Laserfiche WebLink
_ SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />;r Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: <br />COTTAGE FOOD OPERATIONS (CFOs -CLASS A) <br />SELF CERTIFICATION CHECKLIST <br />The (Wbw repuiremeNS are ouflmad m Ne CWfage Fwd Odambons (CFO) regulahms aW are Mvided es mblmum smWards <br />&hearth aridsafely for rhe omlantan aatwmved ixxm a foods al the home. <br />CFO Business Name'. CFO Omrier Name. <br />FreezyFrosty Patricia Vermilus <br />CFO Address. CFO City: CFO ZIP. <br />79 N Menlo Park St Mountain House 1 95391 <br />Facility Requirements: <br />Yes No <br />1. The CFO is located in a private dwelling where the CFO operator currently resides <br />Q <br />❑ <br />2. All CFO food preparation will take place in the private kitchen within that home. <br />® <br />❑ <br />3. Additional storage used for the CFO will be within the home <br />® <br />❑ <br />a. If YES, is the room used exclusively for storage? <br />® <br />❑ <br />b. Specify the rooms) that will be used for storage? Den <br />❑ <br />❑ <br />4. Sleeping quarters are excluded from areas used for CFO food preparation or storage. <br />® <br />❑ <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 <br />No <br />6. Have all persons preparing or packaging CFO products Completed the CDPH food <br />R1 <br />❑ <br />processor course? <br />a. If YES, copies of certificates are attached. <br />® <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 />® <br />El <br />members are not included.) <br />Sanitation Requirements: <br />Yes <br />No <br />8. Kitchen equipment and utensils used to produce CFO products are clean and <br />® <br />❑ <br />maintained 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 />® <br />❑ <br />use. <br />10. All food preparation and food and equipment storage areas shall be maintained free of <br />® <br />E3rodents <br />and insects. <br />EHO 16-26IM7=12 1 CFOCLASSACHECKLIST <br />