florida department of agriculture nod consumer services ... · 8/22/2018 · food entity number...

ADAM H. PUTNAM commissioNee

Food Entity Number Epod Entity Name Date of Visit

Food Entity Address'

Food Entity Mailing Address

Food Entity Type/Description:

Food Entity Owner

Florida Department of Agriculture nod Consumer Services Division of Food Snfely

FOOD SAFETY INSPECTION REPORT

Chaplet 900, notkin Alattites (850) 245 5520

Print Date: August 16, 2018

24282 LAURF.N7.0 ITAL-AMER MKT August 15, 2018

16385W Dixie Hwy Miami, 1:L33160-3708

16385 W Dixie Hwy Miami, Ft 33160-3708

112/ Grocery Store ‘: 15,000 sq ft

LAURENZO BROTHERS INC

110111111111 Visit I115.01(XX)1, 03 Rillehllof Food inspection Alltration Rat/wile flodion :1 Vitt Gr)111101 n011invard C

frillorammoits Fl 32399 PIA

Owner Code

INSPECTION SUMMARY - Re-Inspection Required

On August 15, 2018, LAURENZO ITAL-AMER MKT was inspected by SEAN CULVER, a representative of the Florida Department of Agriculture and Consumer Services The following violations observed during the inspection must be corrected to be in compliance with Chapter 500, Florida Statutes. and Rule 5K-4, Florida Administrative Code. A Department inspector will return for a reinspection on or about August 30, 2018 The failure to correct the violations by this date may result in the imposition of the maximum penalties provide in Chaplet 500 Florida Statutes, including an administrative fine and the suspension or revocation of your food permit The remspection visit is due to documented citations that pose a risk of foodborne illness.

PERMIT APPLICATION INFORMATION The permit application information was verified with management or a qualified representative.

COMPLIANCE KEY IN = In Compliance OUT = Not In Compliance N/O = Not Observed N/A = Not Applicable

FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS

Violation Description Supervision: Person in Charge present, demonstrates knowledge, and performs duties

Employee Health: Management, food employee and conditional employee; knowledge, responsibilities and reporting Employee Health' Proper use of restriction and exclusion

Good Hygienic Practices. Proper eating, tasting, drinking, or tobacco use

Good Hygienic Practices: No discharge from eyes, nose, and mouth

Preventing Contamination by Hands: Hands clean and properly washed

Preventing Contamination by Hands: No bare hand contact with ready-to-eat foods or approved alternate method properly followed Preventing Contamination by Hands: Adequate handwashing sinks, properly supplied and accessible Approved Source: Food obtained from approved source

Approved Source: Food received at proper temperature

Approved Source: Food in good condition, safe and unadulterated

Approved Source: Required records available: shellstock tags, parasite destruction

Protection from Contamination: Food separated and protected

Violation Compllance Number Status

1 OUT

2 IN

3 IN

4 IN

5 IN

6 IN

7 IN

8 OUT

9 IN

10 N/O

11 OUT

12 IN

13 OUT

FDACs 14205 Rev 07/13

Page I of 13

Scanned by CamScanner

ADAM H PUTNAM

COMMISSIONER

Food Entity Number Food Entity Name Date of Visit

Food Entity Address.

Food Entity Mailing Address:


Food Entity Owner:

Florida Department of Agriculture and Consumer Services Division of Food Safety


plof sou IwKin filaftrtn%

155(1) 245 5520

Print Date August 16 2018

24282 LAURENZO I TAL-AMER MKT August 15, 2018

16385 W Dixie Hwy Miami, FL33160-3708

16385 W Dixie Hwy Miami, FL 33160-3708

112/ Grocery Store <15,000 sq ft


1111111111111 Vivt 0 31984001,93 8409F11) (if f mei IrApadion

Pormrdi pmc,tion 1125 1.,(..nnow Firwlevard G,2f) rallatieww FL 3239/4-1660

Owner Code

FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS

Violation Description

Protection from Contamination: Food-contact surfaces: cleaned and sanitized

Protection from Contamination. Proper disposition of returned, previously served, reconditioned, and unsafe food Potentially Hazardous Food Time/Temperature: Proper cooking time and temperature

Potentially Hazardous Food Time/Temperature: Proper reheating procedures for hot holding

