Inspection

Food Safety Retail Inspection

Inspection details

Inspection Date	Inspection Type	In Person/Virtual	Establishment Type	Risk Type	Permit posted	Previous inspection available
12/12/2024				Medium Risk Food Retail	Yes	No

Equipment Temperatures

Description	Temperature
Walk-in Cooler	40
Dairy/Grocery Cooler	34

Food Temperatures

Description	Temperature	State Of Food

Warewashing Information

Machine Name	ppm	Sanitizer Name	Sanitizer Type	Temperature

Violations

Violation	Status	Observations	Corrective Actions	Violation Category	Repeat
34 Food Properly labeled	in				0
34 0080-04-09-.03(6)(b) Food Label (common name, ingredient list, allergens, quantity, name & address of manufacturer), bulk food card/sign/placard; exempt for bulk unpackaged foods portioned to co...	out	Observed about 20 small plastic bottles of what appeared to be "Kool-Aid" or juice with no labels identifying product, ingredients, manufacturer's contact information, and allergen information.	PIC voluntarily disposed of bottles in the outside dumpster during inspection.	Priority Foundation (PF)	0

Total Score

Violation Score

Inspection Score

Inspection %

100

1

99

99

Violation Category	Total Count	Violation Count	Inspection Count	Inspection %
	69	0	69	100
Core (C)	45	0	45	100
Priority (P)	49	0	49	100
Priority Foundation (PF)	39	1	38	97