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I' <br /> Time 1n: 10-05 am <br /> -rime Out: 11:05 am � <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.s' ov.or lehd <br /> 196 <br /> Food Program Official Inspection Report <br /> Name of Facility: SIMPLY DONUTS Date: 01/08/2016 <br /> Address: 1365 E YOSEMITE AVE,MANTECA 95336 { <br />` Owner/Operator: KHAM, SITHA Telephone (209) 918-0102 i <br /> Program Element: 1623 - RESTAURANTIBAR.1=20 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 /> #1 Demonstration of Knowledge <br /> I <br /> OBSERVATIONS:One person from this facility must obtain the 5 year Food Safety Certificate (Food Manager).A receipt <br /> was received 2-9-15 stating that Sitha Kham had taken the Food Safety Certificate exam, but the finalized certificate was <br /> never received by this Dept.This is a repeat violation from 2013 and 2014. Provide a copy of the Food Safety Certificate by <br /> 60 days or a chargeable re-inspection will occur. <br /> CALCODE DESCRIPTION:All food employees shalt have adequate knowledge of and be trained in food safety as it relates to their <br /> assigned duties. (11394 7)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 h'andlerhired after June 1, <br /> 2011 shall obtain a Food Handler Card within 30 days(113948). <br /> r <br /> #23 Rodents, Insects or Animals Inside Facility <br /> OBSERVATIONS:Observed dead cockroaches in the cabinets underneath the cappucino machine and in the cabinet <br /> underneath the handwashing sink. Remove dead roaches, clean and sanitize areas today. <br /> CALCODE DESCRIPTION:Each food facility shall be kept free of vermin:rodents(rats, mice), cockroaches, flies.( 114259.1, 114259.4, <br /> 114259.5) <br /> #27 Food Protected from Contamination <br /> OBSERVATIONS:Some of the bulk bins lack handled scoops (using plastic cups). Provide and use handled scoops for <br /> bulk bins. Correct today. <br /> CALCODE DESCRIPTION:All food shalt be separated and protected from contamination. (113984(a, b,c, d, f), 113986, 114060, <br /> 114067(a, d, e,j), 114069(a, b), 114077, 114089.1-(c), 114143(c)) <br /> #33 Nonfood Contact Surfaces Clean <br /> OBSERVATIONS:The interior of the Farmer Bros. cappucino machine is dirty. Clean today. <br /> Corrected on site. <br /> CALCODE DESCRIPTION:All nonfood contact surfaces of utensils and equipment shall be clean.(114115(c)) <br /> FA0000899 PRO161026 SCO01 01/08/2016 <br /> EMR 16-23 Rev.06/30/15 Page 1 of 2 Food Program OfR <br />