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SAN JOAQUIN COUNTY <br /> +fiA ENVIRONMENTAL HEALTH DEPARTMENT <br /> t' 3 <br /> Stockton, CA <br /> { 553 <br /> 1868 East Hazelton Avenue, 464 Q138 Web:www 62o Zor lehd <br /> Telephone:(209)468-3420 Fax:(209) <br /> COTTAGE FOOD OPERATIONS (CFOs-CLASS A) <br /> SELF CERTIFICATION CHECKLIST <br /> The foifowing requiromenls am outlined in tho Coffago Food Operations(CFO)regulations and afo providod ns rninimam stand"ds <br /> of heallh and safety for tho pmpamlion of appruved cottage foods in rho twine, <br /> CFO Business Name'. CFO Owner Name: <br /> ,t �_` CFO ZIP, <br /> CFO Address. CFO city: <br /> x <br /> Yes No <br /> Facility Requirements: <br /> 1, The CFO is located in a private dwelling where the CFO operator currently resides El <br /> 2. All CFO food preparation will take place in the private kitchen within that home. -� ❑ <br /> 3. Additional storage used for the CFO will be within the home. =0 ❑ <br /> a. If YES, is the room used exclusively for storage? <br /> b. Specify the room(s) that will be used for storage? <br /> 4. Sleeping quarters are excluded from areas used for CFO food preparation or storage. ❑ -, <br /> Yes No <br /> Zoning Requirements: <br /> 5. ! have complied with the applicable zoning requirements for the CFO. El <br /> Employee and Training Requirements: Yes No <br /> 6. Have all persons preparing or packaging CFO products completed the CDPH food ❑ <br /> processor course? <br /> a. If YES, copies of certificates are attached. ❑ ❑ <br /> b. If NO, complete course within 3 months of CFO registration. ❑ ❑ <br /> 7, The CFO has no more than 1 full-time equivalent employee? (Immediate family or ❑ <br /> household members are not included.) <br /> Sanitation Requirements: Yes No <br /> 8. Kitchen equipment and utensils used to produce CFO products are clean and ❑ <br /> maintained in a good state of repair. <br /> i <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 /> use. <br /> 10. All food preparation and food and equipment storage areas shall be maintained free of ❑ <br /> rodents and insects. <br /> EHD 1&26 12/27=12 1 CFO CLASS A CHECKLIST <br /> i <br />