Location |
Clarendon
3100 Clarendon Blvd
Arlington, VA 22201
|
Date |
|
Managers on Duty |
Christian
|
Auditor |
Christian
|
General Information
|
how do you want to list this info, will there be different versions or will we just edit this one |
Clarendon audit
|
Demonstration of Knowledge Shown
|
1.1.1 Manager is food safety certified |
Yes
|
Multiple Choice |
|
1.1.2 Food Handler Certificates available where required |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
|
|
Sufficient Record Keeping
|
1.2.4 Freshsense, Zenput and final cooking logs are completed as required |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
|
|
General Demonstration of Knowledge
|
1.4.1 Health Department Permit available |
Yes
|
Multiple Choice |
|
1.4.2 Previous Health Department Inspection is available |
Yes
|
Multiple Choice |
|
1.4.3 All critical findings on previous Health Department Inspection have been corrected |
Yes
|
Multiple Choice |
|
1.4.3a Date of last Health Department Inspection |
September 25, 2020
|
1.4.3b Result of last Health Department Inspection |
Pass/Fail |
Result |
In compliance
|
1.4.4 Manager can demonstrate knowledge of the 8 major allergens |
Yes
|
Multiple Choice |
|
1.4.5 Manager can demonstrate knowledge of allergen SOP |
Yes
|
Multiple Choice |
|
1.4.6 Anti-choking signage present and visible |
Yes
|
Multiple Choice |
|
12.1.1 Prep of specified items not observed during evaluation |
Yes
|
Multiple Choice |
|
Comments: |
No food was prep during audit
|
Photo:
|
|
|
|
|
Employee Health
|
Comments: |
|
Photo:
|
|
|
Good Employee Health |
Yes
|
2.1.1 No sick/symptomatic food handler(s) at work |
Yes
|
Multiple Choice |
|
2.1.2 Manager aware of and can access Employee Health Policy |
Yes
|
Multiple Choice |
|
2.1.3 Proper written procedures for clean-up of vomiting and diarrheal events are available |
Yes
|
Multiple Choice |
|
2.1.3a a A fully stocked biohazard kit (or proper disinfectants, personal protective equipment, and needed equipment) available for response to clean-up of vomiting and diarrheal events. |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
|
Good Hyigenic Practices
|
Comments: |
Yes
|
Photo:
|
|
|
Proper Eating, Drinking, or Tobacco Use
|
3.1.1 No smoking, gum or tobacco in food service area |
Yes
|
Multiple Choice |
|
3.1.2 Proper drinking/eating in food service area |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
|
Personal Cleanliness
|
3.2.1 Gloves and bandages available at facility |
Yes
|
Multiple Choice |
|
3.2.2a Hair is properly restrained; Hair net worn by all team members |
Yes
|
Multiple Choice |
|
3.2.2b Beard guards are worn for beards 1/4" or longer in length |
Yes
|
Multiple Choice |
|
3.2.3 All staff is wearing clean uniforms and aprons |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
Section
|
Health Department Good Hygenic Practices
|
3.3.1 No jewelry worn on arms or hands except plain ring (i.e. wedding band) |
Yes
|
Multiple Choice |
|
Preventing Contamination by Hands
|
Comments: |
|
Photo:
|
|
|
|
Clean Hands, Properly Washed
|
4.1.1.Proper handwashing procedure |
Yes
|
Multiple Choice |
|
4.1.2 Handwashing at appropriate times |
Yes
|
Multiple Choice |
|
Comments: |
Employees wash hands every 20 minutes
|
Photo:
|
|
|
No Bare Hand Contact with Ready-to-Eat Foods / Exemption when Applicable
|
4.2.1 When gloves are required, food handlers do not contact ready-to-eat foods with bare hand |
Yes
|
Multiple Choice |
|
4.2.2 Single-use gloves used properly |
Yes
|
Multiple Choice |
|
4.2.3 Fingernails are clean and trimmed; no nail polish or artificial nails are worn |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
Handwashing Facilities are Adequate
|
4.3.1 Handwashing sink accessible, usable |
Yes
|
Multiple Choice |
|
4.3.2 Handwashing sink used only for handwashing |
Yes
|
Multiple Choice |
|
4.3.3 Handwashing sinks are clean |
Yes
|
Multiple Choice |
|
