florida department of agriculture and consumer services ii iii · food entity owner: manara inc dba...

NICOLE "NIKKI" FRIED COMMISSIONER

Food Entity Number: Food Entity Name: Date of Visit:

Food Entity Address:

Food Entity Mailing Address:

Food Entity Type/Description:

Food Entity Owner:

Florida Department of Agriculture and Consumer Services Division of Food Safety

FOOD SAFETY INSPECTION REPORT

Chapter 500, Florida Statutes (850) 245-5520

Print Date: March 28, 2019

03262 SHOP SMART FOOD STORES March 28, 2019

535 NE 24th ST Pompano Beach, FL33064-5454

535 NE 24th ST Pompano Beach, FL 33064-5454

123/ Convenience Store Limited FS

MANARA INC DBA SHOP SMART FOOD STORES

II III Visit # 3473-0007 60 Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C-26 Tallahassee, FL 32399-1650

Owner Code:

INSPECTION SUMMARY - Focused Inspection On March 28, 2019, SHOP SMART FOOD STORES was inspected by CHRISTINE SUTCLIFFE, a representative of the Florida Department of Agriculture and Consumer Services. A Focused Inspection is a visit focused on a specific task that does not constitute an inspection and will not result in an inspection summary.

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

GOOD RETAIL PRACTICES

Violation Description Prevention of Food Contamination: Insects, rodents, and animals not present

OBSERVATIONS AND CORRECTIVE ACTIONS P = Priority Citation

(Directly Associated with Foodborne Illnesses)

INSPECTION: GRP

Violation Compliance Number Status

36 OUT

COS = Corrected on Site Pf = Priority Foundation Citation (Supports or Leads to a Priority Citation)

Violation Number

36

Citation Description

Dead or trapped birds, 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

CI BACK AREA NEAR WARE WASHING AND HAND WASHING SINK. OBSERVED TRAPPED RODENT UNDER THE HAND WASHING SINK. COS. THE TRAP WAS REMOVED BY EMPLOYEE

COMMENTS Consultation visit with food establishment management due to continued evidence of rodent activity in front retail area, specifically near the small room on the left side of front door(next to glass window, on side of game machines) also in the front retail area, on

FDACS 14205 Rev. 07/13

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Food Entity Number: Food Entity Name: Date of Visit:

Food Entity Address:









III II II II Visit # 3473-0007 60 Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C-26 Tallahassee, FL 32399-1650

Food Entity Type/Description: 123/ Convenience Store Limited FS

Food Entity Owner: MANARA INC DBA SHOP SMART FOOD STORES Owner Code:

the left side of the snapple reach in cooler, rodent excreta was present on floor. The back area, directly under the hand washing sink, a rodent was observed in a trap.

Focused Inspection - Per request # 5006786 requesting release of items. Release not granted at this time due to rodent activity.

The original Stop-Use Order/Stop-Sale Order remains in effect. The original Stop-Sale Order placed on March 22, 2019- for Stop Sale of All Open Food- remains in effect. The original Stop-Use Order placed on March 22, 2019-to Stop Using the following-Boiled Peanuts machine-Hot Dog Roller-Capp Machine (Cappuccino Machine)- Slushie Machine-Hot Case-Backroom-Three Compartment Sink- still remains in effect.

ACKNOWLEDGMENT

I acknowledge receipt of a copy of this document, and I further acknowledge that I have verified the location and mailing addresses on the first page of this document are correct, or I have written the correct information on the first page of this document.

(Signature of FDACS Representative) (Signature of Representative)

CHRISTINE SUTCLIFFE, SANITATION AND SAFETY SPECIALIST LORNA MAYORGA, PERSON IN CHARGE

Print Name and Title

FDACS 14205 Rev. 07/13

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FDACS 14205 Rev. 07/13

Page 1 of 1


Food Entity Number* Food Entity Name: Date of Visit: Food Entity Address.


