HomeMy WebLinkAboutInspection 161 Nevers Road STATE OF CONNECTICUT ! FOCUSED FOOD SERVICE INSPECTION REPORT • DEPARTMENT OF Pt 1111.1117 HF-A1,TH
Establishment: ,( y _Inspection Date: i Time: 1 ROinsp REinsp
Address/City: ��,/ mac? S � Health Dept: DUrfl �,,.���,,,� ass: 1 2�A
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 C N/O N/A JONC I KEY: C[complies] N/O[not observed] NIA[not applicable]
60 Qualified Food Operator k
3 DNC(does not comply) 0 lotherl RTE[ready-to-eat]
61 Designated Alternate L 2 12 Personnel with infection restricted C WO NIA 4
A Food workers have no exposed infected lesions/burns
62 Written documentation of training program 2
1 Approved source,wholesome,nonadulterated C NIO NIA 4 B Personnel with infection restricted li
C Communicable disease of worker reported to local health director V
A I Approved shellfish,finish,meat&poultry USDA approved X 1 1 13 Handwashing facilities provided, hands washed,clean C NIO WA 4
B Food cans in good condition(not dented,rusty,bloated,leaking) A Hand tac titles in all foo tdl si - areas ,
C WholesomelnonaduIterated foods/safe f B ndw h fac iUes in e y o toilet rooms
D Commercial products(no home grown/canned food) (C c ajhAj0,.*1ajkl4sjb'e? ement to use �.
E Potentially hazardous foods received at proper temperature D erson n waste eanl� 1arldwash procedure
0
E ndwashing at appr hate es )/
3 Potentially hazardous food meets temperature requirements C N/0 NIA 4 0
during storage,preparation,display,service and transportation
15 Good hygienic practices C WO WA 2
A Hot holding greater than or equal to 140°F. (whole beeflpork roasts 1300 F.) I A ❑ No eatinq ❑ No smoking while working
B Cold holding less than or equal to 45°F. k I B Wounds covered adequately
C Proper cooling I 7F Proper sink used for handwashing
D Proper re-heating 0
E Proper internal cooking l consumer advisory posted b( 24 Sanitization rinse (hot water-chemical) C WO WA 2
0 A I Approved sanitizer available/adequate concentration of sanitizer
4 Adequate facilities to maintain product C WO N/A 2 B Food-contact surfaces and utensils used for potentially
temperature,thermometers provided hazardous food sanitized at least every 4 hours X
A Food thermometer available and accurate C Adequate kdishwasher sanitizer ❑final rinse temp
r' D Proper sanitizing procedure
B Proper food thermometer for product pL E Sanitizing between raw animal origin&ready-to-eat food
C Thermometers appropriately placed in cooler units
0
0 25 Clean wiping cloths C N/O WA 1
7 Food protected during storage, preparation, C NIO N/A 2 on es A Cloths and/or s in good repair and clean
display,service and transportation sponges 9 P
A Produce washed B Wiping cloths kept in sanitizer between uses
r 0
B Raw meats not stored/prepared near ready-to-eat foods i 26 Food-contact surfaces clean C NIOFNIA 2
C Food covered properly V_ A Food equipment clean,utensils clean,equipment interiors clean
D Adequate splash guards I 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 t 0
8 Food containers stored off the floor 30 Hot and cold water under pressure,provided as required T WO WA 2
0 2 38 Handwashing accessories provided C NIO WA 1
9 Handling of food minimized C WO NIA A Soap I paper towels I drying device available
A No unnecessary handling RTE and/or cooked foods with bare hands B
Dispenser(s)working: ❑Soap ❑Paper towel
B Minimize food handling,other than ready-to-eat,with bare hands V . C Handwash sink(s)clean I waste receptacle at handwash sink
C Adequate utensil(s)for dispensing food/ice 0
0 •DESCRIBE DEFICIENCIES ON CONTINUATION SHEETS
The following information is not debitable and does not affect your score. KEY: QFO[guatthed food operator] DA[designated altemale],PHF[potentially hazardous food], FB [foodborne)
PHFs are hot field at "F 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:
Poultry Ground Beef Pork What diseases related t illness are you required to report to the local health department?
Roasts Other
Describe re-heating procedures: Is there a written i ass policy that requires the food worker to report specific illness conditions
Are temperatures recorded/logged for cold holding foods!egw ent? Y N and diseases to e QFO? Y N *Do you have a paid sick leave policy? Y N
Are foods cooked in advance and cooled? Y N ♦Ar leftovers saved? Y N Is there a la cage barrier etween pector FO? Y N Ives indicate language spoken
List products cooled: by QFO'D' *Can the QFO/DA read the inspection report? Y N
Describe cooling methods: Indicate who answered the a e q slions: Name(print):
Indicate the title of above a (c cle all that apply):QFO DA Mgr Cook Owner FW
Is cooling monitored for time&temp? Y N Is th monitonng of cooling recorded? Y N .Obtain signalur o e received the QFO responsibilities information at the time of the
Is there a produce washing policy? Y N *Describe what is washed and inspection:
where: Note: This report is a i,,iltpage form ,, of 62 debitable items) 1 of 2
STATE OF CONNECTICUT-DEPARTMENT OF PUBLIC HEALTH-410 CAPITOL AVENUE-MS#51 FDP-HARTFORD,CT 06134
FOCUSED FOOD SERVICE INSPECTION REPORT
LOCAL HEALTHDEPT;:�&X.-fW 4,is ,,C� ADDRESS/CITY: / S3C7 SU�-�- Y.4s.J �Nt/Ie
Establishment: oJtuT14- e.H Date of Inspection:
ddress: /!o/ /V�t'/ S ,�a+A-t7 Owner or Operator:
