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HomeMy WebLinkAboutFood Service Establishment Inspection 46 (3) ^EHS-106-Rev.06101 INSPECTION REPORT STATE OF CONNECTICUT 0400160TINE INSPECTION ❑ REINSPECTION FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH ❑ PREOPERATIONAL ❑ OTHER 410 Capitol Avenue,MS#51 FDP,Hartford,CT 06134 NAME ISHMEy,T, ESTABLISHMENT CLASS� �jz,� CLASS r6(ljr` STREET TOWN ADDRESS /�u6 �•cCY ,f-("' bk, jW- OWNERor INSPECTION �I,,a�l� OPERATOR DATE and TIME�ryEE 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 ) 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 27 Nonfood-contact surfaces of utensils& 45 Floors,graded,drained as required transportation 91 equipment clean 46 Floor,wall juncture covered 4 Adequate facilities to maintain product ez, 28 1 Equipment/utensils,storage,handling 1 47 Mats removable,good repair,clean temperature,thermometers provided 5 Potentially hazardous food properly thawed 2 1 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 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 0 Dustless cleaning methods used, 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 wastewater 1 LIGHTING&VENTILATION 11 Toxic items properly stored,labeled,used 4 1 Adequate lighting provided as required PLUMBING Room free of steam,smoke odors 1 PERSONNEL 3 Location,installation,maintenance t53 Room&equipment hoods,ducts,vented as required 12 1 Personnel with infection restricted 4 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 3 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 properly 1 7 Nonfood-contact surfaces designed, 58 No live birds,turtles,or other animals 1 constructed,maintained,installed,located GARBAGEIRUBBISH STORAGE&DISPOSAL 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 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` 1 RISK FACTOR VIOLATIONS IN RED 61 Designated alternate 7 q 2 Written documentation of training program —J2 0 Signature of Person in charge TOTAL RATING Date Corrections Due /4 Qf ,Jam zr SIGNED(Inspector) DESCRIBE DEFICIENCIES ON CONTI N SHEETS Page of INSPECTION REPORT STATE OF CONNECTICUT FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH CONTINUATION SHEET NAME OF ESTABLISHMENT TOWN DATE OF INSPECTION INSPECTION r FORM# REMARKS oa colt, /^, ht--- lff c rf avr.-,so c In d *w 1 etic4 Mj- ALAd sr IV f� *26 `/�_� ��� A27 CkW64 INITIAL(INSPECTOR) INITIAL(PERSON IN CHARGE) C�� r Distribution: Ist-White-Health Department 2nd-Yellow-Owner/Manager