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Environmental Health Department <br />Time In: <br />10:50 am <br />10:05 am <br />Time Out: <br />Program Element: 1681 - COMMISSARY (VEHICLE/CART) <br />Telephone: Owner/Operator: TABAR, KAREN R <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 563 W CLOVER RD, TRACY 95376 <br />Date: 06/20/2022Name of Facility: KAY'S CREATION <br />Food Program Official Inspection Report <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 foodborne illness. All major violations must be corrected immediately. Non-compliance may warrant immediate closure of <br />the food facility. <br /> #1 Demonstration of Knowledge <br />OBSERVATIONS: A 5 year Food Safety Certificate is not available. One person shall obtain the 5 year Food Safety <br />Certificate within 60 days. Once obtained, provide a copy to Kadeanne Linhares by e-mail or text (klinhares@sjgov.org / <br />209-616-3025). <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 />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 120 <br /> 100 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />2 door Duke -- 65.00º F -- no potentially hazardous food at time of <br />inspection - jelly and syrups <br />2 door Leader -- 37.00º F <br />restroom hand sink -- 100.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Operator uses facility as a commissary to prepare food for the Mountain House Farmer's Market (Sundays) <br />NOTE: The temperature of the 2 door Duke (back counter) is 65F. Do not use this unit to store potentially hazardous food <br />until it is capable of maintaining cold food at 41F or below. <br />No signature obtained <br />Report typed up at the office 3:33p-3:41p <br />Page 1 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0026613 PR0546968 SC001 06/20/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD