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: GARDEN OF PRAYER SAFE HAVEN YOUTH CENTER | Establishment #: AP018 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: CHLORINE 100 | Heat: NA °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 |
/Refrigerator | 36.00°F | Cheese/Refrigerator 2 | 40.00°F | Milk/Refrigerator 3 | 33.00°F |
/3 freezers | 0.00°F | Carrots and peas/Stovetop | 156.00°F | Chicken/Serving tray | 201.00°F |
Potatoes/Serving tray | 167.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
39 | C |
3-305.11 (A) (B) (C):
(A) Except as specified in ¶¶ (B) and (C) of this section, FOOD shall be protected from contamination by storing the FOOD:
(1) In a clean, dry location;
(2) Where it is not exposed to splash, dust, or other contamination; and
(3) At least 15 cm (6 inches) above the floor.
(B) FOOD in packages and working containers may be stored less than 15 cm (6 inches) above the floor on case lot handling EQUIPMENT as specified under § 4-204.122.
(C) Pressurized BEVERAGE containers, cased FOOD in waterproof containers such as bottles or cans, and milk containers in plastic crates may be stored on a floor that is clean and not exposed to floor moisture. A case of single use cups was stored on the floor in the dry storage room. Store all single use items 6" above the floor and maintain by the next routine inspection. |
48 | C |
Violation: 4-303.11(B)Except for those that are generated on-site at the time of use, chemical SANITIZERS that are used to sanitize EQUIPMENT and UTENSILS as specified under Part 4-7, shall be provided and available for use during all hours of operation. No sanitizer solution was available for use during food prep and service. COS |
54 | C |
5-501.115: A storage area and enclosure for REFUSE, recyclables, or returnables shall be maintained free of unnecessary items, as specified under § 6-501.114, and clean. There were a number of excess items around the dumpster. Remove all unnecessary items from the dumpster area and maintain by the next routine inspection. |
HACCP Topic: PROPER SET UP AND USE OF CHLORINE SANITIZER SOLUTION DURING FOOD PREP. |
Person In ChargeDONNA JOHNSON |
Date:09/28/2021 |
InspectorDANA JAMES |
Follow-up: Yes No Follow-up Date: |