HomeMy WebLinkAbout2017-4-7 - 1750 Ellington Road - Food Inspection Report aftle
STATE OFCOV L( IIt L I !s Et)CI. SE:I) FOOD SERVICE INSPECTION REPORT • DEPARTMENT OF PUBLIC HEALTH
Establishment. S Li77-Z-9 T,fST if Tgspection Date: Time: ROinsp RE[ns
Address/City: / ' �j L[—iv(, Ta,c/ �¢� Health Dept: &&,-ram class: 1 2
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/0 WA IONIC I KEY: C[complies] NIO[not observed] NIA[not applicable]
60 Qualified Food Operator % 3 DNC[does not comply] 0[other] RTE[ready-to-eat]
61 Designated Alternate 2 12 Personnel with infection restricted C NJO N/A 4
62 Written documentation of training program 2 A Food workers have no exposed infected lesions/burns
B Personnel with infection restricted t✓
1 Approved source,wholesome,nonadulterated C N/0 N/A 4 C Communicable disease of worker reported to local health director V
A I Approved shellfish,finfish,meat&poultry USDA approved V 13 Handwashing facilities provided,hands washed,clean C N/0 WA 4
B Food cans in good condition(not dented,rusty,bloated,leaking)
A j Handwash facilities in all Food prep/dispensing&warewash areas
C Wholesome/nonadulterated foods/safe B Handwash facilities in or immediate) adjacent to toilet rooms
D Commercial products(no home grown/canned food) C Handwash facilities accessible/convenient to use
L `
E Potentially hazardous foods received at proper temperature D Personnel hands washed,clean/Proper handwash procedure
0
E Handwashing at appropriate times
3 Potentially hazardous food meets temperature requirements C N/0 WA 4 O
during storage,preparation,display,service and transportation
15 Good hygienic practices C WO WA 2
A Hot holding greater than or equal to 140eF. (whole beerlpork roasts 1300 F.) A ❑ No eating ❑ No smoking while working ,
B Cold holding less than or equal to 450 F. B Wounds covered adequately '
C Proper cooling C Proper sink used for handwashing IT
D Proper re-heating 0
E Proper internal cooking/consumer advisory posted AZ 24 Sanitization rinse(hot water-chemical) C N/0 WA 2
0 A Approved sanitzer availableladequate concentr ff 'ti i
4 Adequate facilities to maintain product C N/0 WA 2 B Food-contact surfaces and utensils used foOfotentially
temperature,thermometers provided hazardous food sanitized at least every 4 hours
A Food thermometer available andaccur CC Adequate Okshwashersanitizer ❑final rinse temp
B Proper food thermometer for product
D Pro ersanitizingprocedure
C Thermometers appropriately placed in cooler units
E Sanitizing between raw animal origin&ready-to-eat food 0 O25 Clean wiping cloths C WO WA 1
7 Food protected during storage,preparation, C NIO NIA 2 A Cloths and/orsponges in ood repairand clean
display,service and transportationg
A Produce washed B Wiping cloths kept in sanitizer between uses /
0
B Raw meats not stored/prepared near ready-to-eat foods 26 Food-contact surfaces clean C NIO NIA 2
C Food covered properly A Food equipment clean,utensils clean,equipment interiors clean
D Adequate splash guards/sneeze guard B Single use gloves changed when soiled j
E No unauthorized personnel 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 RIjNb NIA 2
0 38 Handwashing accessories provided C N/0 WA 1
9 Handling of food minimized C N/0 N/A 2 A Soap I paper towels/ 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 Handwash sink(s)clean I waste receptacle at handwash sink
C Adequate utensil(s)for dispensing food/ice Je 0
0 •DESCRIBE DEFICIENCIES ON CONTINUATION SHEETS
The following information is not debitable and does not affect your score. KEY: QFO[qualifl_-_I food c�=retc] DA[designated alternate],PHF[ootentially hazardous food], FB[foodborne]
PHFs are hot he at: OF 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 to FB Illness are you uired to report to the local health department?
Roasts Other _
Describe re-heating procedures: Is there a written Illness policy that re es the food worker to report specific illness conditions
Are temperatures recorded/logged for cold holding foods/equipment? Y N and diseases to the OFO? Y N *Do you have a paid sick leave policy? Y N
Are foods cooked in advance and cooled? Y N *Are leftovers saved. Y N Is there a language harder be twe inspector&QFO? Y N If yas indicate language spoken
List products cooled: by QFO/DA: *Can the QFO/DA read the inspection report? Y N
Describe cooling methods: Indicate who answered the above questions: Nam print):
Indicate the title of above pe (circle all that ;pVIQFFWAk Owner FW
Is cooling monitored for time&temp? Y N Is the monitoring of c ing recorded? Y N .Obtain signature of the p on h received Von at the time of the
Is there a produce washing policy Y N *Describe what is?shed and inspection:
where: Note: This repor Is a page form(total of 62 debitable items Page 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 HEALTH DEPT:c�o 1JTf>/ t y is j_b,5LV1 ADDRESS/CITY:
Establishment: J�A.d,,v.y'S LiT7L ZA- Zle QP' Date of Inspection: y
ddress: /9 5P Owner or Operator: � L L
ADDITIONAL FOUR POINT ITEMS Z 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. 34 No cross connections,back siphonage,backflow 4
4 Propertype/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
-Pesticideslrodenticides 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
KEY: DNC [DOES NOT COMPLY] c
2 Sources of food: Original container,properly labeled 40 Garbage/rubbish storagearea/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 t
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
8 Exterior walking,driving surfaces,good repair,clean t
18 Single service articles,storage,dispensing 2
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 1
maintained,installed located 50 Dustless cleaning methods used,cleaning equipment properly stored
Equipment&Utensilsb 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
27 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
32 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
581 No live birds,turtles,or other animals(except guide dogs) 1
36 Toilet rooms enclosed with self-closing door 1
I
Seats 75 or more:Nonsmoking area provided,sign(s)posted at
37 Proper toilet fixturesprovided,good repair,cleanZ. entrance(s),smoking area indicated by sign(s) B
9 A�proved garbage/rubbish containers,adequate number,covered, 1
rodent proof,clean ❑Routine Inspection ❑Reinspecti reoperational Inspection
INSPECTOR: PE ON INCH GE: Other Inspection:
`cure: *Include demerits from page 1
4 3 2 1 Total Rating
/ /,1 l / sig use �. /
print name C�(l pridt dame / f
,3�
ECTIONS DUE:
phone number title DATE CORR
�Lz 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 INS PE 'C[ON
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INSPECTION REMARKS
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Distribution: 1 st-White-Health Department 2nd-Yellow-Owner/Manager
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INSPECTION REPORT STATE OF CONNECTICUT
FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH
CONTINUATION SHEET
NAME OF ESTABLISHMENT TOWN DATE OF INSPEC ION
oo
INSPECTION REMARKS
FORM#
44
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tINITIAL7(INSPECTOR) INITIAL(PERSON IN CH R E)
Distribution: 1 st-White-Health Department 2nd-Yellow-Owner/Manager