Potentially Hazardous Food Time/Temperature; Proper cooling time and temperatures

Potentially Hazardous Food Time/Temperature: Proper hot holding temperatures

Potentially Hazardous Food Time/Temperature: Proper cold holding temperatures

Potentially Hazardous Food Time/Temperature; Proper date marking and disposition

Potentially Hazardous Food Time/Temperature: Time as a public health control: procedures and records Consumer Advisory: Consumer advisory provided for raw or undercooked foods

Highly Susceptible Populations: Pasteurized Foods, Prohibited Re-service, and Prohibited Foods'

Chemical: Food additives: approved and properly used

Chemical: Toxic substances properly identified, stored, and used

Conformance with Approved Procedures

Violation Compliance Number Status

14 OUT

15 IN

16 IN

17 N/0

18 OUT

19 IN

20 OUT

21 OUT

22 N/A

23 IN

24 N/A

25 IN

26 OUT

27 N/A

GOOD RETAIL PRACTICES

Violation Compliance Number Status

31 OUT

36 OUT

45 OUT

49 OUT

50 OUT

53 OUT

Violation Description Food Temperature Control: Proper cooling methods used, adequate equipment for temperature control Prevention of Food Contamination: Insects, rodents, and animals not present

Utensils Equipment and Vending: Food and nonfood-contact surfaces cleanable, properly designed, constructed, and used Physical Facilities: Plumbing installed proper backflow devices

Physical Facilities: Sewage and waste water property disposed

Physical Facilities: Physical facilities installed, maintained, and clean

FDACS 14205 Rev, 07/13

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1111111111M Vis4 # 3195-0(X)1468 Bureau of Food Inspoxlioo Afterriion Records Section 3125 Conner Boulevard, C-26 TaIlahas$4.4, FL 32399-1650

ADAM H PUTNAM COMMISSIONER

Chapin* NX). rloti(ko 5I/It'd/1% (850) 745.5570

Print Date August 10, 2018

Food Entity Number. 24282 Food Entity Name. LAURENZO ITAL-AMER MKT Date of Visit August 15, .2018

Food Entity Address. 16385 W Dixie Hwy Miami, FL33160-3708

Food Entity Mailing Address. 16385W Dixie Hwy Miami, FL 33160-3708

Food Entity Type/Description: 112/ Grocery Store < 15,000 so ft

Food Entity Owner. LAURENZO BROTHERS INC Owner Code

OBSERVATIONS AND CORRECTIVE ACTIONS COS = Corrected on Site P = Priority Citation Pt = Priority Foundation Citation

(Directly Associated with Foodborne Illnesses) (Supports or Leads to a Priority Citation)

INSPECTION: RISK BASED

Violation Number

1

8

Citation Description

Person in charge does not ensure active managerial control to comply with duties as required in the FDA Food Code. 2-103.11(A)-(M)&(0) Pt

Handwashmg sink not accessible at all times for employee use, is used for other purposes or automatic facility not used in accordance with manufacturer's instructions. 5-20511 Pt

OA Observation

0 FOOD ESTABLISHMENT PIG DOES NOT ENSURE ACTIVE MANAGERIAL CONTROL DUE TO THE FOLLOWING VIOLATIONS CITED AND OBSERVED: IMPROPER COOLING METHODS, SANITIZATION OF EQUIPMENT, AND EMPLOYEES NOT PROPERLY TRAINED IN FOOD SAFETY AS IT RELATES TO THEIR ASSIGNED DUTIES,

GE] BAKERY: OBSERVED SOIL BUILD-UP ON BASIN OF SINK AND HAND SINK FIXTURES. COS-HAND SINK CLEANED DURING INSPECTION,

FDAcs 14205 Rev. 07/13

of 13


ADAM H. PUTNAM COMMISSIONER



Char :Or 500, Florida Statutes (850) 245-5520


24282 LAURENZO ITAL-AMER MKT August 15, 2018

16385W Dixie Hwy Miami, FL33160-3708

16385W Dixie Hwy Miami, FL 33160-3708

112/ Grocery Store ‹. 15,000 sq ft





Food Entity Mailing Address.

