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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LARCH
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11157
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1600 - Food Program
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PR0163211
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
6/23/2022 10:58:58 AM
Creation date
6/23/2022 10:57:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0163211
PE
1632
FACILITY_ID
FA0003115
FACILITY_NAME
LARCH CLOVER CENTER
STREET_NUMBER
11157
Direction
W
STREET_NAME
LARCH
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21217001
CURRENT_STATUS
01
SITE_LOCATION
11157 W LARCH RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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Environmental Health Department <br />Time In: <br />11:16 am <br />10:50 am <br />Time Out: <br />Program Element: 1632 - EXEMPT FOOD <br />Telephone: (209) 468-3679 Owner/Operator: HSA-AGING & COMMUNITY SERVICES <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 11157 W LARCH RD, TRACY 95376 <br />Date: 06/21/2022Name of Facility: LARCH CLOVER CENTER <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 /> #6 Handwashing Facilities Supplied and Accessible <br />OBSERVATIONS: The paper towel dispensers at the kitchen hand sink (3 comp) and the women's restroom are not <br />dispensing towels. Repair/replace paper towel dispensers today. <br />CALCODE DESCRIPTION: Handwashing soap and towels or drying device shall be provided in dispensers dispensers shall be <br />maintained in good repair. (113953.2) Adequate facilities shall be provided for hand washing, food preparation and the washing of <br />utensils and equipment. (113953, 113953.1, 114067(f)) <br /> #23 Rodents, Insects or Animals Inside Facility <br />OBSERVATIONS: Canned food pallets have dead American cockroaches. Clean up dead cockroaches today. Then clean <br />and sanitize the affected areas. <br />Per Director, the facility is serviced by Orkin monthly. <br />CALCODE DESCRIPTION: Each food facility shall be kept free of vermin: rodents (rats, mice), cockroaches, flies.( 114259.1, 114259.4, <br />114259.5) <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 /> 125 <br /> 100 <br />Ronald Munoz May 01, 2023 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />1 door True -- 41.00º F restroom hand sinks -- 100.00º F <br />2 door True -- 41.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Page 1 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0003115 PR0163211 SC001 06/21/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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