate thermometers provided,dish basket, 1 43 insects/rodents 1
if use
Potentially hazardous food meets temperature 24 Sanitization rinse(hot water-chemical) 2 15 FLOORS,WALLS AND CEILINGS
3 requirements during storage,preparation,dis- 4 25 Clean wiping clothes 1 Floors;floor covering installed,constructed as
play,service&transportation 44 required,good repair,clean 1
Food contact surfaces of utensils&equipment
4 Adequate facilities to maintain product temp- 26 clean 2 45 Floors graded drained as required 1
perature,thermometers provided 27 Non-food contact surfaces of equipment& 1 46 Floor,wall juncture covered 1
5 Potentially hazardous food properly thawed 2 utensils clean
1
28 Equipment/utensils,storage handling 47 Mats removable,good repair,clean
6 Unwrapped and potentially hazardous food not 4 48 Exterior walking,driving surfaces.Good repair, 1
re-served 8 WATER SUPPLY clean
Food,protected during storage,preparation, 29 Water source adequate,safe 4 - Walls,ceilings attached equipment,properly
7 display,service and transportation Hot and cold water under pressure,provides as 49 constructed,good repair,clean.Wall&ceiling 1
30 p p 2 surfaces as required
Food containers stored off of the floor 1 required
8 50 equipment properly stored Dustless cleaning method used,cleaning
1.
g Handling of food minimized 9 SEWAGE DISPOSAL
10 Food dispensing utensils properly stored 1
31 Sewage disposal approved 4 16 LIGHTING
321 Proper disposal of waste water 1 51 Adequate lighting provided as required 1
11 Toxic items properly stored,labeled,used 4
10 PLUMBING 17 VENTILATION
4 PERSONNEL_ 33 Location,installation,maintenance 1 52 Room free of steam,smoke*odors 1
121 Personnel with infection restricted 14 WE 341 No cross connection,back siphonage,backflow 4 53 Room and equipment hoods,ducts,vented as
required 1
5 CLEANLINESS OF PERSONNEL 11 TOILET FACILITIES
13 Hand washing facilities provided 4 35 Adequate,convenient,accessible,designed, 18 DRESSING ROOMS AND LOCKERS
14 Clean outer clothes effective hair restraints installed 4 54 Rooms adequate,clean,adequate lockers pro-
36 toilet rooms enclosed with self-closing door 1 vided,facilities clean 1
15 Good hygienic practices,smoking restricted 37 Proper fixtures provided,good repair,clean
1 19 HOUSEKEEPING
6 EQUIPMENT AND UTENSILS: DESIGN, Established and premises free of litter,no in-
CONSTRUCTION&INSTALLATION 12 HANDWASHING FACILITIES 55 sects/rodents harborage,no unnecessary articles 1
Suitable hand cleaner and sanitary towels or Complete separation from living/sleeping
16 Food contact surfaces designed,constructed, 2 38 _approved hand drying devices provided,tissue 56 quarters andlaundry
1
maintained,installed,located waste receptacles provided
57 Clean/soiled linens stored properly 1
17 Non-food contact surfaces,designed,con- 1 13 GARBAGE&RUBBISH STORAGE No live birds,turtles,other animals(except
structed,maintained,installed,located &DISPOSAL 58 police guide dogs) 1
18 Single service articles,storage,dispensing 1 Sg Approved containers,adequate number,cov- 1
19 No re-use of single,service article. 2 eyed rodent roof clean
40 Storage arealrooms,enclosures-properly 20 NONSMOKING AREAS
Dishwashing facilities approved design,ade- constructed clean 1 Seats 75 or more:
20 quately constructed,maintained,installed,located 2 41 Disposed of in an approved manner,at 59 Non-smoking area provided,signs)posted at 3
approved frequency 1 entrance(s),smoking area indicated by sign(s).
DEMERIT SCORE FOLLOW-UP RATING ACTION SIGNED(Inspector) DATE CORRECTJONS DUE
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SIGNATURE P SON IN CHARGE
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DISTRIBUTION: 1st-WHITE-Health Department 2nd-Blue-Owner/Manager
Page_of_
INSPECTION REPORT STATE OF CONNECTICUT
FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH
CONTINUATION SHEET
NAME OF ESTABLISHMENT TOWN DATE OF INSPECTION
Inspection Forth M Remarks:
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INITIAL(INSPECTOR) INITIAL(PERSON IN CHARGE)
Distribution: lst-White-Health Department 2nd-Yellow-Owner/Manager
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EHS-106-Rev.06101 INSPECTION REPORT STATE OF CONNECTICUT ❑ ROUTINE INSPECTION ❑ REINSPECTION
FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH ❑ PREOPERATIONAL ❑ OTHER
410 Capitol Avenue,MS#51 FDP,Hartford,CT 06134
NAME OF ` ESTABLISHMENT
ESTABLISHMENT "]`p �'T—nV CLASS
STREET /
TOWN
ADDRESS r/6 �'I^l���j�l A(
OWNER or INSPECTION
OPERATOR �v pV,,.j C-ec',g), tW A17'_rsd Cry?e,";6f 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 I 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& 2 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 1
46 Floor,wall juncture covered
4 Adequate facilities to maintain product 2 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 T29Water source ade uate safeq � 4 49 Walls,ceilings attached,equipment properly7 Food protected during storage,preparation, nd cold water under pressure, 2 constructed,good repair,clean. Wall&ceiling
display,service&transportation ded as required surfaces as required.
8 Food containers stored off floor 50 1 Dustless cleaning methods used, 1
SEWAGE DISPOSAL cleaning equipment properly stored
9 Handling of food minimized 2 311 Sewage disposal approved 4
10 Food dispensing utensils properly stored 1 32 Proper disposal of wastewater 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,ventedasrequired
12 1 Personnel with infection restricted 14 34 No cross connection,back siphonage,backtlow 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 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 property t
17 Nonfood-contact surfaces designed, 758 1 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 TO 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 b sin s
41 Garbage disposed of in an approved manner,
at approved frequency QUALIFIED FOOD OPERATOR
DEMERIT SCORE 60 Qualified Food Operator 3
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3 Y7_
1 RISK FACTOR VIOLATIONS IN RED 61 Designated alternate 2
2 62 Written documentation of training program 2
TOTAL RATING Date Corrections Due Signature of Perscrge
y 9 4 SIGNED(Inspector)
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DESCRIBE DEFICIENCI S ON CONTINUATION SHEETS