HomeMy WebLinkAbout577 John Fitch Boulevard (2) Iva.,
Establishment: vf5#4ot17 S)- ,��4r�eiT Inspection Date: Time: I ; tasn
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Address/City: `� 4— 3`/j(-forJ ,��LLt✓! Health Dept: s; 1 2
Based on an inspection this day,the items marked DNC identify the violations in operation or facilities which mast be corrected by the date specified on page 2.
RISK FACTOR.ITEMS:Listing is not inclusive of all possible debitable items C I N10 INIA JONC I KEY: C[complies) NIO[not observed] NIA[not applicable)
60" luaheFood Qperator # W "' g DNC[does not comply) 0[other] RTE[ready-to-eat]
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1tip .Personnel with JiniflagAhoo �S r cted.
Ftl�S rDesignteyl4lterlai@r:;y
�ti2 imentatlori of tra>mng program . y
A Food workers have no exposed infected lesions I burns
Writtendopt
,. B Personnel with infection restricted
1 A roved source ytritoiesome;rionadultera ed n . p Cu N/ NIAa�4'
DP ... ' ..:..... . . ..::.. . ,... ._.. v.s .: s..,:::.r. C Communicable disease of worker reported to local health director
A ved shellfish,finfish meat& oult t1SDA a roved 13 Handp a ttino'`fa.`010A s provided,1*li.washed,clean C TO NIA 4
B Food cans in good condition(not dented,rusty;bloated,leaking) `
A Handwash facilities In all food prep/dispensing&warewash areas
C Wholesomelnonadulteratedfoodslsafe B Handwash facilities in or immediately adjacent to toilet rooms
D Commercial products(no home grown/canned food) C Handwash facilities accessiblelconvenient to use
E Potentially hazardous foods received at proper temperature D Personnel hands washed,clean t Proper handwash procedure
0
E Handwashing at appropriate Times
3 P4tr3r°t�tal(1"hazardotis�bdd irltaefs't m eratet�e rer utreige tts '� C, WAAA ",�1�
dunngtstorage; ra�ritq"n,dlspfa'y,.s®ryic�antlranspQdatron x .4 r r
A— 1 a ,�, 15:s+ o'0S hy, ie 'i.� r xtr e r �r•a C;ltlb.. 2
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A .. Hot holding greater than or equal to 140eF. (whale beeflparkmasts 1300 F.) ❑ No eating ❑ No smoking while working
B Cold holding less than or equal to 450 F. B Wounds covered adequately
C Proper cooling C Proper sink used r handwashing
D Proper re-heating x
E Proper internal cooking I consumer advisory posted 24 S s iti�a ion. Se I hot ytr�at r h gp Eafi r §C #Nl0' A it2
. t
p pproved sanitizer availableladequate concentration ofsanitizer
4�1,y:A egr ate facr{I ep tQ maintain produ.ot� V- ik . C NI0 -NIX Z B Food-contact surfaces and utensils used for potentially
emperatttre,thtrrt3r�tte?tars`pr`ojn�ted p hazardous food sanitized at least every4 hours
A Food thermometer available and accurate C Adequate ❑dishwashersanitizer ❑final rinse temp
D Proper sanitizinq procedure
B . Properfocd thermometer for product
E Sanitizing between rawanimal origin&ready-to-eat food
C Thermometers appropriately placed in coolerunits
Tel
�lwlnrvuuptng cloths C N! 1
oodA rotett�ti[turtng,stora9e,prepar$trarnysi: ± _ �e"
p�" A Cloths and/or sponges in good repair and clean
i
t ysen,Ce and transportat[bN , ',,3 .e •
-= B Wiping cloths kept in sanitizes between uses
A Produce washed 0
B Raw meats not storedlpreparednearready-io-eatfoods26 l Fbodcrtaat rF
C Food covered properly , a -
A Food equipment clean,utensilsclean,equipment interiors clean
D Adequate splash guards)sneeze guard . B Single use gloves changed when soiled
E No unauthorized personnel C Food--contact surfaces clean
F No pooling of eggs not cooked immediately 0
8 Food containers stored off the floor W k:l�otiand colt)w ter tlndel�pres u e pro rfl( s require O.NIA 2
an�d+ ahrng accessories pravrded t v{ y C y�UQ + t^a
`9's'Hand!fn9kQ4 1 od rr11ifiRP4 d A Soap 1 paper towels!drying device available
A No unnecessary handling RTE andlorcooked foods with bare hands B
Dispenser(s
B )working: ❑Soap ❑Paper.towel.
Minimize food handling,other than ready-to-eat,with bare hands C Handwash sink(s)clean I waste receptacle at handwash sink
C Adequate utensil(s)for dispensing foodlice p
O + i•DESCRIBE DEFICIENCIES ON CONTINUATION SHEETS
The following information is not debitable and does not affect your score. KEY: QFO[qualified food operator],DA[designated alternate],PHF]potentially hazardous food], FB[foodborne]
PHFs are hot held at: OF. PHFs are cold held at: OF. Describe illness conditions when you would exclude a food worker from working:
Are internal cooking temperatures taken? Y N +To what temperature do you..cook:
Pou€try. Ground Beef Pork what diseases related to FB illness are you required to report to the local health department?
Roasts Other
Describe re-heating procedures: Is there a written illness policy that requires the food worker to.repod specific illness conditions.
