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: HERITAGE WOODS OF MANTENO | Establishment #: MA006 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: CHLORINE 50-100 | Heat: 180 °F |
CFPM Verification (name, ID#, expiration date): | |||
PHOEBE M. SMITH 1402048 05/14/2027 |
JANICE INMAN 1402046 05/14/2027 |
KIMEYTTA SIMMONS 25213314 02/20/2029 |
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TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
/cooler | 44.00°F | /cooler | 41.00°F | /cooler | 41.00°F |
/cooler | 38.00°F | /cooler | 39.00°F | /cooler | 40.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
28 | P |
7-201.11: POISONOUS OR TOXIC MATERIALS shall be stored so they can not contaminate FOOD, EQUIPMENT, UTENSILS, LINENS, and SINGLEĀ SERVICE and SINGLE-USE ARTICLES by: (A) Separating the POISONOUS OR TOXIC MATERIALS by spacing or partitioning; and (B) Locating the POISONOUS OR TOXIC MATERIALS in an area that is not above FOOD, EQUIPMENT, UTENSILS, LINENS, and SINGLE-SERVICE or SINGLE-USE ARTICLES. This paragraph does not apply to EQUIPMENT and UTENSIL cleaners and SANITIZERS that are stored in WAREWASHING areas for availability and convenience if the materials are stored to prevent contamination of FOOD, EQUIPMENT, UTENSILS, LINENS, and SINGLE-SERVICE and SINGLE-USE ARTICLES. Observed chemicals were stored next to dishes. Chemicals were removed. COS |
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. Observed metal shelf where dry goods are stored above prep sink has debris on it. 2. Cereal cart has food debris on it. Clean and maintain before the next inspection. Repeat |
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. 1. Wall behind dish washer has mold growth on it. 2. Wall behind tilt skillet has grease and food debris on it. 3. Floor by Beverage station has coffee and debris on it. 4. Wall by coffee machine has debris on it. Clean and maintain floors and walls before the next routine inspection. Repeat |
HACCP Topic: KEEP CHEMICALS STORED AWAY FROM FOOD AND FOOD CONTACT SURFACES. |
Person In ChargePHOEBE SMITH |
Date:10/19/2023 |
InspectorSteven Lamb |
Follow-up: Yes No Follow-up Date: |