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sANAAUfN Environmental Health Department <br /> ' :� COUNTY <br /> Time In: 11:15 am <br /> oY�, stir Greotness grows here. <br /> Time Out: 12:08 Dm <br /> Food Program Complaint Inspection Report <br /> Name of Facility: OCTAVIO'S Date: 08/14/2018 <br /> Address: 3201 W BENJAMIN HOLT DR,STOCKTON 95219 <br /> Owner/Operator: CRUCES FLORES LLC Telephone: (209)451-1116 <br /> Program Element: 1600 - FOOD PROGRAM Complaint#: C00047230 <br /> DESCRIPTION OF COMPLAINT ALLEGATIONS <br /> The San Joaquin County Environmental Health Department received the following complaint: <br /> COMPLAINANT ALLEGES THEY WERE AT THE FACILITY ON 7/27/2018 ATAPPROXIMATELY 6:00 PM. <br /> COMPLAINANT CONSUMED EGGS AND STEAK. CHILD CONSUMED A CHILD'S MEAL. SPOUSE CONSUMED A <br /> BURRITO. THE NEXT DAY COMPLAINANT AND CHILD BECAME ILL WITH SYMPTOM OF DIARRHEA. COMPLAINANT <br /> SOUGHT MEDICAL ATTENTION AND WAS DIAGNOSED WITH E-COLI. PLEASE CALL COMPLAINANT WITH <br /> FINDINGS. <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodbome illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #26 Approved Thawing Methods <br /> OBSERVATIONS:Shrimp being thawed in standing water at ambient temperature. Follow the methods described below. <br /> Correct today. <br /> CALCODE DESCRIPTION:Food shall be thawed under refrigeration completely submerged under cold running water of sufficient velocity <br /> to flush loose particles in microwave oven during the cooking process.(114018, 114020, 114020.1) <br /> #36 EquipmentlUtensilsiLinens: Proper Storage I Use <br /> OBSERVATIONS: Not all CO2 cylinders are secured. Secure from a sturdy structure to prevent from from falling. <br /> CALCODE DESCRIPTION:All clean and soiled linen shall be property stored non--food items shall be stored and displayed separate from <br /> food and food-contact surfaces.(114185.3- 114185.4) Utensils and equipment shall be handled and stored so as to be protected from <br /> contamination.(114074- 114075, 114081, 114119, 114121, 114151, 114178, 114179, 114083, 114185, 114185.2, 114185.5) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM --LOCATION --TEMP-F--COMMENT$ <br /> No Temperature Data Collected <br /> NOTES <br /> Operator is aware of complaint. <br /> There have been no reported illnesses by employees. <br /> One employee work at other food facilities, daycares, or health care facilities. <br /> Staff receives food safety training (FHC and FSC). <br /> Staff consumes the food prepared in the facility. <br /> There has been no out of country travel by employees. <br /> FAGO01793 000047230 SCO04 08/14/2018 <br /> EMD 16.23 Rev.06/30115 Page 1 of 2 Food Program Complaint Inspection Report <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />