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: PLAY PALZ 101 DOWNTOWN | Establishment #: KK448 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: QUAT 200 | Heat: 160+ °F |
CFPM Verification (name, ID#, expiration date): | |||
MICHELLE STRAND 20913333 08/18/2026 |
JANNA BAASCH 21797852 02/26/2027 |
AMANDA PARKS 20602366 05/20/2026 |
|
TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
almond milk/reachin | 39.00°F | all/all | 0.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
44 | C |
4-903.11 (A)(1)(2)(3): (A) Except as specified in ¶ (D) of this section, cleaned EQUIPMENT and UTENSILS, laundered LINENS, and SINGLE-SERVICE and SINGLE-USE ARTICLES shall be stored:
(1) In a clean, dry location;
(2) Where they are not exposed to splash, dust, or other contamination; and
(3) At least 15 cm (6 inches) above the floor. Observed utensils on trays stored with handles down in the cups. Correct and maintain for next routine inspection. |
45 | C |
4-903.11 (C): (C) SINGLE-SERVICE and SINGLE-USE ARTICLES shall be stored as specified under ¶
(A) of this section and shall be kept in the original protective PACKAGE or stored by using other means that afford protection from contamination until used. Observed paper goods being stored on the floor. Correct by next routine inspection. |
HACCP Topic: HOLDING FOOD ABOVE 135 DEGREES IS IMPORTANT FOR THE CONTROL OF FOOD BORNE ILLNESS. |
Person In ChargeJAENNA BAASCH |
Date:12/23/2019 |
InspectorJulie Larsen |
Follow-up: Yes No Follow-up Date: |