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Home My WebLink AboutInspection 535 Evergreen Way STATE OF CONNECTICUT - FOCUSED FOOD SERVICE INSPECTION REPORT - DEPARTMENT OF PUBLIC HEALTH Establishment: Inspection Date:12-Jan-2017rime: 2:57 pm Routine Inspection ddress/Cit :0535 EVERGREEN WAY,South Windsor Health Dept:South Windsor Class: 4 Based on an inspection this day,the items marked DNC identify the violations in operation or facilities which must be corrected by the date specified on page 2. RISK FACTOR ITEMS:Listing is not inclusive of all possible debitable items KEY:C[compliant] N/O[not observed] N/A[not applicable] DNC does not comply] O other RTE read -to-eat 01.Approved source wholesome nonadulterated roper sanitizing procedure a. Approveds e is in is ,m eat and poultry USIDA approved e. Sanitizing between raw animal origin and ready-to-eat fo0 Food cans in good condition(not dented,rusty,bloated, 27-0 Uther leaking) c. Wholesome,nonadulterated foods,sae 26.Clean Wiping Cloths a. o s and/or sponges in goo repair an clean Commercial products no home grown or canned food) e. Wiping cloths Kept in sane izer between uses Potentially hazardous foods receive a proper empera ure o. Other o. lutner 26.Food-contact Surfaces Clean 03.Hazardous Food Meets Temperature Requirements a. Food equipment clean,utensils clean,equipment interiors a. Hot holding greater than or equal o woe beet or porK clean roasts 130F) 26b. Single use gloves changed when soiled Cold holding less than or equal o c. oocl-contact surtaces clean c. Proper cooling OT food o. Other Proper re-heating of food Hot and cold water under pressure,provided as required e. JProper internal cooking and consumer advisory posted 38.Handwashing Accessories Provided U15o. Fther a. Soap paper towels rying device available 04.Maintain Product Tem Thermometers Provided Dispenser(s)working-soap paper towels a. Food ermome er avai a e and accurate c. Handwash sin s clean waste receptacle at handwashsin . Proper food thermometer for product o7 Other U2FC-- ermometers appropriately placed in cooler units a2ro'.- er 60. Qualified Food Operator 07.Food Protection 61. Designated Alternate a. Produce washed 62. 1written documentation of training program Raw meats not stored/prepared near ready-to-eat too s e T011owing in orma ion is not debitable and does not attect your score. 7 Ood covered properly KEY:QFO[qualified food operator],DA[designated alternate], Adequate splash guars sneeze guard PHF[potentially hazardous food], FB[foodborne] PHFs are hot held at:(Deg.F) e.7 No unauthorized personnel PHFs are cold held at:(Deg.F) o pooling of eggs not cooked immediately Are internal cooking temperatures taken? o. JUther To what temperature do you cook poultry(Deg.F)? 09.Handling of Food Minimized To what temperature do you cook ground beef(Deg.F)? a. No unnecessary handling R I E and/or cooked oo s with are To what temperature do you cook pork(Deg.F)? hands To what temperature do you cook roasts(Deg.F)? Minimize food handling,other than ready-to-eat,with are hands To what temperature do you cook OTHER(Deg.F)? c._Adequa e utensil(s)Tor dispensing Tood/ice Describe re-heating procedures: o. er Are temperatures recorded/logged for cold holding foods/equipment? 12.Personnel With Infection Restricted Are foods cooked in advance and cooled? a. Food workers have no exposed intected lesions urns Are leftovers saved? Personnel with infection restricted List products cooled: c. Communicable disease of worker reported o local health Describe cooling methods: director Is cooling monitored for time and temp? 13.Handwashin Facilities,Hands Washed Clean Is the monitoring of cooling recorded? a. an was ace i ies in a oo prep ispensing an warewas Is there a produce washing policy? areas Describe what is washed and where: Handwash facilities in or immediately adjacent o toilet rooms Describe illness conditions when you would exclude a food worker from c.-Handwash facilities access bl a conven i ent to use working: Personnel hands washed,clean roper handwash procedure What diseases related to foodborne illness are you required to report to the local health department? e. an was ing a appropriate Imes Is there a written illness policy that requires the food worker to report specific o. JUther illness conditions and diseases to the QFO? 15.Good Hygienic Practices Do you have a paid sick leave policy? a. No eating NO smo ing while wor ing Is there a language barrier between inspector and QFO? Wounds covered adequately IF YES,indicate language spoken by QFO/DA: c. roper sinK used for handwashing Can the QFO/DA read the inspection report? T577 U t h er Indicate who answered the above questions(Name): 24.Sanitization Rinse hot water-chemical Notes a. Approved sam¢er avai a e a equa a concen ra ion o Obtain signature of person who received the QFO responsibilities information sanitizer at the time of the inspection:Signature on Page 2 Food-contactsurtaces and utensils used for potentially hazardous food sanitized at least every 4 hours c._Adequa a dishwasher sane izer/Tinal rinse temp Inspection#:290 Note:This report is a