HomeMy WebLinkAboutFood Service Establishment Inspection 10 (2) EHS•106-Rev.06101 INSPECTION REPORT STATE OF CONNECTICUT O ROUTINE INSPECTION I4I-INSPECTION
FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH 0 PREOPERATIONAL O OTHER
410 Capitol Avenue,MS#51 FDP,Hartford,CT 06134
NAME OF ESTABLISHMENT
ESTABLISHMENT ao CLASS
STREET TOWN J
ADDRESS `81 //t�0/�wL
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 r43
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
24 Sanitization rinse(hot water-chemical) 2
FOOD PROTECTION 25 Clean wiping cloths 1 FLOORS,WALLS&CEILINGS
Potentially hazardous food meets MIS 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 Nonfood-contact surfaces of utensils& e 1 145 Floors,graded,drained as required 1
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 4 IZ9 YValls,ceilings attached,equipment properly 15
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, ustless cleaning methods used,
SEWAGE DISPOSAL Tcleaning equipment properly stored
9 Handling of food minimized 2 311 Sewage disposal approved 4
10 Food dispensing utensils properly stored 1 kZpProper disposal of waste water LIGHTING&VENTILATION
11 Toxic items properly stored,labeled,used 14 [53
Adequate lighting provided as required 1
UMBING Room free of steam,smoke odors 1
PERSONNEL 3 Location,installation,maintenance 1 Room&equipment hoods,ducts,vented as required
12 1 Personnel with infection restricted 14 34 1 No cross connection,back siphonage,badcflow
DRESSING ROOMS&LOCKERS
CLEANLINESS OF PERSONNEL TOILET FACILITIES 54 Rooms adequate,clean,adequate lockers 1
13 Handwashing facilities provided, 4 F37
Adequate,convenient,accessible,designed, 4 provided,facilities clean
personnel hands washed,clean installed
14 Clean outer clothes,effective hair restraints 1 Toilet rooms enclosed with self-closing door
71 cod hygienic practices,smoking restricted Proper fixtures provided,good repair,clean HOUSEKEEPING
55 Establishment and premises free of litter,no 1
EQUIPMENT&UTENSILS: DESIGN, NDWASHING FACILITIES - insect/rodent harborage,no unnecessary articles
r18
NSTRUCTION&INSTALLATION Suitable hand cleaner and sanitary towels or 6 Complete separation from living/sleeping quarters
Food-contact surfaces designed,constructed, approved hand drying devices provided, and laundry
maintained,installed,located tissue waste receptacles provided 57 Clean/soiled linens stored properly 1
Nonfood-contact surfaces designed, 58 No live birds,turtles,or other animals 1
constructed,maintained,installed,located GARBAGEIRUBBISH STORAGE&DISPOSAL (except guide dogs)
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
4 3 2 ��l
RISK FACTOR VIOLATIONS IN RED 61 Designated alternate 2
j j 62 Written documentation of training program 2
Z Signat a of Pe n in ar
TOTAL RATING Date Corrections Due C C Y1�5 f
S NED(Inspect
���!!DESCRIBE DEFICIENCIE ON 609TITNtfATION SHEETS
` Page Z-of�
INSPECTION REPORT STATE OF CONNECTICUT
FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH
CONTINUATION SHEET
NAME OF ESTABLISHMENT TOWN DATE OF INSPECTION
INSPECTION REMARKS
FORM#
jr-
htl2 rtp
l?,
J '
3 Ism
r ✓k ` kv -iti
yo
�,- yzael
J � C;1A
a010n 0444? ^
INITIAL(INSPECTOR) INITIAL(PERSON ��e�v/5:::,
f-.0o,
Distribution: Ist-White-Health Department 2nd-Yellow-Owner/Manager