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HomeMy WebLinkAboutFood Service Establishment Inspection 97 (5) EHS•106•Rev.06191 INSPECTION REPORT STATE OF CONNECTICUT ❑ ROUTINE INSPECTION 10'REINSPECTION FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH ❑ PREOPERATIONAL ❑ OTHER 410 Capitol Avenue,MS#51 FDP,Hartford,CT 06134 NAME OF ESTABLISHMENT t C ESTABLISHMENT �.� �� C �yr� CLASS —1 STREET G TOWN ADDRESS -I:1 sAm"yo. pfv-e-, OWNER or INSPECTION OPERATOR DATE and TIME 3 l$ 114 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 Pr flushed,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 5 Clean wiping cloths 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 re air clean preparation,display,service,and — transportation 7 Nonfood-contact surfaces of utensils& 1 45 Floors,graded,drained as required 1 equipment clean 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 rovided 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 4 Walls,ceilings attached,equipment properly 1 7 Food protected during storage,preparation, 30 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 4L 50 Dustless cleaning methods used, 1 SEWAGE DISPOSAL cleaning equipment properly stored 9 Handling of food minimized 2 3 Sewage disposal approved 4 10 Food dispensing utensils properly stored 1 Proper disposal of waste water 1 LIGHTING&VENTILATION 11 I 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)1 Location,installation,maintenance 53 Room&equipment hoods,ducts,vented as required 12 1 Personnel with infection restricted 14 34 1 No cross connection,back siphonage,backflow 14 DRESSING ROOMS&LOCKERS CLEANLINESS OF PERSONNEL TOILET FACILITIES 54 1 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 1 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, 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 ro 3 Q 2 L7 RISK FACTOR VIOLATIONS IN RED 61 Designated alternate 2 o ) 62 Written documentation of training program 2 Signature of char TOTAL RATING Date Corrections Due - N�yh SIGN Inspector) S ter, DESCRIBE DEFICIEPffIES ON CONTINUATION SHEE11S Page of i rkir INSPECTION REPORT STATE OF CONNECTICUT FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH CONTINUATION SHEET NAME OF ESTABLISHMENT TOWN DATE OF INSPECTION U— �$ INSPECTION FORM# REMARKS OV- s�. No _ LGif; Am V\o\L -c c)V \`1\ 1 IN T CASE — 0w� 4 ou 300 o 7 1 I r-e- A L 'I l0 c;ti i 2�1 ,� o 2S vj\, of, �vv� U\Vl- t o �y- 2--7 �t Z� o INITIAL(INSPECTOR) INITIAL(PERSO Distribution: 1st-White-Health Department 2nd-Yellow-Owner/Manager Page.3 of 3 INSPECTION REPORT STATE OF CONNECTICUT FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH CONTINUATION SHEET NAME OF ESTABLISHMENT TOWN DATE OF INSPECTION 1 S � �n u� g t•�• INSPECTION FORM# REMARKS ® 3 xs kA— 40c v\ 1 -71 1 S roc ,�-N i or, V-rAk " ,, INITIAL(INSPECTOR) INITIAL(PERSON IN C ARG ) Distribution: 1st-White-Health Department 2nd-Yellow-Owner/Manager