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1 "' • SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazefton Avenue, Stockton, CA 95205-6232 <br />�� • Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.oM/ehd <br />'s <br />COTTAGE FOOD OPERATIONS (CFOs -CLASS A) <br />SELF CERTIFICATION CHECKLIST <br />The following requirements ate outlined in the Cottage Food Operations (CFO) regulations and are provided as minimum standards <br />of health and safely for the preparation of approved cottage foods in the home. <br />CFO Business Name: CFO Owner Name: <br />CFO Address:CFO Wi CFO ZIP: <br />A). Y f w 00ll l% H�Ac I 4 `I <br />Facility Requirements: <br />Yes No <br />1. The CFO is located in a private dwelling where the CFO operator currently resides 1� ❑ <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. ❑ ❑ <br />a. If YES, is the room used exclusively for storage? ❑ <br />b. Specify the room(s) that will be used for storage? 4S <br />4. Sleeping quarters are excluded from areas used for CFO food preparation ot storage. ❑ <br />Zoning Requirements: Yes No <br />5. 1 have complied with the applicable zoning requirements for the CFO. &T ❑ <br />Employee and Training Requirements: <br />Yes No <br />6. Have all persons preparing or packaging CFO products completed the CDPH food F-1processor 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: <br />8. Kitchen equipment and utensils used to produce CFO products are clean and <br />maintained in a good state of repair. <br />Yes No <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 il ❑ <br />use. <br />10. All food preparation and food and equipment storage areas shall be maintained free of ❑ <br />rodents and insects. <br />rwn 16.9A 19M7M019 1 CFr) ra GAR G r:H9r.W1 MT <br />