Are.temperatures recordedllogged for cold holding foods/equipment? Y N and diseases to the QFO? Y *Do you have a paid sick leave policy? Y N
Are foods cooked in advance and cooled? Y N *Are leftove saved? Y N Is there a language barrier etween inspector&QFO? Y N if yes indicate language spoken
List products cooled: by QFOIDA: *Can the QFOIDA read the inspection report? Y N
Describe cooling methods: Indicate whyans red the above Auestions: Name(print):
Is cooling monitored for lime&temp? Y N Is'the mo taring of cooling recorded? Y .N .ndicate the above perg'oq(cii cle all that apply):QFO DA Mgr Cook Owner' FW
Obtain si f the person v?Ita receive he QFO responsibilities information at the time of the
Is there a produce washing policy? Y N +Describe what is washed and inspect' \�,��
where: Nola". This report is a two page for)rt(total of 62 debitable items) Page 1 of 2
sfibOshmr erit• Date of Inspection: (,
�t T Lj N,A Owner or Operator:`
ADDITIONAL FOUR POINT ITEMS
KEY: DNC [DOES NOT COMPLY]
6 Foods not re-served.
-Unwrapped foods not re served 4 31 Sewage disposal approved. Y
-Potentially hazardous foods not re-served , -Operating as required ,<
No cross connections,back siphonage,backflowIA
11 Toxic chemicals. .
4'' Proper typelinstallationl backflow prevention device/air gap for:
-Stored properly,labeled properly,used properly -Food equipment -Hose connections -Dish machines
-Sanitizer concentration not to exceed maximum permitted -Soda system carbonator -Beverage dispensers -Toilet tanks
-No unnecessary toxics on the premises '
-Pesticideslrodenticides properly dispensed -Chemical dispensers -Ice machines
Proper drain for:
{
-Food equipment -Dish machines -Ice machines
29 Water source adequate,safe.
-Well Iwell head protected from contamination '
-Water quality in compliance 35 Toilet facilities. Adequate,convenient,accessible, 4
-Monitoring in compliance designed,properly installed
OTHER ITEMS
KEY: DNC [DOES NOT COMPLY]
2 Sources of food:Original container,properly labeled q 4
40 Garbagefrubbi h storage arealrooms,enclosures-property constructed,clean
5 Potentially hazardous food properly thawed 2 41 Garbagelrubbish disposed of in an approved manner,at approved frequency
10 Food dispensing utensils properly stored Fh r 2 rmin Contr o insec odents present
a.
14 Food worker:Clean outer clothes,effective hair restraints p1�' 3 Outeropenings protected against entrance of insects/rodents
i
4 F adrs:Floor covering installed,constructed as requir ,good repair, lean
16 Food-contact surfaces designed,constructed,maintained,installed, :2 5 Floors graded,drained as required - Y
Gated 6 Floor,walliuncture covered
17 nfood-contact surfaces designed,constructed, maintained,
installed,located 7 Mats removable,good repair,clean
ft
b'o 8 Exterior walking,driving surfaces,good repair,clean 1
18 Single service articles,storage,dispensing � ._
19 No reuse of single service article 49 Walls,ceilings attached,equipment properly constructed,good
repair,clean.Wail&ceiling surfaces as required
20 Dishwashing facilities approved design,adequately constructed,
maintained installed located 50 stless cleaning methods used,cleaning equipment properly stored
Equipment&Utensils: Cleanliness 51 Adequate lighting provided as required I
21 Preflushed,scraped,soaked and racked 141 52 Room free of steam,smoke odors
22 Wash water clean,proper temperature '
t�� 53 Rooms&equipment hoods,ducts,vented as required
23 Accurate thermometers provided,dish basket,if used
54 Rooms adequate,clean,adequate lockers provided,facilities clean I 1
7 onfood-contact surfaces of utensils&equipment clean 6
41
55 Establishment andpremisesfreeoflitter,noinsectlrodentharborage,
8 EquipmenUutensils,storage,handlingas
no unnecessary articles
2 fro rdisposal of waste water 56 Complete separation from living/sleeping quarters and laundry
Plumbing location,installation,maintenance1+�
57 Clean/soiled linens stored properly
58 No live birds,turtles,or other animals(except guide dogs)
36 Toilet rooms enclosed with self-closing door
59 Seats 75 or more:Nonsmoking area provided,sign(s)posted at
per toiletfixtures rp ovided,good repair,clean entrances,smoking area indicated by sins
39 Approved garbage/rubbish containers,adequate number,covered,
I
rodent proof,clean outine Inspection DReinspection 0 Preoperational Inspection
121 her Inspection:
INSPECTOR: PERSON IN CHARGE: Demerit Score: •Include demerits from page 1
4 3 2 1 Total Rating
ture slgnature
ophone
a e print name � •lJ' 67 0
number
tote DATE CORRECTIONS DUE: 4L
Page 2 of 2 plus continuation pages Focused Inspection 112002
Page of
INSPECTION REPORT STATE OF CONNECTICUT
FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH
CONTINUATION SHEET
NAME OF ESTABLISHMENT TOWN DATE 91 INSP/ TION
G/ A
INSPECTION REMARKS
FORM#
A& A
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INITIAL(INSPECTOR) INITIAL(PERSON IN CHARGE)
Distribution: 1st-White-Health Department 2nd-Yellow-Owner/Manager
Page of
INSPECTION REPORT STATE OF CONNECTICUT
FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH
CONTINUATION SHEET
NAME OF ESTABLISHMENT TOWN DATE OF PECTI
INSPECTION REMARKS
FORM#
Lam; r 0
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INITIAL(INSPECTOR) INITIAL(PERSON IN CHARGE)
Distribution: 1 st-White-Health Department 2nd-Yellow-Owner/Manager