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Home My WebLink AboutFood Service Establishment 138 Ayers Roa EHS•106•Rev.06101 INSPECTION REPORT STATE OF CONNECTICUT ❑ RR TINE INSPECTION EI REINSPECTION FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH LT�'"PREOPERATIONAL ❑ OTHER 410 Capitol Avenue,MS#51 FDP,Hartford,CT 06134 NAME OF ESTABLISHMENT ESTABLISHMENT CLASS STREET TOWN / � � ADDRESS A A�S _ (/ C)✓ OWNER or f� ,{ t INSPE ION L OPERATOR 1,� ay' (V-\ �r c) DATE and TIME Based on an inspection this day,the items marked below identify the violations in operation or facilities which must be corrected by the date specified below. SOURCES OF FOOD EQUIPMENT&UTENSILS:CLEANLINESS VERMIN CONTROL 1 Approved source,wholesome, 4 21 Prefushed,scraped,soaked and racked 42 Presence of insectslrodents 2 nonadulterated 22 Wash water clean,proper temperature 1 43 Outer openings protected against entrance of 1 2 Original container,properly labeled 1 23 Accurate thermometers provided,dish basket,if used Insectsfrodents 24 Sanitization rinse(hot water-chemical) 2 FOOD PROTECTION 25 Clean wiping cloths 1 FLOORS,WALLS&CEILINGS 3 Potentially hazardous food meets 4 26 Food contact surfaces of utensils& 2 44 Floors:floor covering installed, temperature requirements during storage, equipment clean constructed as required,good repair,clean preparation,display,service,and transportation 27 Nonfood-contact surfaces of utensils& 1 45 Floors,graded,drained as required 1 equipment clean 46 Floor,wall juncture covered 4 Adequate facilities to maintain product 2 28 Equipment/utensils,storage,handling 1 47 Mats removable,good repair,clean temperature,thermometers provided 5 Potentially hazardous food properly thawed 2 48 Exterior walking,driving surfaces, 1 6 Unwrapped or potentially hazardous food 4 WATER SUPPLY good repair,clean not reserved 29 Water source adequate,safe 4 49 Walls,ceilings attached,equipment properly 1 7 Food protected during storage,preparation, 30 Hot and cold water under pressure, 2 constructed,good repair,clean. Wall&ceiling display,service&transportation 2 provided as required surfaces as required. 8 Food containers stored off floor 50 D sttess cleaning methods used, 1 SEWAGE DISPOSAL aning equipment properly stored 9 Handling of food minimized 2 31 1 Sewage disposal approved 4 10 Food dispensing utensils properly stored 1 32 Proper disposal of waste water 1 LIGHTING&VENTILATION 11 Toxic items properly stored,labeled,used 4 51 Adequate lighting provided as required 1 PLUMBING 52 Room free of steam,smoke odors 1 PERSONNEL 33 Location,installation,maintenance 1 53 Room&equipment hoods,ducts,vented as required 12 1 Personnel with infection restricted 4 34 No cross connection,back siphonage,backflow 14 DRESSING ROOMS&LOCKERS CLEANLINESS OF PERSONNEL TOILET FACILITIES 54 Rooms adequate,clean,adequate lockers 1 13 Handwashing facilities provided, 4 35 Adequate,convenient,accessible,designed, 4 provided,facilities clean personnel hands washed clean installed 14 Clean outer clothes,effective hair restraints 1 36 Toilet rooms enclosed with self-closing door 1 15 Good hygienic practices,smoking restricted 2 37 Proper fixtures provided,good repair,clean HOUSEKEEPING 55 Establishment and premises free of litter,no 1 EQUIPMENT&UTENSILS: DESIGN, HANDWASHING FACILITIES insectfrodent harborage,no unnecessary articles CONSTRUCTION& INSTALLATION 38 Suitable hand cleaner and sanitary towels or 1 56 Complete separation from living/sleeping quarters 1 16 Food-contact surfaces designed,constructed, 2 approved hand drying devices provided, and laundry maintained,installed,located tissue waste receptacles provided 57 Clean/soiled linens stored properly 1 17 No ood-contact surfaces designed, 1 58 No live birds,turtles,or other animals 1 Xonstrucled,maintained,installed,located GARBAGEJRUBBISH STORAGE&DISPOSAL I (except guide dogs) 18 Single service articles,storage,dispensing 2 39 Approved containers,adequate number, 1 19 No use of single service article covered,rodent proof,clean NONSMOKING AREAS 20 Dishwashing facilities approved design,adequately 2 40 Storage area/rooms,enclosures— 59 Seats 75 or more:Nonsmoking area provided, 3 constructed,maintained,installed,located properly constructed,clean sign(s)posted at entrance(s),smoking area 1 indicated by sign(s) 41 Garbage disposed of in an approved manner, at approved frequency QUALIFIED FOOD OPERATOR DEMERIT SCORE 60 Qualified Food Operator 3 4 3 2 RISK FACTOR VIOLATIONS IN RED 61 Designated alternate 2 It 62 Written documentation of training program 2 Sig ure P V;mc arge TOTAL MATING Date Corrections Due Z � �4 � ` 1 � 5 G (inspector) 0,01 l ` DESCRIBE DEFICW i ON14NUATION SHEETS 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# 0Ai AAiwA t , f kl�k , , c� ` 5 X r r W 6S:::1 dad INITIAL(INSPECTOR) INITIAL(PERSON IN CHAR ) Distribution: 1st-White-Health Department 2nd-Yellow- Owner , , ?. 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To: Michele Lipe Date: 1/2/2015 DPI Project No. 1059.E Town of South Windsor Re: South Windsor Little League,Ayers Road, South Windsor Planning Department (Delivered) : WE ARE SENDING YOU: ® Attached ❑ Under separate cover via the following items: ❑ Shop Drawings ® Prints ❑ Renderings ❑ Specifications : ❑ Copy of Letter ❑ Change Order ❑ • • COPIES DATE NO. 2 11-11-13 1059 Property&Topographic Plan,South Windsor Little League, 138 Ayers Road South Windsor, CT • These are transmitted as checked below: ❑ ForApproval ❑ No exceptions taken ❑ Resubmit copies for approval • ❑ Foryour use ❑ Make corrections ❑ Submit copies for distribution ❑ As requested ❑ Revise and Submit ❑ Return corrected prints : ® For review and comment ❑ Forbids due ❑ Prints returned after loan to us e REMARKS: 7: b • SOUTH WINDSOR PtANfdING DEFT, : • SIGNED: — 4": At Maximinio Lawrence R. Geissler, ,Jr., L.S.