ADDITIONAL FOUR POINT ITEMS
KEY: DNC [DOES NOT COMPLY] c
6 Foods not re-served.
-Unwrapped foods not re-served 4 31 Sewage disposal approved. 4
-Potentially hazardous foods not re-served -Operating as required
34 No cross connections,back siphonage,backflow
11 Toxic chemicals. 4
4 Proper type/installation/backflow prevention device/air gapfor:
-Stored properly,labeled properly,used properly -Food equipment -Hose connections -Dish machines
-Sanitizes concentration not to exceed maximum permitted -Soda system carbonator -Beverage dispensers -Toilet tanks
-No unnecessary toxics on the premises -Chemical dispensers -Ice machines
-Pesticides/rodenticides properly dispensed Proper drain for:
29 Water source adequate,safe. 4 -Food equipment -Dish machines -Ice machines
-Well/well head protected from contamination 35 Toilet facilities. Adequate,convenient,accessible, 4
-Water quality in compliance
-Monitoring in compliance designed,properly installed
OTHER ITEMS z z
KEY: DNC [DOES NOT COMPLY] c
2 Sources of food:Original container,property labeled I 40 Garbage/rubbish storagearea/rooms,enclosures-properly constructed,clean I
5 Potentially hazardous food property thawed 2 41 Garbage/rubbish disposed of in an approved manner,at approved frequency
10 Food dispensing utensils properly stored 1 42 Vermin Control: No insects/rodents present 2
14 Food worker:Clean outer clothes,effective hair restraints 1 43 Outer openings protected against entrance of insects/rodents 1
Zff Ns: Floor covering installed,constructed as required,good repair,clean —
16 Food-contact surfaces designed,constructed,maintained,installed, 2 45 Floors graded,drained as required
located
6 Floor,wall juncture covered
17 Nonfood-oontact surfaces designed,constructed,maintained, 1 47 Mats removable,good repair,clean
stalled,located
18 y�i�igle service articles,storage,dispensing 2
8 Exterior walking,driving surfaces,good repair,clean I
9 No reuse of single service article 9 Walls,ceilings attached,equipment properly constructed,good 1
repair,clean.Wall&ceiling surfaces as required
20 Dishwashing facilities approved design,adequately constructed, 2 1
maintained,installed,located 50 Dustless cleaning methods used,cleaning equipment property stored
Equipment&Utensils: Cleanliness 1 511 Adequate lighting provided as required I
21 Preflushed,scraped,soaked and racked 52 Room free of steam,smoke odors 1
22 Wash water clean,proper temperature 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 1
271 Nonfood-contact surfaces of utensils&equipment clean 1 55 Establishment and premises free of litter,no insect/rodent harborage, 1
28 Equipmentlutensils,storage,handling 1 no unnecessary articles
32 Proper disposal of waste water I 561 Complete separation from living/sleeping quarters and laundry I
33 Plumbing location,installation,maintenance I 571 Clean/soiled linens stored properly 1
581 No live birds,turtles,or other animals(except guide dogs) 1
36 Toilet rooms enclosed with self-closing door I
59 Seats 75 or more:Nonsmoking area provided,sign(s)posted at 3
37 Proper toilet fixtures provided,good repair,clean entrance(s),smoking area indicated by sign(s)
39 Approved garbage/rubbish containers,adequate numb vered, 1 -
rodent proof,clean er" ❑Routine Inspection ❑Reinspection ❑ Preoperational Inspection
IN PECTOR: PERSO 1 IARGE Other Inspection:
Demerit Score: *Include demerits from page 1
4 3 2 1 Total Rating
signature sI nature /
l✓ ",
r nt name ' print name /
� L f�/ DA I F CORR( 20 oti.
phone number title CTIONS DUE
Page 2 of 2 plus continuation pages Focused Inspection 1/2002
Page of
INSPECTION REPORT STATE OF CONNECTICUT
FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH
CONTINUATION SHEET
NAME OF ESTABLISHMENT TOWN DATE OF INSP CTION
oil iG/f ; -//
INSPECTION FORM REMARKS
ell
t
"J2
,t Z o
0,6
Date. W ` C�o
Fecha
Fvlp.
t.�ror.x
oAIISiUMlS tO�ANCF ,lJ�-4�— a�"•[_�t,/�[��_ � D
�160°F/»-c
!l S
INITIAL(INSPECTOR) INITIAL(PERSON IN CHARGE)
Distribution: 1st-White-Health Department 2nd-Yellow-Owner/Manager
Pa O `)
INSPECTION REPORT STATE OF CONNECTICUT
FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH
CONTINUATION SHEET
NAME OF ESTABLISHMENT TOWN DATE OF INSPEC"1' ON
,5i, _
INSPECTION REMARKS
FORM# /
/,r / � Zoo
ew-
i
INITIAL(INSPECTOR) INITIAL(PERSON IN CHARGE)
Distribution: 1st-White-Health Department 2nd-Yellow-Owner/Manager