HomeMy WebLinkAbout591 Ellington Rd STATE OF CONNECTICUT - FOCUSED FOOD SERVICE INSPECTION REPORT - DEPARTMENT OF PUBLIC HEALTH
Establishment: PLEASANT VALLEY ELEMENTARY SCHOOL Inspection Date: 11-Oct-2018 Time: 9.37 am Routine Inspection
ddress/Ci : 0591 ELLINGTON ROAD,SOUTH WINDSOR Health Dept: South Windsor Class: 3
Based on an inspection this day,the items marked DNC identify the violations in operation or fa cilities 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 connDlv1 O lotherl RTE read -to-eat
M.Approved source,wholesome,nonadulterated 24a. Approved sanitizer available/adequate concentration of C
01a. lApproved shellfish,finfish,meat and poultry USDA approved C sanitizer
1 b. Food cans in good condition(not dented,rusty,bloated, C 24b. Food-contact surfaces and utensils used for potentially C
leaking) hazardous food sanitized at least every 4 hours
1c. Wholesome,nonadulterated foods,safe C 24c. Adequate dishwasher sanitizer/final rinse temp C
1d. Commercial products(no home grown or canned food) C 24d. Proper sanitizing procedure C
1e. Potentially hazardous foods received at proper temperature C 24e. ISanitizing between raw animal origin and ready-to-eat food C
1o. Other N/A 4o. 10ther N/A
M.Hazardous Food Meets Temperature Requirements 5.Clean Wiping Cloths
03a. I Hot holding greater than or equal to 140F(whole beef or C 25a. Cloths and/or sponges in good repair and clean C
pork roasts 130E) 25b. JWiping cloths kept in sanitizer between uses C
03b. Cold holding less than or equal to 45F 25o. 10ther N/A
03c. Proper cooling of food C 26.Food-contact Surfaces Clean
03d. Proper re-heating of food C 26a_ Food equipment clean,utensils clean,equipment interiors C
03e. Proper internal cooking and consumer advisory posted J/A
clean
03o. Other 26b. Single use gloves changed when soiled C
26c. Food-contact surfaces clean C
4.Maintain Product Temp,Thermometers Providedor 04a. Food thermometer available and accurate 26o. Other N/A
4b. Proper food thermometer for product 30. Hot and cold water under pressure,provided as required C
4c. Thermometers appropriately placed in cooler units 8.Handwashing Accessories Provided
4o. Other 38a. Soap/paper towels/drying device available C
7.Food Protection 8b. Dispenser(s)working-soap/paper towels C
07a. Produce washed 38c. Handwash sink(s)clean/waste receptacle at handwash sink. C
7b. Raw meats not stored/prepared near ready-to-eat foods 380. Other N/A
7c. Food covered properly 60. Qualified Food Operator C
7d. Adequate splash guards/sneeze guard C 61. Designated Alternate C
7e. No unauthorized personnel C 62. Written documentation of training program C
7f. No pooling of eggs not cooked immediately C he following information is not debitable and does not affect your score.
070. Other N/A KEY:QFO[qualified food operator],DA[designated alternate],
PHF[potentially hazardous foodl,FEI foodborne
9.Handling of Food Minimized
9a No unnecessary handling RTE and/or cooked foods with C
bare hands
9b. IMinimize food handling,other than ready-to-eat,with bare C
hands
9c. Adequate utensil(s)for dispensing food/ice C
09o. Other N/A
12.Personnel With Infection Restricted
12a. Food workers have no exposed infected lesions/burns C
12b. Personnel with infection restricted N/A
12c. Communicable disease of worker reported to local health N/A
director
13.Handwashing Facilities,Hands Washed,Clean
13a. Handwash facilities in all food prep/dispensing and C
warewash areas
13b. Handwash facilities in or immediately adjacent to toilet C
rooms
13c. I Handwash facilities accessible/convenient to use C
13d. Personnel hands washed,clean/Proper handwash C
procedure
13e. Handwashing at appropriate times C
13o. Other N/A
15.Good Hygienic Practices
15a. No eating/No smoking while working C
15b. Wounds covered adequately C
15c. Proper sink used for handwashing C
15o. Other N/A
4.Sanitization Rinse(hot water-chemical)
Inspection#:612 Note:This report is a two page form(total of 62 debitable items) Page 1 of 4
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.
