Food Establishment Inspection Report |
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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. |
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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 |
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IOCI 17-356
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Food Establishment Inspection Report |
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Establishments: THOMAS LOMBARD HOUSE | Establishment #: MM049 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: CHLORINE 100 | Heat: 180 °F |
CFPM Verification (name, ID#, expiration date): | |||
CRYSTAL ROSE 23767083 03/25/2028 |
RACHEL WEBB 24456572 08/26/2028 |
MELISSA BOICE 21893658 11/19/2027 |
TARASHA AVANT 22432106 07/20/2027 |
TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
milk/left fridge/freezer combo | 39.00°F | butter/left fridge freezer combo | 42.00°F | bread/left fridge/freezer combo | 0.00°F |
relish/right fridge/freezer combo | 38.00°F | boiled eggs/right fridge/freezer combo | 39.00°F | waffles/right fridge/freezer combo | 0.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
37 | C |
3-602.11 (A) (B 1-3, 4-7): (A) FOOD PACKAGED in a FOOD ESTABLISHMENT, shall be labeled as specified in LAW, including 21 CFR 101 - Food labeling, and 9 CFR 317 Labeling, marking devices, and containers.
(B) Label information shall include:
(1) The common name of the FOOD, or absent a common name, an adequately descriptive identity statement;
(2) If made from two or more ingredients, a list of ingredients and sub-ingredients in descending order of predominance by weight, including a declaration of artificial colors, artificial flavors and chemical preservatives, if contained in the FOOD;
(3) An accurate declaration of the net quantity of contents;
(4) The name and place of business of the manufacturer, packer, or distributor; and
(6) Except as exempted in the Federal Food, Drug, and Cosmetic Act § 403(q)(3) - (5), nutrition labeling as specified in 21 CFR 101 - Food Labeling and 9 CFR 317 Subpart B Nutrition Labeling.
(7) For any salmonid FISH containing canthaxanthin or astaxanthin as a COLOR ADDITIVE, the labeling of the bulk FISH container, including a list of ingredients, displayed on the retail container or by other written means, such as a counter card, that discloses the use of canthaxanthin or astaxanthin.
Bottle of oil was missing a label. - COS (Correct By: Aug 14, 2019) |
55 | C |
6-501.12: (A)PHYSICAL FACILITIES shall be cleaned as often as necessary to keep them clean.(B)Except for cleaning that is necessary due to a spill or other accident, cleaning shall be done during periods when the least amount of FOOD is exposed such as after closing. Observed the edges of the shelf blocks in the freezer storage room to be dirty. Move the shelves to properly clean around and underneath them. Correct by next routine inspection. Repeat |
HACCP Topic: PROPER DISH WASHER TEMPERATURE FOR HEAT SANITIZING. |
Person In ChargeCARA L |
Date:08/14/2019 |
InspectorAngela Colon |
Follow-up: Yes No Follow-up Date: |