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SAN J O A Q U I N Environmental Health Department <br /> ` <br /> COUT Time In: 10:06 am <br /> Time Out: 10:54 am <br /> i�C1FaR'' Greo[ness grows he <br /> Food Program Service Request Inspection Report <br /> Name of Facility: CAFECITO LOUNGE Date: 02/16/2023 <br /> Address: 1420 W KETTLEMAN LN , LODI 95242 <br /> Requestor: LISBETH RIVERA, CAFECITO LOUNGE Telephone: (925)354-8714 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0086291 <br /> Inspection Type: 061 -CONSULTATION <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:Provide food manager certificate within 60 days of obtaining permit. Maintain records on site. <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> mop sink back room 120.00°F hand sink--restroom--100.00°F <br /> hand sink- front counter--100.00°F 1 D Turbo Air reach-in w/prep top--front counter 33.00°F <br /> Omcan display--front counter--38.00°F 3 comp sink--back room--122.00°F <br /> Insignia residential refrigerator--back room--41.00°F <br /> NOTES <br /> Consultation inspection. <br /> Facility will have 14 seats, it is in suite G. <br /> Facility will serve hot/cold drinks. Pastries will be brought in from local bakeries. <br /> Quat test strips available. <br /> Per operator the residential Insignia refrigerator will be replaced with a commercial unit. <br /> Per operator the Hamilton Beach residential toaster oven is for personal use only and will be removed prior to operating. <br /> Discussed report with Lisbeth Rivera. <br /> No signature captured. <br /> Ok to issue permit once fee is paid and MFR 1 &2 forms are submitted. <br /> PE 1623,fee$350 <br /> SR0086291 SC061 02/16/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 1 of 2 Food Program Service Request Inspection Report <br />