Laserfiche WebLink
aeastlr±. SAN JOAQUIN COUNTY <br /> yz ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> "e .. Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.orq/ehd <br /> / a'+ <br /> COTTAGE FOOD OPERATIONS (CFOs-CLASS A) <br /> SELF CERTIFICATION CHECKLIST <br /> The following requirements are outlined in the Cottage Food Operations(CFO)regulations and are provided as minimum standards <br /> of health and safety for the preparation of approved cottage foods in the home. <br /> CFO Business Name: CFO Owner Name: //++ <br /> Nlavo Q'QtifVV 'KTevIr+ by�Gr'z <br /> CFO Address: nn r CFO City: CFO ZIP <br /> W1 : <br /> OW WOXXRSnr� R0. M Kf6CR (I4 lt3 MnMEC& �6339- <br /> Facility Requirements: Yes No <br /> 1. 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. Q ❑ <br /> a. If YES, is the room used exclusively for storage? ® ❑ <br /> b. Specify the room(s)that will be used for storage? E,Ctg prO .00 9rto�tkK O14 <br /> 4. Sleeping quarters are excluded from areas used for CFO food preparation or storage. ® ❑ <br /> Zoning Requirements: Yes No <br /> 5. 1 have complied with the applicable zoning requirements for the CFO. 50 ❑ <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 /> ZI <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 1:1household members are not included.) <br /> 121 Sanitation Requirements: Yes No <br /> 8. Kitchen equipment and utensils used to produce CFO products are clean and ® El <br /> 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 0 ❑ <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 12/27/2012 1 CFO CLASS A CHECKLIST <br />