Food Entity Type/Description

Food Entity Owner

1111111111111 Visit 0 3198,0W1,03 Bureau of Food Inspection Mention Records Section 3125 Conner Boulevard, C-253 Tallahassee, FL 32399.1650

Owner Code

Violation Number

11 Food not safe, or is adulterated. 3-101.11 P El RETAIL: OBSERVED BAGS OF RICE INFESTED WITH GRAIN INSECTS HELD AT RETAIL SALE ADJACENT DELI DISPLAY CASE. COS- ALL ADULTERATED PRODUCTS VOLUNTARILY DESTROYED. OBSERVED SEVERAL FOOD PRODUCTS VVITH GNAW MARKS AND HOLES IN PRODUCT PACKAGING, THUS EXPOSING THE FOOD, STORED ON RETAIL STORAGE SHELVES THROUGHOUT AREA. COS- ALL ADULTERATED PRODUCTS VOLUNTARILY DESTROYED. BACKROOM: OBSERVED SEVERAL FOOD PRODUCTS WTH GNAW MARKS AND HOLES IN PRODUCT PACKAGING, THUS EXPOSING THE FOOD, STORED ON RETAIL STORAGE SHELVES THROUGHOUT AREA, COS- ALL ADULTERATED PRODUCTS VOLUNTARILY DESTROYED. OBSERVED LARGE METAL CONTAINER WITH FETA CHEESE COVERED IN MOLD AND OBSERVED BROWN PASTRY LOAF COVERED IN MOLD STORED INSIDE WALK-IN COOLER. COS- PRODUCT VOLUNTARILY DESTROYED DURING INSPECTION.

Citation Description COS Observation

FDACS 14205 Rev. 07/13

of 13


ADAM H. PUTNAM

COMMISSIONER

Food Entity Number Food Entity Name

Date of Visit


Food Entity Mailing Address'


Food Entity Owner



Chapter SOO Florida Statutes reSoi 245-5520

Pnnt Date August 16, 2018

24282 LAURENZO ITAL-AMER MKT August 15. 2018



112/ Grocery Store <15.000 sq ft



1111111111111 Visit # 3198-0001-68 Bureau of Food Inspection Attention Records Section 3125 Conner Boulevard C-26 Tallahassee, FL 32399-1650

Owner Code'

COS Observation Violation

Number

13


Ready-to-eat food not protected from cross contamination with raw animal food during storage, preparation holding or display. 3-302.11(A)(1) P

14 Equipment or utensils not cleaned during the operation when contamination may have occurred; when used with potentially hazardous food (time/tempera(ure control for safety food) not cleaned at least every 4 hours when in use, or if documented, at allowed times where cleaning frequency is based on the ambient temperature of the refrigerated room or area or food temperature measuring device not cleaned before using or storing 4-602 11(A)-(D) P

18 Cooked potentialty hazardous food (time/temperature control for safety food) not cooled within 2 hours from 135°F to 70°F or within a total of 6 hours from 135°F to 41F. 3-501.14(A) P

20 Cold held potentially hazardous food (time/temperature control for safety food) not maintained at 41')F or below where required. 3-501.16(A)(2) P

0 PROCESSING OBSERVED 2 PACKAGES OF RAW VEAL STORED DIRECTLY ABOVE PACKAGED GRATED CHEESE AND ASSORTED HERBS COS-PRODUCTS RELOCATED DURING INSPECTION

0 DELI OBSERVED SOIL BUILD-UP ON MEAT SLICER'S NOT CLEANED AT A FREQUENCY OF EVERY 4 HOURS WHEN IN USE VV1TH PHF TCS FOODS. COS-ALL 3 MEAT SLICER'S PROPERLY WASH, RINSED, AND SANITIZED DURING INSPECTION.

0 PROCESSING AREA: OBSERVED LARGE CONTAINER OF OIL & GARLIC COOKED ON-SITE STORED AT WORK STATION TO COOL, INFORMED BY FOOD EMPLOYEE MIXTURE HAS BEEN COOLING FOR MORE THAN 24 HOURS, GARLIC PROBED AT INTERNAL TEMPERATURE OF 90'F, COS- VOLUNTARILY DESTROYED BY PIG.

[10 DELI: OBSERVED DELI DISPLAY CASE CONTAINING NUMEROUS ON-SITE PREPARED PHF TCS FOOD ITEMS PROBED WITH INTERNAL TEMPERATURE RANGING 46`F-49*F. COS-PRODUCTS VOLUNTARILY DESTROYED BY PIG.

roAcs 14205 Rev 07113

ol 13



Food Entity Number Food Entity Name'

Date of Visit:



Food Entity Type/Description•

Food Entity Owner.