Food Entity Type/Description. Food Entity Owner










11111111111111 Visit # 3460-0000-82 Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C-26 Tallahassee, FL 32399-1650

Owner Code:

INSPECTION SUMMARY - Re-Inspection Required On March 22,2019. SHOP SMART FOOD STORES was inspected by CAROLYN DRAGONE, 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 April 05, 2019. The failure to correct the violations by this date may result in the imposition of the maximum penalties provide in Chapter 500 Florida Statutes, including an administrative fine and the suspension or revocation of your food permit. The reinspection visit is due to documented citations that pose a risk of foodbome 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

9

10

11

12

13

FDACS 14205 Rev. 07/13

Page 1 of 9

Compliance status Violation Descrfotion OUT Supervision: Person in Charge present demonstrates knowledge, and performs duties

OUT Employee Health: Management, food employee and conditional employee; knowledge, responsibilities and reporting

IN Employee Health: Proper use of restriction and exclusion

IN Good Hygienic Practices: Proper eating, tasting, drinking, or tobacco use

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

IN Preventing Contamination by Hands: Hands dean and properly washed

IN Preventing Contamination by Hands: No bare hand contact with ready-to-eat foods or approved alternate method properly followed

OUT Preventing Contamination by Hands: Adequate handwashing sinks, properly supplied and accessible

IN Approved Source: Food obtained from approved source

N/O Approved Source: Food received at proper temperature

IN Approved Source: Food in good condition, safe and unadulterated

N/A Approved Source: Required records available: shellstock tags, parasite destruction

OUT Protection from Contamination: Food separated and protected

Violation Number

1

2

3

5

6

7

8

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NICOLE "NIKKr FRIED COMMISSIONER

Food Entity Number: Food Entity Name: Date of Visit: Food Entity Address:

Food Entity Mailing Address'

Food Entity Type/Description: Food Entity Owner:










MOM Visit # 3460-0000-82 Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C-26 Tallahassee, FL 32399-1650

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 arid 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 property used

Chemical: Toxic substances properly identified, stored, and used

Conformance with Approved Procedures


14 IN

15 IN

16 N/A

17 N/O

18 N/O

19 OUT

20 IN

21 IN

22 N/A

23 N/A

24 N/A

25 N/A

26 OUT

27 N/A



34 OUT

36 OUT

37 OUT

45 OUT

46 OUT

47 OUT

49 OUT

50 OUT

FOACS 14205 Rev. 07113

Page 2 of 9

Violation Description Food Temperature Control: Thermometers provided and accurate used

Prevention of Food Contamination: Insects, rodents, and animals not present

Prevention of Food Contamination: Contamination prevented during food preparation, storage & display Utensils Equipment and Vending: Food and nonfood-contact surfaces cleanable, properly designed, constructed, and used Utensils Equipment and Vending: Warewashing facilities: installed, maintained, used: test strips - Utensils Equipment and Vending: Nonfood-contact surfaces clean Physical Facilities: Plumbing installed; proper backflow devices

Physical Facilities: Sewage and waste water properly disposed




Food Entity Mailing Address


Florida Department of Agriculture and Consumer Services

Division of Food Safety


Chapter 500. Florida Statutes (850) 245-5520






MANARA INC DBA SHOP SMART F000 STORES



Owner Code:

Violation Compliance Number Status Violation Description

51 OUT Physical Facilities: Toilet facilities: properly constructed, supplied, cleaned -

53 OUT Physical Facilities: Physical facilities installed, maintained, and clean

OBSERVATIONS AND CORRECTIVE ACTIONS

COS = Corrected on Site P = Priority Citation Pf = Priority Foundation Citation

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

INSPECTION: RISK BASED

Violation Number Citation Description

1 Designated person in charge not present at the permitted location during operating hours. 2-101.11 Pf

2 Person in charge does not correctly respond to questions that relate to foodborne disease by a food employee who has a disease, medical condition or symptom that may cause foodbome disease or does not comply with reporting responsibilities and exclusion or restriction of food employees. 2-102.11(C)(2)-(3) & (17) Pf

8 Handwashing sink or group of 2 adjacent handwashing sinks not provided with hand cleaning liquid, powder, or bar soap. 6-301.11 Pf

8 Handwashing sink not provided in food preparation, food dispensing or warewashing area. 5-203.11 Pf

8 Handwashing sink or group of adjacent handwashing sinks not provided with either individual, disposable towels, continuous towel system, high velocity pressurized air at ambient temperature, or heated-air hand drying device. 6-301.12 Pf

MACS 14205 Rev. 07/13

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COS Observation

O NO DESIGNATED PERSON IN CHARGE AT THE START OF THE INSPECTION.

