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: SERENITYGROUP LIVING LLC | Establishment #: MA038 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: NA | Heat: NA °F |
CFPM Verification (name, ID#, expiration date): | |||
SARAH GRAHAM 21304358 10/20/2026 |
01/01/1900 |
01/01/1900 |
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TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
pie/cooler | 32.00°F | ham/cooler | 36.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
49 | 1. Ovens and stoves have food debris in them and on them. 2. Top shelf in refrigerator across from the dry storage shelf has food debris on it. Clean and maintain before the next routine inspection. |
HACCP Topic: CHECK THE TEMPERATURES THROUGH OUT THE DAY. |
Person In ChargeSARAH GRAHAM |
Date:03/05/2025 |
InspectorSteven Lamb |
Follow-up: Yes No Follow-up Date: |