Florida Department of Agriculture and Consumer Services

Division of Food Safety


Chapter 500, Florida Statutes (850) 245.5520


24282 LAURENZO ITAL-AMER MKT

August 15, 2018


16385W Dixie Hwy Miami. FL 33160-3708

112/ Grocery Store < 15,000 sq ft



1111111111111 Visit 0 3198-0001-68 Bureau of Food Inspection Attention: Records Section 3125 Conner Boulevard, C-26 Tallahassee, FL 32399-1650

Owner Code:


Number

21


Unfrozen food that requires date marking as specified in the FDA Food Code marked as exceeding the 7 day limit or not bearing a date marking date or day limit, not discarded 3-501.18 P

26 Poisonous or toxic materials not stored to prevent contamination of food, equipment, utensils, linens, and single-service and single-use articles by separation or location 7-201.11 P

BACKROOM OBSERVED FONTINA CHEESE BEARING DATE MARK OF 06/27/18, CURRENT DATE 08/15/18, PRODUCT CONSUMED WITH MOLD. COS- PRODUCT VOLUNTARILY DISCARDED BY PIC,

(E1 BAKERY: OBSERVED PESTICIDE CLEAR SQUIRT BOTTLE STORED DIRECTLY ON TOP OF BREAD LOAF ROLLING MACHINE ADJACENT 3 BAY SINK. COS- PESTICIDE RELOCATED DURING INSPECTION.

INSPECTION: GRP


Number

31


Cooling potentially hazardous food (time/temperature control for safety food) not accomplished by effective methods. 3-501.15 Pf

36 Outer openings not protected by effective means against the entry of insects and rodents. 6-202.15

El PROCESSING AREA: OBSERVED ON-SITE COOKED WHOLE OCTOPUS COOKED THEN PLACED INTO COVERED CONTAINER AND STORED INSIDE REACH-IN COOLER, COS- LID REMOVED TO ALLOW FOR HEAT EMISSION TO PROPERLY COOL.

El RECEIVING: OBSERVED REAR DOOR LEFT OPEN DURING MOST OF THE INSPECTION, NO INCOMING DEUVERIES DURING INSPECTION. COS- REAR DOOR CLOSED BY PIC.

Pt

FI:MCS 14205 Rev 07/13

Page Sot 13


AMA hi 1‘1151A18 COMMISSIONMPII

ood I my Number rod tinily Name

Date of Visit

too(1 Entity Aridress


Food Entity Typo/Description

Food Entity Owner

Florldn Deportment of Agriculture end Consumer Services Division of Food Snfety


elinplei 500, Fiona' Statutes (850) 245-5520


24282

LAURENZO HAI -AMFR MKT August 15, 2018

16385 W Dixie Hwy Miami, FI,33160,3708


112/ Grocery Store <15,000 sq ft


INSPECTION: GRP

JIIIuIIIuIuI Vict 1 3198-0001-68 &west( of Food Inspection

Attention Records Section

3125 Conner Boulevard, C-26

Tallahassee, FL Iti99-1650

Owner Code

36 Dead or trapped brrds, insects, rodents, and other pests not removed from control devices and the premises at a frequency that prevents their accumulation, decomposition, or the attraction of pests 6-501 112

COS Observation

BAKERY OBSERVED RAT/MOUSE TRAP STORED ON TOP OF BAKING EQUIPMENT ADJACENT 3 BAY SINK COS- RODENT DEVICE RELOCATED DURING INSPECTION AND EQUIPMENT PROPERLY WASHED AND SANITIZED.

0 CAKE FINISHING ROOM: OBSERVED 5 DEAD MICE ON GLUE-BOARD TRAP INSTALLED UNDERNEATH SHELVING IN STORAGE HALLWAY ADJACENT ROOM EXIT.BACKROOM: OBSERVED 1 DEAD MOUSE ON GLUE-BOARD TRAP INSTALLED UNDERNEATH SHELVING POSITIONED DIRECTLY UNDERNEATH THE NC HANDLER AND DUCTING.