O EMPLOYEE HEALTH AND EMPLOYEE AGREEMENT GIVEN AND REVIEWED WITH ESTABLISHMENT.

o BACKROOM: FIRST RESTROOM HAS NO SOAP.

BACKROOM: NO HAND WASHING SINK PROVIDED BY THE THREE COMPARTMENT SINK. COS SERVICE SINK WILL SERVE AS HAND WASHING SINK.

O RETAIL - NO HAND DRYING DEVICE AT HAND WASH SINK. BACKROOM: FIRST RESTROOM HAS NO HAND DRYING DEVICE.

Pf

Pf

Pf

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NICOLE ^NIKKI- FRIED COMMISSIONER

Food Entity Number Food Entity Name. Date of Visit. Food Entity Address Food Entity Mailing Address.

Food Entity Type/Description. Food Entity Owner:



Chapter 500. Honda Statutes (8501 245-5520




535 NE 24th ST Pompano Beach, FL 330645454


MANARA INC DBA SHOP SMART FOOD STORES INSPECTION: RISK BASED

111111111111111 Visit if 3460-0000-82

Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard. C-26 Tallahassee. FL 32399-1650

Owner Code:

13 Food not protected from cross contamination by not storing in packages, covered containers or wrappings. 3-302.11(A)(5)

19 Hot held potentially hazardous food (timeJtemperature control for safety food) not maintained at 135°F except as specified in the FDA Food Code. 3-501.16(A)(1) P

COS Observation

0 RETAIL - RAW SHELLED EGGS DISPLAYED OVER DRINKS IN REACH IN COOLER. COS - EGGS REMOVED TO APPROPRIATE LOCATION BEFORE END OF INSPECTION. BACKROOM* RAW SHELL EGGS STORED OVER DRINKS IN THE WALK-IN COOLER. COS RAW SHELL EGGS MOVED TO APPROPRIATE LOCATION AND VERIFIED.

0 RETAIL: SUGAR STORED NEXT TO RETAIL SHELVES NOT COVERED.

0 RETAIL: VARIOUS PATTIES TEMP BETWEEN 75- 105 DEGREES F IN THE HOT CASE. VARIOUS HOT DOGS AND TAQUITOS TEMP BETWEEN 115-126 DEGREES F ON THE HOT DOG ROLLERS. COS ALL ITEMS WERE VOLUNTARILY DISCARDED.

0 RETAIL AREA: LIGHTER FLUID DISPLAYED OVER SINGLE USE ITEMS IN THE RETAIL AREA. COS LIGHTER FLUID MOVED TO APPROPRIATE LOCATION AND VERIFIED. BACKROOM: DEGREASER STORED ON TOP OF BAG IN A BOX SODAS IN THE BACKROOM. COS DEGREASER MOVED TO APPROPRIATE LOCATION AND VERIFIED.

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

26 Retail poisonous or toxic materials not stored or not displayed over or not separated from food, equipment, utensils, linens, or single-service and single-use articles by spacing or partitioning. 7-301.11(A) 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

INSPECTION: GRP

MACS 14205 Rev. 07/13

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NICOLE -NNW^ FRIED COMMISSIONER


Print Date March 22, 2019

Food Entity Number: 03262 Food Entity Name: SHOP SMART FOOD STORES Date of Visit: March 22, 2019 Food Entity Address: 535 NE 24th ST Pompano Beach, FL33064-5454

Food Entity Mailing Address 535 NE 24th ST Pompano Beach. FL 33064-5454

Food Entity Type/Description: 123/ Convenience Store Limited FS

Food Entity Owner MANARA INC DBA SHOP SMART FOOD STORES INSPECTION: GRP

Owner Code:

