HomeMy WebLinkAboutFood Service Establishment 989 Ellington iiwi �! 7-_�2, ;�;&,5�p,
Establishment; fit! ✓k?:� Inspection Date: il Time: / A.0tL ftinsp)REinsp
Address/City: �' %i Aflz Health Dept: 1 2 3"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 C NIO NIA JDNC I KEY: C[complies] N10[not observed] NIA[not applicable]
r � _$f! 44 of Or i g DNC[does not comply] 0[other] RTE[ready to-eat]
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� r 1 Personnel with infection restricted C N16JlAx;4).
A Food workers have no exposed infected lesions 1 burns
B Personnel with infection restricted
' i r�1a A 1a_-
mmunicable disease of worker reported to local health director
Approved shellfish,finfish,meat&poultry USDA approved V13 . andtneashtng fadtittles pfrorrtdect, l ands ly sh'er1,clean i r CM JN ,; 4
B Food cans in good condition(not dented,rusty,bloated,leaking) Handwash facilities in all food prep/dispensing&warewash areas
C Wholesome/non adulterated foods/safe B Handwash facilities in or immediately adjacent to toilet rooms
D Commercial products(no home grown/canned food) A C Handwash facilities accessiblelconvenient to use
E. Potentially hazardous foods received at proper temperature
D Personnel hands washed,clean I Proper handwash procedure
Handwashing at appropriate times
tntlaltyy haardous4n�meets temperatq Xegpltren '` rG 1 4
>i frlr$sfc[Sage,ptgp0rdtW displsy service and trjdsporkaIfonr
s �� gl I practices C NO A
A Hot holding greaierthan or equal to 140oF,,(whole bee9pork roasts 1300F) A ❑ No eating ❑ No smoking while working
B Cold holding less than orequal to450F. B Wounds covered adequately
C Proper Cooling ' C Proper sink used for handwashing
D Proper Its re-heating 0 izo
o erinternalcookinglconsumeradvisoryposted 24�],5anitizattonfinse (howater=chamirai)' ; �NIQ NIA 2 .
0 A j2provedsanitizer available/adequate concentration ofsanitizer
00 4 a �' CN}d51 NA g Food contact surfaces and utensils used for potentially
r { hazardous food sanitized at least every 4 hours
•,�L1''A'uc.Lt._�.%.&.'..1..,r ._..........,�. €.'. t f,:f
A Food thermometer available and accurate C Adequate ❑dishwashersanitizer ❑final rinse temp
D Pro ersanitizin rocedure
B Properfood thermometer#orproduct E Sanitizing between raw animal origin&ready-to-eat food
C Thermometers appropriately placed in cooler units
t .caark fidrt
9 Pf
v" a•y h +„� T < $v. H nc i Jl Sd4n } c 1 F K�n ... ... ..
Cloths and/or sponges in good repair and clean
�� sX � �, r',N ei `'' ' B Wiping cloths kept in sanitizer between uses
A Produce washed
0
B Raw meats not stored/prepared near ready-to-eat foods0 91�wamcttc �# n rF
C Food covered properly 3_r' .. a
A Food equipment clean,utensils clean,equipment interiors clean
D Adequate splash guards/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
8 Food containers stored offthe floor 3 nd CQtd`yier,ugder pye9sq}e,proytdec€as requtraal' C ',NIO NIA,
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0 yra'sttrtg accssa ie ;' v e C NI0 NIA 1
;9 n—oitc�iing Qf RO n initnixecl" e__:.��{ .4 > � r` G kN1Q NIA �� � ��, � .s;
A No unnecessary handling RTE and/or cooked foods with bare hands A Soap 1 paper towels 1 drying device available
B Dispenser(s)working: ❑Soap ❑Paper towel
B Minimize food handling,other than ready-to-eat,with bare hands C Handwash ink(s)cleanlwaste receptacle at handwash sink
LL C Adequate utensils)for dispensing foodlice 0
0 *DESCRIBE DEFICIENCIES ON CONTINUATION SHEETS
The following Information is not debitable and does not affect your score. KEY: QFO[qualified food operator],DA[designated alternate],PHF[potertally hazardous food],FB[foodborne)
PHFs are hot held at: 'IF. PHFs are cold held at: OF. Describe illne conditions when you would exclude a food worker from working:
Are internal cooking temperatures taken? Y N ♦To what temperature do you cook: Ir
Poultry Ground Beef Pork What dise es related to FB illness are you required to report to the local health department?
