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a��►sl • SAN JOAQUIN COUNTY <br /> r .tea•FA'�t <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • ��� �� Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.orglehd <br /> COTTAGE FOOD OPERATIONS (CFOs-CLASS A) <br /> SELF CERTIFICATION CHECKLIST <br /> The following requirements are outlined in the Collage Food Operations(CFO)regulations and are provided as minimum sfanowds <br /> of health and safety for the preparalion of approved collage foods in the home. <br /> CFO Business Name: CFO Owner Name: <br /> 1 M�y <br /> Pa( i t�CFO Address: CFO ZIP: <br /> Facility Requirements: Yes No <br /> I. The CFO is located in a private dwelling where the CFO operator currently resides ® ❑ <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? <br /> 4. Sleeping quarters are excluded from areas used for CFO food prepar ion or storage. ®U ❑ <br /> Zoning Requirements: Yes No <br /> 5. I have complied with the applicable zoning requiremenks for the CFO. ® ❑ <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 91 ❑ <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 /> use. <br /> 10. All food preparation and food and equipment storage areas shall be maintained free of ® ❑ <br /> rodents and insects. <br /> EHD 16-26 12127/2012 1 CFO CLASS A CHECKLIST <br /> J� <br />