Historical 7/13/2016 THIS IS A SEMI ANNUAL INSPECTION LUNCH BEING PREPARED COLD HOLDING- MILK AT 39F WEST WHIT FRIDGE, C CHEESE AT 39F EAST FRIDGE- TOMATO SAUCE AT 36F NO HOT HOLDING AT THIS TIME DATEMARKING LOOKS GREAT RESTROOM - ALL OKAY 3 COMP SINK OKAY SANITIZER AT 40 PPM- ADD A SMALL AMT MORE BLEACH BACK STORAGE- ALL OKAY MOP IS HUNG IN BACK ROOM WITH CHEMICALS FOOD CONTACT SURFACES ARE CLEAN CONSUMER ADVISORY ON MENU HAND SINK- ALL OPEN AND SOAP.TOWELS Priority/Priority Foundation Score: 100 Core Item Total: 0 Inspection Result: COMPLD Establishment #: Phone: 2900216B (503) 842-2168 x Inspector: Annette Pampush Page 1 of 12 Area: 01 Start Date/Time: 7/13/2016 at 11:51:56 AM REFRIGERATORS HAVE FOOD BUILDUP- CLEAN ON A REGULAR BASIS Informational 99O This facility has # food handlers with # having valid food handler certificates.
Page 2 of 12 Start Date/Time: 7/13/2016 at 11:51:56 Comments: Person In Charge Inspection By: Annette Pampush Page 2
Inspection Type: REINSP Page 3 of 12 Start Date/Time: 1/14/2016 at 10:37:50 Historical 1/14/2016 Page 3 of 12 Inspection Type: REINSP Inspection Result: COMPLD Establishment #: 2900216B Area: 01 Phone: (503) 842-2168 x Inspector: Mason Lyman Start Date/Time: 1/14/2016 at 10:37:50 AM REINSPECTION OF FACILITY- EMPLOYEE WAS NOT EATING/DRINKING PERSONAL FOOD ITEMS IN KITCHEN DURING REINSPECTION. PELAES WASH HANDS AFTER EATING, AND ONLY USING CUPS IN THE KITCHEN THAT HAVE A LID/COVER ON IT. Informational *PRIORITY OR PRIORITY FOUNDATION ITEMS CORRECTED* All priority and priority foundation violations have been corrected. 99E Comments: Person In Charge Inspection By: Mason Lyman Page 3
Page 4 of 12 Start Date/Time: 1/5/2016 at 1:39:26 PM Historical 1/5/2016 INSPECTION OF FACILITY- Priority/Priority Foundation Score: 95 Core Item Total: 0 Inspection Result: CONTIN Establishment #: Phone: 2900216B (503) 842-2168 x Inspector: Mason Lyman Start Date/Time: 1/5/2016 at 1:39:26 PM COLD HOLDING- E FRIDGE- MILK 40F, W FRIDGE- 38F, DISPENSE FRIDGE- MILK 39F. HAND SINKS OK/ WELL STOCKED GOOD DATEMARKING SYSTEM IN PLACE SHELVING OK LIGHTS PROTECTED 20 SEATS IN FACILITY BAKED GOODS COVERED REVIEWED WITH PIC ABOUT ALLERGENS, ILLNESS POLICY, AND FOOD SOURCES FIRE EXT. PRESENT TEST STRIPS PRESENT MICROWAVES/OVENS CLEAN RESTROOM STOCKED DRY STORAGE UP/PROTECTED SAME MENU AS LAST YEAR 3 COMPT SINK- 50 PPM BL 50 PPM BL SANITIZING BUCKETS Page 4 of 12 Area: 01 Priority 2-301.14 VIOLATION OF SECTION 2-301.14 *PRIORITY* Food employees are not washing their hands as often as necessary, specifically: EMPLOYEE SEEN EATING FOOD, USING CUP WITH NO LID/STRAW, AND