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SAN .JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />C e <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: >vww sioov orcleho <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 />CFO Business Name: <br />CFO Owner Name: <br />Taste of Comfort <br />Mary Hood <br />CFO Address: <br />CFO City: <br />CFO ZIP: <br />261 Ali Ct. <br />b. If NO, complete course within 3 months of CFO registration. <br />I Tracy <br />95376 <br />Facility Requirements: <br />Yes No <br />1. The CFO is located in a private dwelling where the CFO operator currently resides 10 ❑ <br />2. All CFO food preparation will take place in the private kitchen within that home. 0 ❑ <br />3. Additional storage used for the CFO will be within the home. ® ❑ <br />a. If YES, is the room used exclusively for storage? [,� ❑ <br />b. Specify the room(s) that will be used for storage? Cabinet <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: <br />Yes No <br />6. Have all persons preparing or packaging CFO products completed the CDPH food <br />® <br />El <br />course? <br />9. All food contact surfaces, equipment, and utensils used for the preparation, packaging, <br />a. If YES, copies of certificates are attached. <br />12 <br />❑ <br />b. If NO, complete course within 3 months of CFO registration. <br />❑ <br />❑ <br />7. The CFO has no more than 1 full-time equivalent employee? (immediate family or <br />Er <br />❑ <br />household members are not included.) <br />Sanitation Requirements: <br />Yes No <br />8. Kitchen equipment and utensils used to produce CFO products are clean and <br />El <br />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 <br />[d ❑ <br />use. <br />10. All food preparation and food and equipment storage areas shall be maintained free of <br />® El <br />and insects. <br />EHD 16-261212712012 1 CFO CLASS A CHECKLIST <br />