4.3.4 Soap available at all handwashing sinks |
Yes
|
Multiple Choice |
|
4.3.5 Single use towels/heated-air or high-velocity hand drying device present at all handwashing sinks |
Yes
|
Multiple Choice |
|
4.3.6 Trash can within arms reach of hand sink |
Yes
|
Multiple Choice |
|
4.4.1 Handwashing reminder sign at all sinks |
Yes
|
Handwashing signs are not posted where required. |
|
4.4.2 Covered waste container available in women's restroom |
Yes
|
Copy of Handwashing signs are not posted where required. |
|
Comments: |
|
Photo:
|
|
|
|
|
Approved Source
|
Comments: |
|
Photo:
|
|
|
Food Obtained From Approved Source
|
5.1.1 Food supplies are from an approved source |
Yes
|
Multiple Choice |
|
5.2.3 Food packages are not received expired |
Yes
|
Multiple Choice |
|
Comments: |
No food expired was receive today
|
Photo:
|
|
|
|
Protection from Contamination
|
Comments: |
|
Photo:
|
|
|
Contamination Prevented in Food Storage and During Preparation
|
6.1.1 Proper use of zoning in storage |
Yes
|
Multiple Choice |
|
6.1.2 Food stored in packages, covered containers, or wrappings |
Yes
|
Multiple Choice |
|
6.1.3 Food and food contact items stored in appropriate locations (non-disposables) |
Yes
|
Multiple Choice |
|
6.1.4 Food packages and cans in good condition, damaged products are segregated |
Yes
|
Multiple Choice |
|
6.1.5 Cross contamination prevented during food storage and preparation |
Yes
|
Multiple Choice |
|
6.1.7 Concentration of fruit and vegetable wash meets manufacturer's standards |
Yes
|
Multiple Choice |
|
6.1.7a Was the store auto-dispensing fruit and vegetable wash or mixing themselves (free pouring)? |
Yes
|
6.1.8 Appropriate fruit and vegetable wash test strips available, and not damaged |
Yes
|
Multiple Choice |
|
6.1.6 Equipment, utensils and food contact surfaces cleaned and sanitized at proper times. |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
|
|
Food Utensils In-Use Are Stored Properly
|
6.2.1 Food utensils in use are stored properly |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
Food Contact Surfaces are Properly Constructed/Cleanable
|
6.3.1 Utensils/equipment food contact surfaces are in good repair |
Yes
|
Multiple Choice |
|
6.3.2 Utensils/equipment/contact surfaces proper type |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
Unsafe Foods are Not Re-Served or Are Discarded
|
6.4.1 Contaminated/unwrapped/returned foods are not served to customers |
Yes
|
Multiple Choice |
|
Comments: |
No contaminated food in the building
|
Photo:
|
|
|
Proper Single Use and Self-Service Items
|
6.5.1 Foods on display stored protected |
Yes
|
Multiple Choice |
|
6.5.2 Single service/use items properly stored and used |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
Food Contact Surfaces Clean and Sanitized
|
6.6.3 Proper concentration of chemical sanitizing at 3 part sink |
Yes
|
Multiple Choice |
|
Product & PPM: |
|
6.6.4 Proper concentration of chemical sanitizing for dishwashing machine |
Yes
|
Multiple Choice |
|
Product & PPM: |
|
6.6.4a All food contact surfaces are washed through the dish machine (if present) |
Yes
|
Multiple Choice |
|
6.6.5 Food Contact Surfaces cleaned and sanitized |
Yes
|
Multiple Choice |
|
6.6.8 Cleaning agent and sanitizers are present and readily available for use |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
|
Proper Warewashing Facility Available
|
6.7.1 3-compartment sinks present/sufficient size/used properly |
Yes
|
Multiple Choice |
|
6.7.2a Sanitizer solution test strips available and not damaged |
Yes
|
Multiple Choice |
|
6.7.2b Chlorine test strips available for dish washing machine and not damaged |
Yes
|
Multiple Choice |
|
6.7.3 Equipment/utensils air-dried before stacking |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
|
|
Proper Use/Storage of Wiping Cloths
|
6.8.1 Wiping cloths used properly |
Yes
|
Multiple Choice |
|