Violation

Number

36


Insect control devices used to electrocute or stun flying insects not located to prevent dead insects and fragments from being impelled onto or falling on exposed food, clean equipment, utensils, and linens, or unwrapped single-service and single-use articles 6-202 13

MACS 14205 Rei/ 07/13

Pogo 7 of 1 3





Chopin/ 500 lock* Stntotel 15501 245 5520

Print Data August 16, 20111






INSPECTION: GRP

Food Entity Number Food Entity Name. Date of Visit

Food Entity Address



Food Entity Owner

MIN Vottt 31964001-66 Bilffial.1 of Food Inspection Attention. Remords Section 3125 Conner Boulevard C-26 Tallahassee. FL 32399-1650

Owner Code

COS Observation

0 RETAIL: OBSERVED RODENT EXCRETA THROUGHOUT ENTIRE RETAIL AREA. PROCESSING. OBSERVED RODENT EXCRETA THROUGHOUT ENTIRE PROCESSING AREA.DELI: OBSERVED RODENT EXCRETA THROUGHOUT ENTIRE PROCESSING AREA.BAKERY: OBSERVED RODENT EXCRETA THROUGHOUT ENTIRE BAKERY AREASEAFOOD: OBSERVED RODENT EXCRETA THROUGHOUT ENTIRE SEAFOOD DEPARTMENT AREA.MEAT: OBSERVED RODENT EXCRETA THROUGHOUT ENTIRE MEAT DEPARTMENT AREA BACKROOM: OBSERVED RODENT EXCRETA THROUGHOUT ENTIRE BACKROOM AREA. CAKE FINISHING ROOM: OBSERVED RODENT EXCRETA THROUGHOUT ENTIRE CAKE FINISHING ROOM.COS- RETAIL, PROCESSING, DELI, BAKERY, SEAFOOD, MEAT, AND CAKE FINISHING ROOM HAVE ALL BEEN WASH, RINSED, AND SANITIZED DURING INSPECTION, BACKROOM REMAINS UNDER STOP-USE ORDER UNTIL AFFECTED AREA HAVE BEEN WASH, RINSED, AND SANITIZED.

Violation Number

36


Premises not maintained free of roaches and rodents; not controlled by routinely inspecting incoming shipments of food and supplies for evidence of pests: routinely inspecting the premises for evidence of pests, using methods, such as trapping devices or other means ot pest control as specified under 7-202 12, 7-206 12, and 7-206 13 6-501.111 (A)(B) (C) P

FDACS 14205 Rev, 07113

Page 13 ot 13


ADAM H PUTNAM COMMISSIONER


Food Entity Address


Food Entity Type/Description'

Food Entity Owner:



Cluiptar norl riatt (550) 245-5570

Print Unto August 10, 2018



16385W Dixie Hwy Miami, FL 33160-3708

112/ Grocery Store < 15,000 soft


INSPECTION: GRP

1111111111111 Visit S 3198-0031-68 Bureau of Food Inspection Mention Records Section 3125 Conner Boulevard. C-26 Tallahassee, FL 32399-1650

Owner Code

45 Utensil including ambient air temperature, water pressure, or water temperature measuring device not maintained in good repair or accurate within the intended range of use, or not discarded, 4-502,11

49 Plumbing system not maintained in good repair, 5-205.15(8)

COS Observation

O PROCESSING AREA: OBSERVED SCOURED AND STAINED CUTTING BOARDS AT WORK STATIONS.BAKERY: OBSERVED SCOURED AND STAINED CUTTING BOARDS AT WORK STATIONS.MEAT: OBSERVED SCOURED AND STAINED CUTTING BOARDS AT WORK STATIONS.SEAFOOD: OBSERVED SCOURED AND STAINED CUTTING BOARDS AT WORK STATIONS.CAKE FINISHING ROOM: OBSERVED SCOURED AND STAINED CUTTING BOARDS AT WORK STATIONS.

O DELI: OBSERVED AMBIENT THERMOMETER FOR DELI DISPLAY CASE BROKEN AND IN DISREPAIR.

O BAKERY: OBSERVED LEAK AT BOTTOM OF HAND SINK INSTALLED ADJACENT PREP SINK AND PREP TABLE,

Violation Number

45


Scratched or scored cutting surface that can no longer be effectively cleaned and sanitized, not resurfaced, or not discarded if not capable of being resurfaced 4-501 12

FDACS 14205 Rev. 07/13

Page 10 of 13


ADAM H. PUTNAIYI COMMISSIONER

Food Entity Number Food Entity Name Date of Visit.

