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: UNION HILL CAFE | Establishment #: UH003 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: CHLORINE: 50 | Heat: N/A (CHLORINE: 50 PPM) °F |
CFPM Verification (name, ID#, expiration date): | |||
NATHAN SCHIFFER 16827570 01/27/2030 |
01/01/1900 |
01/01/1900 |
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TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
/onsite coolers | 40.00°F | /onsite freezers | -1.00°F | /onsite warmers | 140.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
2 | C | violation: no certified food protection manager employee at this facility. corrective action required: have employees completed the food safety manager training. correct by the next routine inspection. |
3 | violation: onsite employee have not completed the employee reporting agreement. corrective action taken: the employees were given form 1-bs and they signed off on the reporting form. COS |
Inspection Comments |
ORIGINAL INSPECTION REPORT WAS DELETED DUE TO SYNCING ERROR WITH DHD.
THIS INSPECTION WAS CREATED USING FIELD NOTES. |
HACCP Topic: PROPER COLD HOLDING TEMPERATURE: HOLD COLD FOODS AT 41F OR BELOW. |
Person In ChargeKAREN STARK |
Date:08/15/2024 |
InspectorAlan Hatia |
Follow-up: Yes No Follow-up Date: |