6.8.2 Wiping cloths stored properly and are at the proper concentration (per manufacturer specifications); spray bottles at proper concentration. |
Yes
|
Multiple Choice |
|
Product & PPM: |
|
Comments: |
|
Photo:
|
|
|
Health Department Protection From Contamination
|
6.9.1a All non-food contact surfaces are clean |
Yes
|
Multiple Choice |
|
6.9.1b All non-food contact surfaces are cleanable and in good repair |
Yes
|
Multiple Choice |
|
6.9.1c Dishwasher maintained clean |
Yes
|
Multiple Choice |
|
6.9.1d Dishwasher in good repair |
Yes
|
Multiple Choice |
|
6.9.2a Floors and drains maintained clean |
Yes
|
Multiple Choice |
|
6.9.2b Floors and drains cleanable and in good repair |
Yes
|
Multiple Choice |
|
6.9.2c Walls maintained clean |
Yes
|
Multiple Choice |
|
6.9.2d Walls cleanable and in good repair |
Yes
|
Multiple Choice |
|
6.9.2e Ceilings maintained clean |
No
|
Multiple Choice |
Prep area ceiling not maintained clean |
6.9.2f Ceilings cleanable and in good repair |
Yes
|
Multiple Choice |
|
6.9.3a Vents and exhaust hoods are clean |
No
|
Multiple Choice |
Vents/exhaust hoods have excessive visible build-up that prevents them from properly ventilating. |
6.9.3b Vents and exhaust hoods in good repair |
Yes
|
Multiple Choice |
|
6.9.4a All gaskets on refrigeration are clean |
Yes
|
Multiple Choice |
|
6.9.4b All gaskets on refrigeration are in good repair |
Yes
|
Multiple Choice |
|
6.9.5a Light fixtures are clean |
Yes
|
Multiple Choice |
|
6.9.5b All lighting sources are properly shielded or shatter-proof in areas where food, service utensils and equipment are stored or prepared. Lighting is adequate. |
Yes
|
Multiple Choice |
|
6.9.6a Trash receptacles are maintained clean |
Yes
|
Multiple Choice |
|
6.9.6b Trash receptacles back of house are of sufficient availability/capacity |
Yes
|
Multiple Choice |
|
6.9.7 Dumpster area is regularly cleaned and free of excess debris; dumpster plug is in place |
N/A
|
Multiple Choice |
|
6.9.8 Dumpster and outdoor garbage container lids are kept closed and are in good repair. |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
Time/Temperature Control for Safety (TCS)
|
Comments: |
|
Photo:
|
|
|
Proper Cooking, Time and Temperature Requirements Met
|
7.1.1 Raw animal foods cooked to proper internal cooking temperature |
Yes
|
Multiple Choice |
|
Name of Device |
|
Product & Temp: |
|
Comments: |
|
Photo:
|
|
|
Appropriate Cooling Procedures in Place
|
7.3.1 TCS foods ≤ 70°F within 2 hours of cooling |
Yes
|
Multiple Choice |
|
7.3.2 TCS foods ≤ 40°F within 4 hours of cooling |
Yes
|
Multiple Choice |
|
7.3.3 Food prepped at room temperature is done quickly in small batches. Reconstituted foods/salad and sandwich ingredients are cooled ≤41°F within 4 hours [Effective 8/8/19: ≤ 40°F within 4 hours] |
Yes
|
Multiple Choice |
|
7.3.4 Proper cooling methods in use |
Yes
|
Multiple Choice |
|
Comments: |
All procedures were follow during morning, nothing is been cook or cool at the momen
|
Photo:
|
|
|
Proper Hot Holding Requirements Met
|
7.4.1 Items in hot holding ≥140°F |
Yes
|
Multiple Choice |
|
7.4.3 Hot holding equipment properly functioning |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
|
|
Proper Cold Holding Requirements Met
|
7.5.1 TCS foods held in cold holding ≤ 40°F |
Yes
|
Multiple Choice |
|
7.5.3 Cold-holding equipment properly functioning. |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
|
Time as a Public Health Control (Procedures/Records)
|
7.6.1 Products are time and date labeled when time is used as a control (including greens or products using TPHC on an emergency basis) |
Yes
|
Multiple Choice |
|
7.6.2 No product using time as a control is expired when Time is a Public Health Control. |
Yes
|
Multiple Choice |
|
7.6.3 Written procedures available for time used as a control |
Yes
|
Unit cannot produce any written procedures for time used as a control. |
|
Comments: |
|
Photo:
|
|