Food Entity Address:

Food Entity Mailing Address:


Food Entity Owner:



Chapter 500, Florida Statutes 1850) 245-5520

Print Date:August 16, 2018

24282 LAURENZO ITAL.-AMER MKT August 15, 2018




LAURENZO BROTHERS INC INSPECTION: GRP

111111111111 Visit * 3198-0001-68 Bureau of Food Inspection Attention Records Section 3125 Conner Boulevard, G.26 Tallahassee, FL 32399-1650

Owner Code:

53 Utility service lines and pipes unnecessarily exposed and installed so they obstruct or prevent cleaning of the floors, walls, or ceilings or are installed on the floor. 6-201.12

COS Observation

0 PROCESSING AREA BOTH PREP SINKS, 1- 1BAY SINK AND 1- 2BAY SINK, NOT EQUIPPED VVITH AIR-GAP OR AIR-BREAK BAKERY: PREP SINK NOT EQUIPPED WITH AIR-GAP OR AIR-BREAKDELI: PREP SINK NOT EQUIPPED WITH AIR-GAP OR AIR-BREAK.MEAT: 3 BAY SINK NOT EQUIPPED VVITH AIR-GAP OR AIR-BREAK.SEAFOOD: 3 BAY SINK NOT EQUIPPED WITH AIR-GAP OR AIR-BREAKCAKE FINISHING ROOM: 3 BAY SINK NOT EQUIPPED VVITH AIR-GAP OR AIR-BREAK,

E-1 MEAT: OBSERVED HAND SINK DISCHARGE OUTLET PIPE INSTALLED ALONG TILE FLOOR CROSSING PART OF WALK-WAY AND DRAINING INTO FLOOR DRAIN,

Violation Number

50


Direct connection exists between the sewage system and a drain originating from equipment in which food, portable equipment, or utensils are praced. 5-402.11

FDACS 14205 Rev. 07/13

Page 11 of 13


riort Doptiflitintil ol Ai Uniltiuti011(1 :011410041 t rvI(oi

l)Ivision 01 I (gni t. inftty

FOOD SAPPTY INSPECTION RM'OUT

111111111111 Molt W i POI oiM)i tO1

iliosonli+,11 , 0,011rAifirMbott

Aligooluot. imbhopip

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ADAM I iPII1NAM

COMMIS Alt)Nti 11

I Nilti llultiI Alninfliok (Wino J411 AAP)

Food Entity NI/MDtti

Food Lindy Name; Dato of Vont

Food Entity Addroas

Food Entity Mailinu Addionn

Food Entity Typo/Doncription

Food Entity Ownoi

I iii it 1 iiiiii Ailuonl III 010

ADM N1011A1-AMI I; MK Auutia1 its, 2010

10305 W Dixin 1 iwy Minna, 1 I . 3 inn

10306 W DIxto Hwy Miami, [I 111011 3/1111

112/ CO ocoty 6totti 15,000 uti ft

I AURI N?0 111011 11 1211 INC

who, (,0(10

INSPECUON: ORP

Violation Numbor (*4WD Dolcitotlfail

53 Physical facilition dodninu not dono lIlt 011 III nocosnory koop worn (loan of (tumid I wilo.t whim tho loam amount of food in oxponod ton It ti tiflni