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 of pest control as specified under 7-202.12, 7-206.12, and 7-206.13 . 6-501.111 (A)(B) (C) P

37 Products held for credit, redemption, or return, not segregated and held in designated areas separated from food, equipment, utensils, linens, or single-service and single-use articles. 6-404.11 Pf

37 Food not stored in a clean, dry location, not at least 6' above the floor; or subjected to contamination. 3-305.11

45 Equipment or component not maintained in good repair, intact, tight, and adjusted in accordance with manufacturers specifications including maintaining cutting or piercing parts of can openers sharp. 4-501.11

COS Observation

O NO PROBE THERMOMETER AVAILABLE AT ESTABLISHMENT. STOP USE IN EFFECT DUE TO RODENTS.

O OUTSIDE: CAT FOOD SCATTERED ON THE FLOOR OUTSIDE OF THE ESTABLISHMENT IN THE FRONT AND THE SIDE.

O BACKROOM: RODENT DROPPINGS OBSERVED THROUGHOUT THE BACKROOM ON THE FLOOR AND ON SHELVES. BACKROOM PLACED UNDER STOP USE. RETAIL AREA: RODENT DROPPINGS OBSERVED ON SOME SHELVES OF THE RETAIL AREA. SHELVES WERE WASHED, RINSED, SANITIZED, AND VERIFIED, PRIOR TO END OF VISIT.

rE RETAIL AREA MOLDY BREAD HELD FOR CREDIT PLACED ON TOP OF FOODS FOR SALE BY THE REGISTER. COS MOLDY BREAD MOVED TO APPROPRIATE LOCATION.

ID RETAIL AREA SUGAR STORED ON THE FLOOR NEXT TO THE COFFEE AREA.

0 RETAIL AREA: BOTTOM OF THE REACH-IN COOLER IS IN DISREPAIR.

Violation Number

34

36


Food temperature measuring device with a suitable small diameter probe not provided and readily accessible for assessing food temperatures as specified in the FDA Food Code. 4302.12 Pf

Premises not maintained by eliminating harborage conditions. 6-501.111(D)

Pf

Pf

FDACS 14205 Rev. 07/13

Page 5o1 9


NICOLE 'NIKKI" FRIED COMMISSIONER

Food Entity Number Food Entity Name: Date of Visit Food Entity Address:

Food Entity Mailing Address'


Food Entity Owner





03262 SHOP SMART FOOD STORES March 22,2019




MANARA INC DBA SHOP SMART FOOD STORES INSPECTION: GRP

MUM Visit # 3460-0000-82 Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C-26 Tallahassee, FL 32399-1650

Owner Code:

Violation Number

45

45


Installed fixed equipment not easily moveable not spaced or not sealed or counter mounted equipment that is not easily moveable not installed elevated or not sealed. 4-402.11 Non food-contact surfaces not free of unnecessary ledges, projections, and crevices or not designed and constructed to allow easy cleaning to facilitate maintenance. 4-202.16

45 Nonfood-contact surfaces of equipment exposed to splash, spillage, or other food soiling or that require frequent cleaning not constructed of a corrosion-resistant, nonabsorbent, and smooth material. 4-101.19

46 Sanitizer concentration test kits not available or not readily accessible. 4-302.14 Pf

47 Non food-contact surfaces of equipment not cleaned at a frequency necessary to preclude accumulation of soil residues. 4-602.13

49 Plumbing system not repaired according to LAW. 5-205.15(A) P

49 No service sink or curbed cleaning facility equipped with a floor drain installed or a toilet or urinal is used as a service sink for the disposal of mop water and similar liquid waste. 5-203.13

FDACS 14205 Rey. 07/13

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COS Observation

• BACKROOM: THREE COMPARTMENT SINK IS NOT SEALED TO THE WALL.

O RETAIL AREA: MILK CRATES USED FOR SHELVING IN THE RETAIL AREA. BACKROOM: MILK CRATES USED FOR SHELVING AND STORAGE IN THE WALK-1N COOLER.

