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: DAIRY QUEEN OF MANTENO | Establishment #: MA094 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: CHLORINE 50-100 | Heat: NA °F |
CFPM Verification (name, ID#, expiration date): | |||
KAYCEE CARSON 21749248 05/24/2026 |
RUTHANN HOBLITZELL 21650228 12/02/2024 |
01/01/1900 |
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TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
/freezer | 2.00°F | /cooler | 34.00°F | /cooler | 24.00°F |
/cooler | 17.00°F | /cooler | 22.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
28 | P |
7-204.11: Chemical SANITIZERS, including chemical sanitizing solutions generated on-site, and other chemical antimicrobials applied to FOOD-CONTACT SURFACEs shall: (A) Meet the requirements specified in 40 CFR 180.940 Tolerance exemptions for active and inert ingredients for use in antimicrobial formulations (Food-contact surface sanitizing solutions), or (B) Meet the requirements as specified in 40 CFR 180.2020 Pesticide Chemicals Not Requiring a Tolerance or Exemption from Tolerance-Non-food determinations. Sanitizer bucket was too strong. Employee adjusted sanitizer. COS |
37 | C |
3-302.12: Except for containers holding FOOD that can be readily and unmistakably recognized such as dry pasta, working containers holding FOOD or FOOD ingredients that are removed from their original packages for use in the FOOD ESTABLISHMENT, such as cooking oils, flour, herbs, potato flakes, salt, spices, and sugar shall be identified with the common name of the FOOD. There was no label on malt powder at front prep table. Label malt powder before the next inspection. - (Correct By: Mar 5, 2021) |
43 | C |
3-304.12 (A): During pauses in FOOD preparation or dispensing, FOOD preparation and dispensing UTENSILS shall be stored:
(A) Except as specified under (B) of this section, in the FOOD with their handles above the top of the FOOD and the container. Ice scoop handle was found in ice in back ice machine. Store handle upright. - (Correct By: Mar 5, 2021) |
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. Boxes of bowls and cups on floor in back dry storage area. Store all single service articles off the floor. - (Correct By: Mar 5, 2021) |
49 | C |
4-601.11(C): (C) NonFOOD-CONTACT SURFACES of EQUIPMENT shall be kept free of an accumulation of dust, dirt, FOOD residue, and other debris. 1. Bottom of ice cream bar freezer has food debris on it. 2. Sliding glass doors have food debris on seal part. Clean and maintain before the next inspection. - Repeat (Correct By: Mar 5, 2021) |
Inspection Comments | ALL EMPLOYEE'S HAVE A CFPM LICENSE OR A FOOD HANDLER'S CERTIFICATE. |
HACCP Topic: MAKE SURE ALL COLD FOOD IS KEPT AT CORRECT TEMPERATURE. |
Person In ChargeRUTHANN HOBLITZELL |
Date:03/05/2021 |
InspectorSteven Lamb |
Follow-up: Yes No Follow-up Date: |