• closing 0-501 12

FOACS 14205 Roy 07113

Paw 12 of 13

QO OnLyelen 1X1 HI I All 011/11. SOD

111111 DM AND 000 10 Hum IINIO I;1\11 i Vil'I(l AN() Ai ONO VVAI Ift II limp( 0 low I WWI A141 A I:tri 141 AD III 0WP140i,i Alt1 A ()tIfl I;VI I) Sr 01 11110 1) 11P AND 10(0)1)1 111;Iii MIA MI St It I VINO, UNDI HNI All I 1 HAY SINK. AND Al ON/ i WA1 it THR011( 0 11 I N111?1; AREA COS, HI Al Ii 1 0W IIAKFRY 011111 HVI lit 111 H I1P AND roof 11Nikiall All I AND ON SI II 1 VINO, ANi Al oN0 WALLS 11 1140001 10111 1 N111;1. AREA COS RTA1 III lOW MI Al OBSERVED 3011 BUILD-UP AND FOOD DEBRIS UNDERNEATH SHELVING, AND ALONG WALLS THRouGHour ENT114F AREA COS- READ BELOW nt Al, 000' OBSERVED S011 111111 0 UP AND FOOD DEI3HIS DM)! MATH SHELVING, AND ALONG WALLS THRouGHouT ENTIRE AREA: COS- READ BELOW.BACKROOM: OBSERVED SOIL BUILDUP AND FOOD DEBRIS UNDERNEATH, AND ON SHELVING AND ALONG WALLS 'THROUGHOUT ENTIRE AREA. COS- READ BELOW. COS-ENTIRE ESTABLISHMENT FLOORING WAS SWEPT, PRESSURE CLEANED, THEN WASH, RINSED, AND SANITIZED DURING INSPECTION,


-s...e.c•A".," ar-t cAsco .rts Seco-

:co-rwe ScA4vroart raftiphesisee 56:

(Signature of Representative

ADAM N PUTNAM

COMAISS PONE R


Food Entity Address


Food Entity Type/Description.

Food Entity Owner

Florida Department of Agriculture and Consumer Services

Division of Food Safety


Ch.M.., v cMotto FAMILArb

I SSA leS 5s2o

Print Date August 16 2018

24282 LAURENZO ITAL-AMER MKI

August 15, 2018

16385W Dixie Hwy Miami F1.33160-3708

18385 W Dixie Hwy Miami FL 33160-3708

1121 Grocery Store < 15,000 sq fl

LALIRENZO BROTHERS INC Oriner

A Supplemental Report was aiso issued during the sit vvhich includes important nformaton f ^',a ger,

COMMENTS A re-inspection will be conducted on or about 14 days due to an Inspection Summary- Re-Inspection Reared

Re-inspection visit required due to pests Food establhment can call 850-245-5520 to request food safety insoector visa or

written release Wien all affected areas have been adequately cleaned and sanitized. In ackliton food estdoishment must Li..,teicc

and implement a pest management control program

Stop Use.Order issued F000 estabLshment can call 850-245-5520 when corrections have been made andfor red

documents have been of:tamed to request food safety inspector visit for written release of ezmornent

Direct connections at the 3 comp sinks and Prep sinks found throughout ail departments area are required to °wee/ad and brought into compliance in 92,:,̀ days Failure to comply wit result in administrative action: such as a stop-use.

The affected storage areas must be completely cleared of all merchanctse. cleaned and sanitized by the next trispectvwc Wier merchandise may be added to the storage area Of a Broken Stop-use will be issued If evidence of pest infestaton is observed on the next inspection, a Stop-Use Order will be issued on all receiving areas of the establishment and the establishment will no longer be allowed to receive additional food items, a Stop-Use Order of al processing equipment trf applicabie) will be issued and a Stop-Sale Order of all exposed food items (if apcticable) will be rss,...iied until the infestation is eradicated A copy of the Pest Control Plan Checklist has been provided to the establishment

Request#4997116 initially created arid assigned to incorrect firm, Request 44997116 should have actual?), been assc,c3ated to this establishment. Establishment did not have any products described in request exceeding expiration dates or adkiterated at time of - nspecton

ACKNOWLEDGMENT

I acknowledge receipt of a copy of this document, and I further acknowledge that I have verified the locaton and mating addrieLes on the first page of this document are correct, or I have written the correct information the rst par of this document

t5t24.4.- Ce-dis-024-

(Signature of FDACS Representative)

SEAN CULVER, SANITATION AND SAFETY SUPERVISOR - SES OAVIO LAURENZO, PERSON iNCHARGE

.osd

Print Name and Title

FDACs 14205 Rev 07 13

Page 13o4 13



FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT

riotkin swim, Choptet 5(X0 117 500114

(850) 745 5570

Bureau of Food Inspection Attention Records Section 3125 Conner Boulevard, Ce28 Tallahassee, PL 32399.1850

111M1111111111

ADAM H, PUTNAM COMMISSIONER

Print Data August 16, 201/1 Vet # 31980001138

Food Entity # Food Entity Name Date Of Visit Food Entity I °cation Address Food Entity Mailing Address


Food Entity Owner

242IV I AUR NZO AMC R MK I August 15. 201/1 163(35W Dixie Hwy Miami, FL 331(30370(3 16385W Dixie Hwy Miami, FL 33160.3708

112/Grocery Store < 15,000 sq ft

LAURENZO BROTHERS INC Owner Code

STOP USE ORDER

You are hereby ordered to withhold from movement, sale or use subject to further instructions from an authorized agent of the Flonda Department of Agriculture and Consumer Services, the goods or equipment listed below.