NOT WASHING HANDS AFTER USE. REQUIRED CORRECTION: CORRECT IMMEDIATELY. Food employees must thoroughly wash their hands and exposed portions of their arms: 1) before beginning or returning to work; 2) after touching body parts other than clean hands and clean, exposed portions of arm PLEASE WASH HANDS WHEN RETURNING TO WORK AFTER LUNCH BREAKS/EATING. KEEP STRAW FOR DRINKS. WILL REINPSECT. 5 Points
Page 5 of 12 Start Date/Time: 1/5/2016 at 1:39:26 PM **GAVE NO SMOKING Person In Charge Inspection By: Mason Lyman Page 5
Inspection Type: REINSP Page 6 of 12 Start Date/Time: 7/30/2015 at 9:47:41 Historical 7/30/2015 Page 6 of 12 Inspection Type: REINSP Inspection Result: COMPLD Establishment #: 2900216B Area: 01 Phone: (503) 842-2168 x Inspector: Mason Lyman Start Date/Time: 7/30/2015 at 9:47:41 AM REINSPECTION OF FACILITY- DATING- EVERYTHING NEEDS DATES. EVERYTHING HAS DATES. CONTINUE TO DATEMARK EVERYTHING BY AT LEAST THE END OF THE DAY. THROW OUT POTNETIALLY HAZARDOUS FOODS AFTER 7 DAYS. Informational *PRIORITY OR PRIORITY FOUNDATION ITEMS CORRECTED* All priority and priority foundation violations have been corrected. 99E Comments: Person In Charge Inspection By: Mason Lyman Page 6
Page 7 of 12 Start Date/Time: 7/10/2015 at 11:37:03 Historical 7/10/2015 COLD HOLDING- MILK FRIDGE- MILK 40F. WEST FRIDGE- GRAVY 39F, EAST FRIDGE MILK 37F. COOKING- CHICKEN 170F. HAND SINKS OK/WELL STOCKED TEST STRIPS PROVIDED TOXICS LABELED/ STORED WELL LIGHTS PROTECTED BULKBS LABELED/IN FOOD GRADE CONTAINERS SHELVING SMOOTH/EASILY CLEANABLE RESTROOMS OK/WELL STOCKED SCOOPS UP/HANDLES OUT FREEZERS FROZEN SINGLE SERVICE ITEMS PROTECTED MEAT SLICER CLEAN PROBE THERMOMETERS PRESENT FIRE EXT. PRESENT CONSUMER ADVISORY PRESENT ON MENU 3 COMPT SINK- REVIEWED SANITIZERS WITH PIC FOOD FROM APPROVED SOURCES REVIEWED WITH PIC: ALLERGENS, AND ILLNESS POLICY. Priority/Priority Foundation Score: 97 Core Item Total: 0 Inspection Result: CONTIN Establishment #: Phone: 2900216B (503) 842-2168 x Inspector: Mason Lyman Page 7 of 12 Area: 01 Start Date/Time: 7/10/2015 at 11:37:03 AM
Page 8 of 12 Start Date/Time: 7/10/2015 at 11:37:03 Priority Foundation VIOLATION OF SECTION 3-501.17 *PRIORITY FOUNDATION* Ready-to-eat food is not properly datemarked, specifically: POTATO SALAD AND PASTA SALAD HAD DATE FROM 9 DAYS AGO. REQUIRED CORRECTION: CORRECT IMMEDIATELY. Refrigerated, ready-to-eat potentially hazardous food prepared in the food establishment and held for more than 24 hours must be marked with the date of preparation or consumption. Including the date of preparat Comments: REMOVED OLD FOOD FROM FACILITY. GAVE DATEMARKING HANDOUT. REVIEWED POLICIES, AND TECHNIQUES TO PROPERLY MARK FOOD ITEMS. ONLY KEEP POTENTIALLY HAZARDOUS FOODS FOR UP TO 7 DAYS. WILL REINSPECT. 3-501.17 3 Points Person In Charge Inspection By: Mason Lyman Page 8