|
|
Appropriate Date Marking and Disposition Procedures
|
7.7.1a Prepared, opened and ready-to-eat TCS foods properly date labeled |
Yes
|
Multiple Choice |
|
7.7.1b Open non-TCS foods properly date labeled once removed from original packaging |
Yes
|
Multiple Choice |
|
7.7.4 Products removed from original container are name labeled |
Yes
|
Multiple Choice |
|
7.7.3a No expired TCS product present |
Yes
|
Multiple Choice |
|
7.7.3b No expired non-TCS product present |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
|
Accurate Thermometer Available
|
7.8.1 Accurate food thermometer present |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
Proper Thawing Procedures
|
7.9.1 Items properly thawed/slacked |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
Health Department Time and Temperature Control for Safety
|
7.10.1 Freshsense temperature monitoring on all refrigeration units. |
Yes
|
Multiple Choice |
|
7.10.2 All products are stored first-in, first-out or based on manufacturer's dating. |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
The OLO unit is not temping because it was turn off after lunch I just turn it back on
|
|
Chemicals
|
Comments: |
|
Photo:
|
|
|
|
Approved Chemicals Present, Used
|
8.1.1 Only institutional/food-grade/company approved chemicals used |
Yes
|
Multiple Choice |
|
8.1.2 Safety Data Sheets (SDS) available for all chemicals (formerly MSDS) |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
|
Chemicals/Toxic Substances Properly Identified, Stored, Used
|
8.2.1 Chemicals properly labeled |
Yes
|
Multiple Choice |
|
8.2.2 Chemicals properly stored |
Yes
|
Multiple Choice |
|
8.2.3 Pesticides applied by approved personnel only |
Yes
|
Multiple Choice |
|
8.2.4 Containers previously used for chemicals not used for food storage |
Yes
|
Multiple Choice |
|
8.2.5 Rodent bait is contained in a covered, tamper-resistant bait station |
Yes
|
Multiple Choice |
|
8.2.6 First aid supplies/employee medication properly labeled and stored to prevent contamination |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
|
Insects/Rodents/Animals
|
Comments: |
|
Photo:
|
|
|
Insects/Rodents/Animals not Present
|
10.1.1 No pest activity observed |
Yes
|
Multiple Choice |
|
10.1.2 Insect control devices installed to prevent contamination |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
|
Health Department Insects/Rodents/Animals
|
10.2.1 Pest activity is prevented through proper sealing of outer openings and the elimination of harborage conditions |
Yes
|
Multiple Choice |
|
10.2.2 Previous Pest Inspection is available |
Yes
|
Multiple Choice |
|
10.2.3 All recommendations on previous pest inspection have been corrected |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
Facility
|
Comments: |
|
Photo:
|
|
|
Critical Water Service
|
11.1.1 No sewage backed-up into facility; no water service. |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
Plumbing Properly Installed; Proper Back Flow Devices
|
11.2.1 Hot and cold water are available at facility |
Yes
|
Multiple Choice |
|
11.2.3 Back flow prevention or air gap present at all sinks and beverage dispensers |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
Adequate Toilet Facilities
|
11.3.1 Minimum of one functioning toilet available in the facility |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
Health Department Sewage and Plumbing
|
11.4.1 All plumbing in good repair |
Yes
|
Multiple Choice |
|
Comments: |
|
Photo:
|
|
|
General Facility
|
11.5.1 Employee clothing and personal items are properly stored. |
Yes
|
Multiple Choice |
|
11.5.2 Maintenance tools (mops, brooms and similar items) are properly stored/in good condition and proper type |
Yes
|
Multiple Choice |
|
Comments: |
All storage well organized
|
Photo:
|
|
|
|
|
Scoring
|
Total Point Lost |
-2 |
Subtract the number above from 100 and enter below. This is your score. |
98 |