Article: Backroom Brand Name: Laurenzo !tat-Amer Mkt Lot #, # Of Pkgs

Manufacturer Dealer Distributor Laurenzo nal-Amer Mkt

Size Of Pkg: Total Weight Invoice it Invoice Date.

The primary reason and condition that caused the product or equipment stop sale or stop use and determined dangerous, unwholesome, fraudulent, or insanitary was: FS 500.04; FS 500.10 ADULTERATED. Prevention of Food Contamination: Insects, rodents, and animals not present

Comments: CALL 850-245-5520 TO REQUEST FOOD SAFETY INSPECTOR VISIT FOR WRITTEN RELEASE WHEN ALL EFFECTED AREAS HAVE BEEN ADEQUATELY CLEANED AND SANITIZED. IN ADDITION, FOOD ESTABLISHMENT MUST DEVELOP AND IMPLEMENT A PEST MANAGEMENT CONTROL PROGRAM.

When the department or its duly authorized agent finds, or has probable cause to believe, that any food or food-processing equipment is in violation of this chapter or any rule adopted under this chapter so as to be dangerous, unwholesome, fraudulent, or insanitary within the meaning of this chapter, an agent of the department may issue and enforce a stop-sale, stop-use, removal, or hold order, which order gives notice that such article or processing equipment is, or is suspected of being, in violation and has been detained or embargoed and which order warns all persons not to remove, use, or dispose of such article or processing equipment by sale or otherwise until permission for removal, use, or disposal is given by the department or the court. It is unlawful for any person to remove, use, or dispose of such detained or embargoed article or processing equipment by sale or otherwise without such permission in accordance with 500,172 (1) Florida Statutes.

AN ADMINISTRATIVE HEARING IS AVAILABLE FOR ALL ORDERS, NOTICES, AND REPORTS IN THIS SUPPLEMENTAL REPORT

If you wish to contest the Department's action, you have the right to request an administrative hearing to be conducted in accordance with Sections 120.569 and 120.57, Florida Statutes and to be represented by counsel or other qualified representative. Your request for hearing must contain:

1. Your name, address, and telephone number, and facsimile number (if any).

2. The name, address, and telephone number, and facsimile number of your attorney or qualified representative (if any) upon whom service of pleadings and other papers shall be made.

FDACS 14205 Rev. 07r13

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3'fuut, (3.464A, I acknowledge receipt of a copy f this docume

(Signature of FDACS Representative) (Signature of Representative)

3, A statement that you are requesting an administrative hearing and depute the material facts alleged by the department, in which case you must identify tho material facts that are in dispute (formal hearing), or that you request an administrative hearing and that You do not dispute the facts alleged by the department (informal hearing)

4. A statement of when (date) you received the Notice and the file number of this Notice.

Your request for a hearing must be received at the address shown on this Notice within twenty-one (21) days of receipt of this Notice If you fail to obtain a Release from this Notice or fail to request en administrative hearing within the twenty4me (21) day deadline you waive your right to a hearing and the Department may enter a Fine! Order imposing up to the maximum penalties as

authorized by Florida Law.

HEARING WAIVER AND WAIVER OF RIGHTS

I, POO tAki CO-) the person In charge of LAURENZO ITAL-AMER MKT

hereby waive a notice and a hearing as provided in Chapter 120, Florida Statutes and waive all rights as provided on the last page of this re

(Signature)

ACKNOWLEDGEMENT

SEAN CULVER, SANITATION AND SAFETY SUPERVISOR. SES DAVID LAURENZO, PERSON IN CHARGE

Print Name and Title

FDACS 14205 Rev. 07/13

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florida department of agriculture nod consumer services ... · 8/22/2018 · food entity number...

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