HomeMy WebLinkAboutSchool Inspection 91 ayers rd EHS•106-Rev.06/01 INSPECTION REPORT
STATE OF CONNECTICUT G MUTINE INSPECTION ❑ REINSPECTION
FOOD SERVICE ESTABLISHMENTS
DEPARTMENT OF PUBLIC HEALTH
410 Capitol Avenue,MS#51FDP,Hartford,CT 06134 ❑ PREOPERATIONAL ❑ OTHER
NAME OF
ESTABLISHMENT ESTABLISHMENT
STREET CLASS
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ADDRESS
TOWN f
OWNER or .-
14
OPERATOR INSPECTION
DATE and T
Based on an inspection this day,the items marked below identify the violations in operation or facilities which must befcorre d by the date specified below.
SOURCES OF FOOD EQUIPMENT&UTENSILS:CLEANLINESS VERMIN CONTROL
1 Approved source,wholesome,
nonadulterated 4 21 Preflushed,scraped,soaked and racked
22 Wash water clean,proper temperature 42 Presence of insects/rodents I
2 Original container,properly labeled 1 23 Accurate thermometers provided,dish basket If used 1 43 Outer opening
protected against entrance:of
FOOD PROTECTION 24 Sanitization rinse(hot water-chemical) 2
3 Potentially hazardous food meets 25 Clean wiping cloths 1 FLOORS,WALLS&CEILINGS
temperature requirements during storage, 4 26 Food-contact surfaces of utensils&
2 44 Floors:floor covering installed,
preparation,display,service,and equipment clean transportation 27 Nonfood-contact surfaces of utensils& constructed as required,good repair,clean
equipment clean 1 45 Floors,graded,drained as required
4 Adequate facilities to maintain 2 product 28!ad 47 Mats removable,good repair,clean
46 Floor,wall juncture covered 1
p Equipment/utensils,storage,handling 1
tern erature thermometers rovfd
5 Potentially hazardous food properly thawed 2
6 Unwrapped or potentially hazardous food 4 48 Exterior walking,driving surfaces,
not reserved WATER SUPPLY good repair,clean 1
7 Food protected during storage,preparation, 29 Water source adequate,safe
4 49 Walls,ceilings attached,equipment properly 1 display,service&transportation 30 Hot and cold water under pressure, 2 constructed,good repair,clean. Wall&ceiling
8 Food containers stored off floor 2 provided as required surfaces as required.
9
SEWAGE DISPOSAL 50 Dustless cleaning methods used, 1 Handling of food minimized 2 31 Sewage disposal approved cleaning equipment properly stored
10 Food dispensing utensils properly stored 1 32 Pro 4
4
11 Toxic items properly stored,labeled,used per disposal of waste water 1 LIGHTING&VENTILATION
PLUMBING 51 Adequate lighting provided as required 1
PERSONNEL 33 Location,installation,maintenance 52 Room free of steam,smoke odors
4
12 Personnel with infection restricted 1 53 Room&equipment hoods,ducts,vented as required 1
34 No cross connection,back siphonago,back"ow 4
CLEANLINESS OF PERSONNEL DRESSING ROOMS&LOCKERS
13 Handwashing facilities provided, TOILET FACILITIES 54 Rooms adequate,clean,adequate lockers 1 ersonneI hands washed clean 4 35 Adequate,convenient,accessible,designed, 4 provided,facilities clean
14 Clean outer clothes,effective hair restraints 1 installed
15 Good hygienic practices,smoking restricted 2 36 Toilet rooms enclosed with self-closing door
37 Proper fixtures provided,good repair,clean 1
HOUSEKEEPING
EQUIPMENT&UTENSILS: DESIGN, 55 Establishment and premises 11 free of litter,no
HANDWASHING FACILITIES insect/rodent harborage,no unnecessary articles
CONSTRUCTION&INSTALLATION 1
16 Food-contact surfaces designed,constructed, 2 38 approvled hand drying dee hand cleaner vices provided,
d d,ry Is or 1 56 Complete separation from living/sleeping quarters 1
maintained,installed,located tissue waste receptacles provided and laundry
17 Nonfood-contact surfaces designed, 1 57 Clean/soiled linens stored properly
constructed,maintained,installed,located 1
18 Single service articles,storage,dispensing GARBAGEIRUBBISH STORAGE&DISPOSAL 58 No live birds,turtles,or other animals 1
39 Approved containers,adequate number, (except guide dogs)
19 No reuse of single service article 2 1
covered,rodent proof,clean
20 Dishwashing facilities approved design,adequately 2 40 Storage area/rooms,enclosures— NONSMOKING AREAS
constructed,maintained,installed,located properly constructed,clean 59 Seats 75 or more:Nonsmoking area provided, 3
sign(s)posted at entrance(s),smoking area
41 Garbage disposed of in an approved manner, 1 indicated b sin s
at approved frequency
DEMERIT SCORE QUALIFIED FOOD OPERATOR
4 3 2 1 60 Qualified Food Operator
RISK FACTOR VIOLATIONS IN RED 61 Designated alternate 3
2
62 Written documentation of training program 2
TOTAL RATING Date Corrections Due Sign a of erson i ge
v
�O SIG (Inspector)
DESCRIBE DEFICIENCIES ON CONTINU TION SHEETS