Laserfiche WebLink
SAN JOAQUIN COUNTY %� <br />1` ENVIRONMENTAL HEALTH DEPARTMENT <br />,'. 1868 East Hazelton Avenue, Stockton, CA 95205 6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: <br />.9l,FOPH\. <br />COTTAGE FOOD OPERATIONS (CFOs -CLASS 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 />AO Business Name: �j CFO Owner Name: <br />` Zrbal-T > 11oi C `,l.P a 1 -)em - VQAP n <br />CFO Address: CFO City: CFO ZIP: <br />1015 cL('C`t� , 4 cA�VA %2-0CP <br />Facility Requirements: <br />Yes No <br />1. <br />The CFO is located in a private dwelling where the CFO operator currently resides <br />lel <br />❑ <br />2. <br />All CFO food preparation will take place in the private kitchen within that home. <br />❑ <br />3. Additional storage used for the CFO will be within the home. [✓]rte ❑ <br />a. If YES, is the room used exclusively for storage? ❑ <br />b. Specify the room(s) that will be used for storage? aila a, <br />r- <br />4. Sleeping quarters are excluded from areas used for CFO food preparation or storage. ❑ <br />Zoning Requirements: Yes No <br />5. 1 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 Eg% ❑ <br />processor course? / <br />a. If YES, copies of certificates are attached. ❑ <br />b. If NO, complete course within 3 months of CFO registration. ❑ ❑ <br />7. The CFO has no more than 1 full-time equivalent employee? (Immediate family or ❑ <br />household members are not included.) <br />Sanitation Requirements: <br />8. Kitchen equipment and utensils used to produce CFO products are clean and <br />maintained in a good state of repair. <br />Yes No <br />F07 <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 ❑ <br />use. <br />10. All food preparation and food and equipment storage areas shall be maintained free of ❑ <br />rodents and insects. <br />EHD 16-26 12/2712012 <br />PP�5'AI213 <br />CFO CLASS A CHECKLIST <br />0 <br />