HomeMy WebLinkAbout91 Ayers Road STATE OF CONNECTICUT • FOCUSED FOOD SERVICE INSPECTION REPOR • DEPARTMENT OF PUBLIC
Establishment: LuA�'f'i�b L J c�, ,LInspection Date: �- - Time: v•o ROinsp Einsp
Address/City: 91Wx 5 X Health Dept: .v ass: 1 2C,,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 debatable items C NIO N/A JDNC I KEY: C[complies] NIO[not observed] NIA[not applicable]
60 Qualified Food Operator ,. 3 DNC[does not comply] 0[other] RTE iready-to-eat)
61 Designated Alternate 2 12 Personnel with infection restricted C NIO WA 4
62 Written documentation of training program 2 A Food workers have no exposed infected lesions,burns
B Personnel with infection restricted
1 Approved source,wholesome,nonadulterated C NIO NIA 4 C Communicable disease of worker reported to local health director
A ApDroved shellfish,finfish,meat&poultry USDA approved 1/ 13 Handwashing facilities provided, hands washed,clean C WO WA 4
B Food cans in good condition(not dented,rusty,bloated,leaking) I. A Handwash facilities in all food prep/dispensing&warewash areas
C Wholesomelnonadu Iterated foods/safe i, B Handwash facilities in or immediately adjacent to toilet rooms
D Commercial products(no home grown/canned food) LO C Handwash facilities accessible/convenient to use i
E Potentially hazardous foods received at proper temperature ✓ D Personnel hands washed,clean I Proper handwash procedure
0 E Handwashing at appropriate times L
3 Potentially hazardous food meets temperature requirements C NIO NIA 4 O
during storage, preparation,display,service and transportation
15 Good hygienic practices C WO NIA 2
A Hot holding greater than or equal to 140°F. (wholebeerrpork roasts 130'F.) � A El No eating El No smoking while working /
B Cold holding less than or equal to 45`'F B
C
Wounds covered adequately
C Proper cooling Proper sink used for handwashing
D Proper re-heating 0
E Proper internal cooking l consumer advisory posted 24 Sanitization rinse(hot water-chemical) C NIO WA 2
0 A Approved sanitizes available/adequate concentration of sanitizer
4 Adequate facilities to maintain product C NIO NIA 2 B Food-contact surfaces and utensils used for potentially
temperature,thermometers provided hazardous food sanitized at least every 4 hours !.
A Food thermometer available and accurate C Adequate ❑dishwasher sanitizer ❑final rinse temp
D Proper sanitizin procedure
B Proper food thermometer for product
C Thermometers appropriately placed in cooler units
E Sanitizing between raw animal origin&ready-to-eat food
0
0 25 Clean wiping cloths C NIO WA 1
7 Food protected during storage,preparation, C NIO NIA 2
display, service and transportation A Cloths and/or sponges in good repair and clean
B Wiping cloths kept in sanitizer between uses
A Produce washed I � 0
B Raw meats not stored/prepared near ready-to-eat foods t/ 26 Food-contact surfaces clean C NIO WA 2
C Food covered properly A Food equipment clean,utensils clean,equipment interiors clean ,
D Adequate splash guards I sneeze guard B Single use gloves changed when soiled Loe
E No unauthorized personnel r C Food--contact surfaces clean
F No pooling of eggs not cooked immediately 0
8 Food containers stored off the floor 30 Hot and cold water under pressure,provided as required C 0 NIA 2
0 38 Handwashing accessories provided C N10 WA 1
9 Handling of food minimized C NIO WA 2
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 - C I Handwash sink(s)clean 1 waste receptacle at handwash sink
C Adequate utensil(s)for dispensing food/ice 0
O 4+ •DESCRIBE DEFICIENCIES ON CONTINUATION SHEETS
The following information is not debitable and does not affect your score. KEY: u?FO[qudd�I food ii[:-,�ikq DA (Ii ,Jynatcd a'lamala],PHF[potentially hazardous foodl FB [foodhorne]
PHFs are t e at: HFs 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 to FB illness are you required to report to the local health department?