Roasts Other
Describe re-heating procedures: land
s t e a written illness policy that requires the food worker to re rt specific illness conditions
Are temperatures recordedllogged for cold holding foods/equipment? Y N diseases to the QFO? Y N *Do you have a paid s k leave policy? Y N
Are foods cooked in advance and cooled Y N *Are leftover aved? Y N Is there a language barrier between inspector&QFO? Y N f ves in icate language spoken
List products cooled: by QFO/DA: ♦Can the QFOIDA r ad the inspection report? Y N
Describe cooling methods: Indicate who answer the ab ve questions:4Name(prinIndicate the title of a persoi {c'rcl a I DA Mgr Cook Owner FW
Is cooling monitored for time&temp? Y Nis the monitori g of cooling recorded? Y N .Obtain signature person h r tnsibililies information at the time of the
rw
there a produce washing policy? Y N *Describe w at is washed and inspection:
ere: Nate: This report' a two pa a form(total of 62 d itabl items) Page 1 of 2
r 1 GUT D RARTMEfVT OE PUBLIC HEALTH 410 iCANTOL AVENUE==MS01 FDP,H.ARTFORD,CT 00134
FrOCUSED FOOi[l SERVICE„TNSPEGTIO I�E1�D�T
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L H D -,ADDRESSICITY"
Establishment LL: ! Date of°Inspection: d
ddress•" : ` Owner or Operator:
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ADDITIONAL FOUR POINT ITEMS '
KEY: DNC [DOES NOT COMPLY]
6 Foods not re-served. 45'
-Unwrapped foods not re-served 4 31 Sewage dispose!approved. 4
-Potentially hazardous foods not re-served -Operating as required
74 No cross connections,back siphonage,backflow
11 Toxic chemicals. 4
4 Pro e�rtypednstallation/backflow prevention deyicel air gap for;
-Stored properly,labeled properly,used properly -Food equipment -Hose connections -Dish machines
-Sanitizer 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-Water quality in compliance 35 Toilet facilities. Adequate,convenient,accessible, 4`
-Monitoring in compliance designed,properly installed
OTHER ITEMS z'' KEY: DNC [DOES NOT COMPLY]
gei
ces of food: Original container,properly labeled 0 Garbage/rubbish storage area/rooms,enclosures-properly constructed,dean
tiallyhazardous food properly thawed 1 _ arbagelrubbishdisposed of in an approved manner,at approved frequency
10 Food dispensing utensils properly stored 1: Amin Control: No insectslrodents present 2
14 Food worker:Clean outer clothes,effective hair restraints -1 0 ropenings protected againstentrance of insects/rodents
4 rs: Floor covering installed,constructed as required,good repair,cle
16 od-contact surfaces designed,constructed, maintained,installed, 45 Floors graded,drained as required
ated
6 Floor,walljuncture covered
17 onfood-contactsurfaoes designed,constructed,maintained, Ix 7 Mats removable,good repair,clean `
installed,located
18 Single service articles,storage,dispensing 2,, 8 Exterior walking,driving surfaces,goad repair,clean
19 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
maintained installed located 50 Dustless cleaning methods used,cleaning equipment properly stored ;,
Equipment&Utensils: Cleanliness 1 51 Adequate lighting provided as required
1 Preflushed,scraped,soaked and racked 52 Room free of steam,smoke odors
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22 Wash water clean,proper temperature a
53 Rooms&equipment hoods,ducts,vented as required
c rate thermometers provided,dish basket,if used 4 Rooms adequate,clean,adequate lockers provided,facilities clean 1 i
onfood-contact surfaces of utensils&equipment clean 1
55 Establishment and premisesfree of litter,no insect/rodent harborage, r 1
8 quipment/utensils,storage,handling 1, f.
no unnecessary articles
2 Properdisposal of waste water 1-ry 56 Complete separation from living/sleeping quarters and laundry `
33 Plumbing location,installation,maintenance ;"% 57 Cleanlsolled linens stored properly 1'
58 No live birds,turtles,or other animals(except guide dogs)
36 Toilet rooms enclosed with self-closing door
1 59 Seats 75or 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 Approved garbageirubbish containers,adequate number,covered, 1
rodent proof,clean outine Inspection ❑Reinspection ❑ Preoperational Inspection
CTOR: SO INCH; E. Other Inspection:
Demerit Score: *Include demerits from page 1
4 3 2 1 Total Rating
nature gd ture
print ame _ I print name
G jr \ DATE CORRECTIONS DUE:
ph ne number title k_-
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V , Page 2 of 2 plus eonti ation pages Focusej Inspection 112002
4- Page of
INSPECTION REPORT STATE OF CONNECTICUT
FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH
CONTINUATION SHEET
NAME OF ESTABLISHMENT TOWN DATE F INSP CTION
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INSPECTION REMARKS
FORM#
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