Food Establishment Inspection Report |
||||||||||||||||||||||||||
Page 1 of ????????? | ||||||||||||||||||||||||||
|
|
FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS |
Circle designated compliance status (IN, OUT, N/O, N/A) for each numbered item IN=in compliance OUT=not in compliance N/O=not observed N/A=not applicable Mark "X" in appropriate box for COS and/or R COS=corrected on-site during inspection R=repeat violation |
Risk factors are important practices or procedures identified as the most prevalent contributing factors of foodborne illness or injury. Public health interventions are control measures to prevent foodborne illness or injury. |
|
|
GOOD RETAIL PRACTICES |
Good Retail Practices are preventative measures to control the addition of pathogens, chemicals, and physical objects into foods. Mark "X" in appropriate box for COS and/or R COS=corrected on site during inspectionR=repeat violation |
|
|
IOCI 17-356
![]() |
Food Establishment Inspection Report |
|
Page 2 of ?????? | |
Establishments: LASTING IMPRESSIONS VISIONS/GRACE | Establishment #: BB030 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: QUAT 200-400 | Heat: NA °F |
CFPM Verification (name, ID#, expiration date): | |||
THERESA LINDSTROM 21638834 10/22/2024 |
DAVID L. CUCHIARA 2022B-3880643 01/17/2025 |
01/01/1900 |
|
TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
/refrigerator | 40.00°F | /refrigerator | 40.00°F | /refrigerator | 40.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
Inspection Comments | ALL EMPLOYEE'S HAVE A FOOD HANDLER'S LICENSE OR CFPM CERTIFICATE. |
HACCP Topic: KEEP ALL FOODS AT PROPER TEMPERATURE WITH TIME AND DATE. |
Person In ChargeJACKIE |
Date:02/22/2019 |
InspectorSteven Lamb |
Follow-up: Yes No Follow-up Date: |