Page 9 of 12 Start Date/Time: 2/3/2015 at 10:16:31 Historical 2/3/2015 THIS IS THE FIRST SEMI INSPECTION Priority/Priority Foundation Score: 100 Core Item Total: 0 Inspection Result: COMPLD Establishment #: Phone: 2900216B (503) 842-2168 x Inspector: Annette Pampush Start Date/Time: 2/3/2015 at 10:16:31 AM Page 9 of 12 Area: 01 FACILITY PREPPING FOR LUNCH SOUP IN CROCKPOT REHEATING. AT 145F AFTER 45 MINS NO OTHER HOT HOLDING COLD HOLDING MILK FRIDGE- MILK AT 37F WEST WHITE FRIDGE- CHEESE AT38F EAST WHITE FRIDGE- SALAMI AT 38F FREEZERS ALL OKAY SANITIZER AT 50 PPM DATEMARKING LOOKS GOOD CHEMICALS LABELLED AND SEPARATE HAND SINK AND RESTROOM ALL OPEN AND OKAY DRY STORAGE- FLOUR ON FLOOR, PLEASE SWEEP AND POTATOES STORED IN CARDBOARD BOX ON FLOOR- MOVE UP 6 INCHES MOP IN MOP ROOM HUNG UP PASTRIES ON SHELF COVERED CONSUMER ADVISORY ON MENU SURFACES CLEAN THANKS
Page 10 of 12 Start Date/Time: 2/3/2015 at 10:16:31 Comments: Person In Charge Inspection By: Annette Pampush Page 10
Inspection Type: PREOP Page 11 of 12 Start Date/Time: 12/15/2014 at 10:42:33 Historical 12/15/2014 Page 11 of 12 Inspection Type: PREOP Inspection Result: COMPLD Establishment #: 2900216B Area: 01 Phone: (503) 842-2168 x Inspector: Mason Lyman Start Date/Time: 12/15/2014 at 10:42:33 AM PREOPENING INSPECTION OF FACILITY GIVEN NEW LOCATION IN TILLAMOOK FOR BUSINESS. COLD HOLDING- TALL FRONT FRIDGE- AMBIENT 37F TALL BACK FRIDGE- AMBIENT 39F. MILK FRIDGE- AMBIENT AT 39F HAND SINKS OK/ WELL STOCKED 3 COMPT SINK GOOD INDIRECT PLUMBING TOXICS LABELED/STORED BELOW SHELVING IS SMOOTH AND EASILY CLEANABLE FLOORING SMOOTH AND CLEANABLE TEST STRIPS PROVIDED FREEZERS FROZEN BAKED GOODS COVERED DRY STORAGE UP OFF THE GROUND/COVERED SINGLE SERVICE ITEMS PROTECTED 50 PPM BLEACH IN SANITIZING BUCKETS- ONLY USE RAG FOR SANITIZING FOOD SURFACES. MOP ROOM IN BACK RESTROOM- TOWELS, SOAP PROVIDED, CLOSED CAN PROVIDED TO BE COMPLETED: FRONT DOOR TO BE REPAIRED BACK DOOR GAPS TO BE FILLEDI IN BULK CONTAINERS FOR BULK GOODS ONCE OPENED MOP HANGAR TO BE INSTALLED TWO SMALL FREEZERS TO BE MOVED OUT, ONE UPRIGHT TO BE MOVED IN FIRE DEPARTMENT INSPECTION **NOTE THAT WHEN FACILITY INCREASES THE NUMBER OF SEATS, SHE WILL CHANGE THIS AT THE HEALTH DEPT
Inspection Type: PREOP Page 12 of 12 Start Date/Time: 12/15/2014 at 10:42:33 CHECK 1033 $531.41 ACCEPTED Person In Charge Inspection By: Mason Lyman Page 12