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SAN 10AQUIN Environmental Health Department <br /> Time In: 11 00 am <br /> —000NI Y <br /> Time Out: 11:35 am <br /> Greot,...., <br /> Food Program Service Request Inspection Report <br /> Name of Facility: LODI BOY&GIRLS CLUB Date: 04/14/2021 <br /> Address: 275 POPLAR ST,AGOURA HILLS 95240 <br /> Requester: ROGER COOVER,LODI BOY&GIRLS CLUB Telephone: (209)334-2697 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0083356 <br /> Inspection Type: 061 -CONSULTATION <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 Safely 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 foodborne illness.All major violations must be corrected imme fiately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #1 Demonstration of Knowledge <br /> OBSERVATIONS:Food manager Certificate is lacking. <br /> Provide the department with a copy Food Manager's certificate within 60 days. <br /> CALCODE DESCRIPTION:All food employees shall have adequate knowledge of and be trained in food safety as it relates to their <br /> assigned duties. (113947)Food facilities that prepare,handle or serve non-prepackaged potentially hazardous food,shall have an <br /> employee who has passed an approved food safety certification examination. (113947-113947.1)Any food handler hired after June 1, <br /> 2011 shall obtain a Food Handler Card within 30 days(113948). <br /> #43 Toilet Facilites Clean/Supplied/Maintained --' -' <br /> OBSERVATIONS:Restroom doors are not self closing. <br /> Provide self closing doors at restrooms. <br /> CALCODE DESCRIPTION.,Toilet facilities shall be maintained clean,sanitary and in good repair. Toilet rooms shall be separated by a <br /> well-fitting self-closing door. Toilet tissue shall be provided in a permanently installed dispenser at each toilet. The number of toilet <br /> facilities shall be in accordance with local building and plumbing ordinances. Toilet facilities shall be provided for patrons:in <br /> establishments with more than 20,000 sq ft.establishments offering on-site liquor consumption. (114250, 114250.1, 114276) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM-LOCATION-TEMP°F-COMMENTS <br /> mop sink-134.00°F in counter prep sink-120.00°F <br /> hand sink-Men's restroom-100.000 F 2 door uproght True refrigerator-41.00°F <br /> hand sink-Women's restroom-113.00°F 2 comp(warewash)-120.000 F <br /> NOTES <br /> Mostly prepackaged foods are handed out. <br /> During the summer Lodi Unified will hand out food. <br /> Occasionally hot dogs and mac and cheese are prepared <br /> PE 1632 <br /> Ok to issue permit <br /> SR0083356 SC061 04/14/2021 <br /> EHe 16-23 Rev.06/30/15 Page 1 of 2 Food Program Service Request Inspection Report <br />