Inspection

Food Safety Retail Inspection

Inspection details

Inspection Date	Inspection Type	In Person/Virtual	Establishment Type	Risk Type	Permit posted	Previous inspection available
10/08/2025				High Risk Food Retail	Yes	Yes

Equipment Temperatures

Description	Temperature
WIC Deli	36
WIC Meat	34
WIC Dairy	35
WIC Produce	36

Food Temperatures

Description	Temperature	State Of Food
Fried Chicken Bites	137
Baked Chicken	148
Potato Log	136
Buffalo Chicken	137
Turkey	36

Warewashing Information

Machine Name	ppm	Sanitizer Name	Sanitizer Type	Temperature

Dishmachine		189
3 comp sink deli	200
3 comp sink bakery	200

Violations

Violation	Status	Observations	Corrective Actions	Violation Category	Repeat
21,22 Date & Time for food safety	in				0
21,22 21 Date Marking and Disposition	in				0
21,22 0080-04-09-.03(5)(a)8 Date Marking; Discard food after 7 days at 41F	out	Observed a chub of bologna dated expires 10-9-25. Today is 10-10-25.	Employee discarded chub of bologna.	Priority (P)	0
44,45 Utensils and equipment	in				0
44,45 44 Food and Non-food contact surfaces, cleanable, designed, constructed, and used	in				0
44,45 0080-04-09-.04(1)(a) Food contact equipment surfaces shall be safe, durable, corrosion-resistant, nonabsorbent, smooth, and easily cleanable	out	Observed a knife in the deli with a broken tip.	Knife was discarded by employee	Priority (P)	0

Total Score

Violation Score

Inspection Score

Inspection %

100

6

94

94

Violation Category	Total Count	Violation Count	Inspection Count	Inspection %
	69	0	69	100
Core (C)	45	0	45	100
Priority (P)	49	2	47	95
Priority Foundation (PF)	39	0	39	100