rddre
lishment: PLEASANT VALLEY ELEMENTARY SCHOOL Inspection Date: 11-Oct-2018
ss: 0591 ELLINGTON ROAD Owner or Operator:
ADDITIONAL FOUR POINT ITEMS OTHER ITEMS
KEY:DNC[DOES NOT COMPLY] KEY:DNC[DOES NOT COMPLY]
06.Foods Not Re-served 02. Sources of food-original container,properly labeled 1-DNC
-Unwrapped foods not re-served-Potentially hazardous foods not C 05- Potentially hazardous food properly thawed C
re-served
11.Toxic Chemicals 10. Food dispensing utensils properly stored C
-Toxic chemicals stored properly,labeled properly,used properly- C 14. Food worker:Clean outer clothes,effective hair restraints C
Sanitizer concentration not to exceed maximum permitted-No 16- Food-contact surfaces designed,constructed,maintained, C
unnecessary toxics on the premises-Pesticides/rodenticides installed,located
properly dispensed
29.Water Source Adequate,Safe 17- Nonfood-contact surfaces designed,constructed, 1-DNC
maintained,installed,located
-Well/Well head protected from contamination-Water quality in C
compliance-Monitoring in compliance 18- Single service articles,storage,dispensing C
1.Sewage Disposal Approved 19- No reuse of single service article C
Sewage disposal operating as required C 20- Dishwashing facilities approved design,adequately C
34.No cross connections,back siphonage,backflow constructed,maintained,installed,located
Proper type/installation/backflow prevention device/air gap C
21- Equipment and utensils-preflushed,scraped,soaked and C
for food equipment,soda system carbonator,chemical
dispensers,hose connections,beverage dispensers,ice and dish racked
machines,toilet tanksProper drain for:food equipment,dish and ice 22- Equipment and utensils-wash water clean,proper C
machines temperature
5.Toilet Facilities 23- Equipment and utensils-accurate thermometers provided, C
Toilet facilities adequate,convenient,accessible,designed, C dish basket,if used
properly installed
27- Nonfood-contact surfaces of utensils and equipment clean C
28- Equipment/utensils,storage,handling C
32. Proper disposal of waste water 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#:612 Note:This report is a two page form(total of 62 debitable items) Page 2 of 4
RAN T INSPECTION REPORT STATE OF CONNECTICUT
FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH
CONTINUATION SHEET
Name of Establishment Town Date of Inspection
PLEASANT VALLEY ELEMENTARY SCHOOL SOUTH WINDSOR 11-Oct-2018
INSPECTION REMARKS 612
FORM#
OTHER ITEMS Inspector: Melissa Pierce[1043]
KEY:DNC[DOES NOT COMPLY] Name,Signature, 860-337-6182
Phone Number
44. Floors:Floor covering installed,constructed as required, C
good repair,clean
45. Floors graded,drained as required C
46. Floor,wall juncture covered C
47- Mats removable,good repair,clean C
48. Exterior walking,driving surfaces,good repair,clean C
49. Walls,ceilings attached,equipment properly constructed, 1-DNC
good repair,clean.Wall and ceiling surfaces as required
50. Dustless cleaning methods used,cleaning equipment C
properly stored
51. Adequate lighting provided as required C
52. Room free of steam,smoke odors C
53. Rooms and equipment hoods,ducts,vented as required C
54. Rooms adequate,clean,adequate lockers provided, C
facilities clean
55. Establishment and premises free of litter,no insect/rodent C
harborage,no unnecessary articles
56. Complete separation from living/sleeping quarters and C
laundry
57. Clean/soiled linens stored properly C
58. No live birds,turtles,or other animals(except guide dogs) C
59. Seats 75 or more:Nonsmoking area provided,sign(s)posted 771
at entrance(s),smoking area indicated by sign(s)
Routine Inspection
DEMERIT SCORE
4' '3' '2' '1' Total Rating
0 0 0 3 3 97
Date Corrections Due: 25-Oct-2018
Person in Charge: Erica Paine
Name,Title,
Signature
Inspection#:612 Note:This report is a two page form(total of 62 debitable items) Page 3 of 4
RAN T INSPECTION REPORT STATE OF CONNECTICUT
FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH
CONTINUATION SHEET
Name of Establishment Town Date of Inspection
PLEASANT VALLEY ELEMENTARY SCHOOL SOUTH WINDSOR 11-Oct-2018
INSPECTION REMARKS 612
02. Granulated,powdered&liquid food not labeled
Salts at dry storage
17. Contact paper on shelves
At utensils drawers
49. Missing ceiling tiles
At dry storage over equipment shelving
Cold hold-cheese 41f,deli meat 41f,cut melon 40f
Quat sani 400ppm ok
Inspection#:612 Note:This report is a two page form(total of 62 debitable items) Page 4 of 4