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: LITTLE GREENE SCHOOL HOUSE | Establishment #: BR114 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: QUAT | Heat: 180F °F |
CFPM Verification (name, ID#, expiration date): | |||
ARACELI ARELLANO 3849138 07/18/2029 |
SUSAN PARKS 21764309 08/04/2026 |
BELEN AVALOS KK2-393 09/15/2026 |
|
TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
macaroni | 42.00°F | orange sherbert | 0.00°F | veggies | 0.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
Inspection Comments |
NO ISSUES NOTED AT THIS TIME.
REMINDER: SANITATION LICENSES FOR BOTH CURRENT HOLDERS EXPIRE THIS YEAR DURING THE SUMMER. RENEW BEFORE THEN. |
HACCP Topic: PROPER DISH WASHING SANITATION TEMPERATURE. |
Person In ChargeJAMIE M |
Date:01/19/2021 |
InspectorAngela Colon |
Follow-up: Yes No Follow-up Date: |