two page form (total of 62 debitable items) Page 1 of 3 STATE OF CONNECTICUT-DEPARTMENT OF PUBLIC HEALTH -410 CAPITOL AVENUE-MS#51 FDP-HARTFORD, CT 06134 FOCUSED FOOD SERVICE INSPECTION REPORT Local Health Dept:South Windsor Address/City: 1540 Sullivan Ave Establishment: Inspection Date:12-Jan-201 ddress: 0535 EVERGREEN WAY Owner or Operator:Bruce Stemonoski ADDITIONAL FOUR POINT ITEMS OTHER ITEMS KEY: DNC[DOES NOT COMPLY] KEY: DNC[DOES NOT COMPLY] 6.Foods Not Re-served 44. Floors:Floor covering installed,constructed as required,good 1-DNC Unwrapped foods not re-served C repair,clean Potentially hazardous foods not re-served 45. Floors graded,drained as required C 11.Toxic Chemicals 46. Floor,wall juncture covered 1-DNC Toxic chemicals stored properly,labeled properly,used properly C Sanitizer concentration not to exceed maximum permitted 47. Mats removable,good repair,clean C No unnecessary toxics on the premises 48. Exterior walking,driving surfaces,good repair,clean C Pesticides/rodenticides properly dispensed 9.Water Source Adequate,Safe 49. Walls,ceilings attached,equipment properly constructed,good C repair,clean.Wall and ceiling surfaces as required Well/Well head protected from contamination C Water quality in compliance 50. Dustless cleaning methods used,cleaning equipment properly C Monitoring in compliance stored 1.Sewage Disposal Approved 51. Adequate lighting provided as required C Sewage disposal operating as required C 52. Room free of steam,smoke odors C 4.No cross connections, back siphonage, backflow Proper type/installation/backflow prevention device/air gap for: C 53. Rooms and equipment hoods,ducts,vented as required C ood equipment,soda system carbonator,chemical dispensers,hose 54. Rooms adequate,clean,adequate lockers provided,facilities C onnections,beverage dispensers,ice and dish machinesJoilet tanks clean Proper drain for:food equipment,dish and ice machines 55. Establishment and premises free of litter,no insect/rodent C 5.Toilet Facilities harborage,no unnecessary articles Toilet facilities adequate,convenient,accessible,designed, C 56. Complete separation from living/sleeping quarters and laundry C properly installed OTHER ITEMS 57. Clean/soiled linens stored properly C 58. No live birds,turtles,or other animals(except guide dogs) C KEY: DNC[DOES NOT COMPLY] 59. Seats 75 or more: Nonsmoking area provided,sign(s)posted C 02. Sources of food-original container,properly labeled C at entrance(s),smoking area indicated by sign(s) 05. Potentially hazardous food properly thawed C Routine Inspection 10. Food dispensing utensils properly stored C 14. Food worker:Clean outer clothes,effective hair restraints C DEMERIT SCORE 16. Food-contact surfaces designed,constructed,maintained, C '4' 7 '2' '1' Total Rating installed,located 1 0 1 0 1 1 1 1 1 3 97 17. Nonfood-contact surfaces designed,constructed,maintained, C Date Corrections Due: 12-Apr-2017 installed,located Person in Charge: Anthony Haught/Corinne Laws 18. 1 Single service articles,storage,dispensing C Name, Title, 19. No reuse of single service article C Signature OFO 20. Dishwashing facilities approved design,adequately C constructed,maintained,installed,located 21. Equipment and utensils-preflushed,scraped,soaked and C racked 22. Equipment and utensils-wash water clean,proper C temperature Inspector: Diane Collelo [1041] 23. Equipment and utensils-accurate thermometers provided, C Name,Signature, dish basket,if used Phone Number 8603376182 27. Nonfood-contact surfaces of utensils and equipment clean C 28. Equipment/utensils,storage,handling C 32. Proper disposal of waste water C j tltt4� C 33. Plumbing location,installation,maintenance C 36. Toilet rooms enclosed with self-closing door C 37. Proper toilet fixtures provided,good repair,clean C 39. Approved garbage/rubbish containers,adequate number, C covered,rodent proof,clean 40. Garbage/rubbish storage area/rooms,enclosures-properly C constructed,clean 41. Garbage/rubbish disposed of in an approved manner,at C approved frequency 42. Vermin Control:No insects/rodents present C 43. Outer openings protected against entrance of insects/rodents C Inspection#:290 Note:This report is a two page form (total of 62 debitable items) Page 2 of 3 �L o N..JrV<r r INSPECTION REPORT STATE OF CONNECTICUT FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH CONTINUATION SHEET Name of Establishment Town Date of Inspection South Windsor 12-Jan-2017 INSPECTION REMARKS FORM# 08. Food stored on floor Onions stored on WIC floor--CORRECTED 44. Hard to reach areas under shelves in WIC light food buildup 46. Tiled floors improperly grouted or in poor repair, deep recesses between tiles Floor juncture at WIC on outside not sealed Inspection#:290 Note: This report is a two page form (total of 62 debitable items) Page 3 of 3 114 .r' INSPECTION REPORT STATE OF CONNECTICUT FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH CONTINUATION SHEET NAME OF ESTABLISHMENT TO\\' DATE OF I SPECTION INSPECTION REMARKS FORM# A., c C4&i J 6 INITIAL(INSPECTOR) INITIAL(PERSON IN CHARGE) Distribution: 1 st-White-Health Department 2nd-Yellow-Owner/Manager