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SA NUJ OAHU I N Environmental Health Department <br /> L■ COUNT Y-- <br /> c/ `p' Greol:rless grows hey,. Time In: 10.50 am <br /> Time Out: 11:39 am <br /> Food Program Official Inspection Report <br /> Name of Facility: VITALITY BOWLS SUPERFOOD CAFE Date: 12/21/2018 <br /> Address: 882 LIFESTYLE ST, MANTECA 95337 <br /> Owner/Operator: BALUYUT, DOLORES Telephone: <br /> Program Element: 1624-RESTAURANT/BAR 21-50 SEATS <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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 /> #6 Handwashing Facilities Supplied and Accessible <br /> OBSERVATIONS:The front paper towel dispenser is jammed. Unjam dispenser today. <br /> *Corrected on site* <br /> CALCODE DESCRIPTION:Handwashing soap and towels or drying device shall be provided in dispensers dispensers shall be <br /> maintained in good repair. (113953.2) Adequate facilities shall be provided for hand washing,food preparation and the washing of <br /> utensils and equipment. (113953, 113953.1, 114067(0) <br /> #40 Proper Use and Storage of Wiping Cloths <br /> OBSERVATIONS:The wiping cloth bucket at the front counter was non detect of sanitizer. Increase to 200ppm quat or <br /> 100ppm chlorine. Correct today. <br /> *Corrected on site* <br /> CALCODE DESCRIPTION:Wiping cloths used to wipe service counters,scales or other surfaces that may come into contact with food <br /> shall be used only once unless kept in clean water with sanitizer. (114135, 114185.1 114185.3(d-e)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Dolores Baluyut Expiration Date: May 17,2022 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 126°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 108°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> mop--130.00°F Avantco display cooler--dining area--36.00°F <br /> 2 dr True--40.00°F prep sink--120.00°F <br /> 1 dr Avantco--standup--41.00°F 2 dr Avantco--back reach in--41.00°F <br /> hand sinks--103.00°F soup--warmer--191.00°F <br /> oatmeal--rice cooker--170.00°F 2 dr Avantco--front reach in--38.00°F <br /> NOTES <br /> Wiping cloth buckets at 200ppm (one was non detected but corrected on site). <br /> FA0020766 PR0536135 SCO01 12/21/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />