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: GARDEN OF PRAYER SAFE HAVEN YOUTH CENTER | Establishment #: AP018 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: CHLORINE SINK WAS NOT SET UP YET FOR DISHES. | Heat: N/A °F |
CFPM Verification (name, ID#, expiration date): | |||
KENNETH CRITE 2889728 10/10/2028 |
KATHY SMITH 25260092 02/22/2029 |
DONNA JOHNSON 25260063 02/22/2029 |
YETHA MALONEY 19840658 08/26/2025 |
TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
open milk | 35.00°F | closed milk bottle cooler | 42.00°F | shredded cheese | 38.00°F |
pancakes | 0.00°F | blueberries | 0.00°F | bagel bites | 0.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
45 | C |
4-903.11( A)(1)(2)(3): (A) Except as specified in ΒΆ (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 boxes of cups to be stored on the floor in the dry storage closet. Correct and maintain by next routine inspection. |
HACCP Topic: PROPER CHLORINE SANITIZER SOLUTION CONCENTRATION |
Person In ChargeDONNA |
Date:03/24/2021 |
InspectorAngela Colon |
Follow-up: Yes No Follow-up Date: |