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GOTTAGE FOOD OPERA ION5 (GFOs-GLA55 A) <br /> SELF CERTIFICATION CHECKLIST <br /> The following requirements are outlined in the Cottage Food Operations(CFO)regulations and are provided as minimum standards <br /> of health and safety for the preparation of approved cottage foods in the home. <br /> CFO Business Name: CFO Owner Name: <br /> ft 15 CO3 I 9 i I° 5MIDIM61U <br /> CFO Address: CFO City. CFO ZIP. <br /> WIq I ' I 11lanteca 9s 3 <br /> Facility Requirements: Yes No <br /> 1. The CFO is located in a private dwelling where the CFO operator currently resides ❑ <br /> 2. All CFO food preparation will take place in the private kitchen within that home. Ltd ❑ <br /> 3. Additional storage used for the CFO will be within the home. lq� ,❑,/ <br /> a. If YES, is the room used exclusively for storage? / I ' El2' <br /> b. Specify the room(s)that will be used for storage? I[d 0 nAAll /. +TC tuyl 0&6161@ 1 <br /> 4. Sleeping quarters are excluded from areas used for CFO food preparation or storage. El" El <br /> Zoning Requirements: Yes No <br /> 5. ] have complied with the applicable zoning requirements for the CFO. ❑ <br /> Employee and Training Requirements: Yes No <br /> 6. Have all persons preparing or packaging CFO products completed the CDPH food <br /> processor course? <br /> a. If YES, copies of certificates are attached. ❑^/ <br /> b. If NO, complete course within 3 months of CFO registration. ElIS <br /> 7. The CFO has no more than 1 full-time equivalent employee?(Immediate family or d ❑ <br /> household members are not included.) <br /> Sanitation Requirements: Yes No <br /> 8. Kitchen equipment and utensils used to produce CFO products are clean and 133 ❑ <br /> maintained in a good state of repair. <br /> 9. All food contact surfaces, equipment,and utensils used for the preparation, packaging, �/ <br /> or handling of any CFO products shall be washed, rinsed, and sanitized before each 1Y ❑ <br /> use. <br /> r 10. All food preparation and food and equipment storage areas shall be maintained free of ❑ <br /> rodents and insects. <br /> EHD 16-2612127/2012 1 CFO CLASS A CHECKLIST <br />