Roasts Other
Describe re-heating procedures: Is there a written din policy that requires the food worker to report specific illness conditions
Are temperatures recorded/logged for cold holding foods/equip nl? Y N and diseases to the FO? Y N *Do you have a paid sick leave policy? Y N
Are pods cooked in advance and 7elovers saved Y N Is there a languaP barrier between inspector& FO? Y N ILM Indicate language spoken
List products cooled: by QFO/DA: ♦Can the UFO/DA read the inspection report? Y N
Describe cooling methods: Indicate who answered the above questions: Name(print):
Indicate the title of above p s n(ct all that appI ):QFO DA Mgr Cook Owner FW
Is cooling monitored for time&temp? Y N Is the onitoring of cooling recorded? Y N *Obtain signature of e p s wh Ived the OF responsibilities information at the time of the
Is there a produce washing poll_ N ♦ escn in what is washed andinspection: (�J
where: Nole: 1 his report is a two page fur total of 62 debitable items) 1 of 2
STATE OF CONNECTICUT-DEPARTMENT OF PUBLIC HEALTH-410 CAPITOL AVENUE-MS#51 FOP-HARTFORD,CT 06134
_ FOCUSED FOOD SERVICE INSPECTION REPORT
LOCAL HEALTH DEPT: G bcJT LViiW��CJ� ADDRESS/CITY:
Establishment: C`7« Date of Inspection:
Address: ��¢� 'S ,[� Owner or Operator:_bi
ADDITIONAL FOUR POINT ITEMS c 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
11 Toxic chemicals. No cross connections,back siphonage,backflow 4
4 Pro per ype/installation/backflow prevention device/air gap for:
-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 I 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
o I KEY: DNC [DOES NOT COMPLY] o
2 Sources of food: Original container,properly labeled 1 40 Garbage/rubbish storage area/rooms,enclosures-properly constructed,clean
1
5 Potentially hazardous food properly 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 Outeropenings protected against entrance of insects/rodents 1
4 Floors: Floor covering installed,constructed as required,good repair,clean 1
16 Food-contact surfaces designed,constructed, maintained,installed, 2 45 Floors graded,drained as required
located 6 Floor,wall juncture covered
17 Nonfood-contact surfaces designed,constructed, maintained, 1 47 Mats removable,good repair,clean
installed,located
18 Single service articles,storage,dispensing 2 48 Exterior walking,driving surfaces,good repair,clean 1
19 No reuse of single service article 49 Walls,ceilings attached,equipment properly constructed,good 1
repair,clean.Wall&ceiling surfaces as required
20 Dishwashing facilities approved design,adequately constructed, 2 maintained installed located SQ Dustless cleaning methods used,cleaning equipment properly stored 1
Equipment&Utensils• Cleanliness 1 51 Adequate lighting provided as required 1
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
231 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 Equipment/utensils,storage,handling 1 no unnecessary articles
3 2 Proper disposal of waste water 1 56 Complete separation from living/sleeping quarters and laundry 1
33 Plumbing location,installation,maintenance 1
57 Clean/soiled linens stored properly 1
58 No live birds,turtles,or other animals(except guide dogs) 1
36 Toilet rooms enclosed with self-closing door 1
59 Seats 75 or more:Nonsmoking area provided,sign(s)posted at
37 Proper toilet fixtures provided,good repair,clean entrance(s),smoking area indicated by sign(s) 3
39 1 Approved garbage/rubbish containers,adequate number,covered, 1
rodent proof,clean 004outine Inspection ❑Reinspection ❑ Preoperational Inspection
Other Inspection:
Ipt3F,l.�:ttiit: P ON IN CIL�aRC�f- I i,iiwlis •Include demerits from page 1
/W 4 3 2 1 Total Rating
signature signature
p nt name print name
phone number title
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 INSPECTION
INSPECTION REMARKS
FORM#
goo" to
� L� Date:
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160°F/71-c
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INITIAL(INSPECTOR) INITIAL(PERSON IN CHARGE)
Distribution: 1 st-White-Health Department 2nd-Yellow-Owner/Manager