O RETAIL AREA CARDBOARD USED TO LINE SHELVES IN THE RETAIL AREA. BACKROOM: CARDBOARD USED TO LINE SHELVES IN THE WALK-IN COOLER. PARTICLE BOARD SHELVING IN THE WALK-1N COOLER.

o BACKROOM: NO SANITIZER TEST KITS AVAILABLE.

O RETAIL AREA DUST AND DEBRIS ACCUMULATION ON THE DRINK SLIDERS IN THE REACH-IN COOLERS.

o BACKROOM: THREE COMPARTMENT SINK IS IN DISREPAIR AND NOT ABLE TO DRAIN COMPLETELY. STOP USE IN EFFECT FOR RODENTS

o BACKROOM: NO SERVICE SINK PROVIDED AT ESTABLISHMENT, ESTABLISHMENT HAS THIRTY DAYS TO SUPPLY A SERVICE SINK WITH HOT AND COLD RUNNING WATER.

Pf


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Food Entity Number Food Entity Name: Date of Visit: Food Entity Address:


Food Entity Type/Description.

Food Entity Owner










MANARA INC OBA SHOP SMART FOOD STORES INSPECTION: GRP

1111111H111 Visit # 3460-0000-82 Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard. C-26 Tallahassee, FL 32399-1650

Owner Code:

Violation Number Citation Description

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

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

51 Toilet room not enclosed where required or not provided with tight-fitting self-dosing door except as specified in the food code. 6-202.14

51 Toilet room used by females not provided with a covered receptacle for sanitary napkins. 5-501.17

53 Physical facilities cleaning not done as often as necessary to keep them dean or during periods when the least amount of food is exposed such as after dosing. 6-501.12

53 Physical facilities not maintained in good repair. 6-501.11

53 Premises not free of litter and items that are unnecessary to the operation or maintenance of the establishment such as equipment that is nonfunctional or no longer used. 6-501.114

COS Observation

O BACKROOM: THREE COMPARTMENT SINK IS LEAKING INTO A BUCKET.

o BACKROOM: THREE COMPARTMENT SINK IS DIRECTLY PLUMBED. ESTABLISHMENT HAS NINETY DAYS TO PROPERLY INDIRECTLY PLUMB THE THREE COMPARTMENT SINK. FAILURE TO DO SO MAY RESULT IN A STOP USE ORDER. EVIDENCE OF THIS MAY BE EMAILED TO CAROLYN.DRAGONE@FRESHFR OMFLORIDA.COM.

O BACKROOM: SECOND RESIROOM DOOR IS NOT SELF CLOSING.

o BACKROOM: NEITHER RESTROOM HAS A COVERED TRASH CAN.

o RETAIL AREA FLOOR HAS DEBRIS BUILD UP. BACKROOM: FLOOR HAS DEBRIS BUILD UP. FLOOR HAS DEBRIS BUILD UP IN THE WALK-IN COOLER.

o RETAIL AREA HOLE IN THE CEIUNG ABOVE THE COOLERS. BACKROOM: CEILING IN DISREPAIR BY THE ENTERANCE.

o BACKROOM: UNUSED PIECES OF EQUIPMENT STORED IN THE BACKROOM.

........... ................................................................................................................

A Supplemental Report was also issued during the visit which includes important information for management, FDACS 14205 Rev. 07/13

P0907 of

...mmoMM10.11111.e 411111.111

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01111111111 Visil * 3460-0000-82 Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C-26 Tallahassee, FL 32399-1650

Owner Code:



Food Entity Mailing Address*




03262 SHOP SMART FOOD STORES March 22. 2019


535 NE 24th ST Pompano Beach. FL 33064-5454



COMMENTS The affected storage areas must be completely cleared of all merchandise, cleaned and sanitized by the next inspection: no other

merchandise may be added to the storage area or a Broken Stop-use will be issued.

If evidence of pest infestation 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 all processing

equipment (if applicable) will be issued and a Stop-Sale Order of all exposed food items (if applicable) will be issued until the infestation is eradicated. A copy of the Pest Control Plan Checklist has been provided to the establishment.

Re-inspection required due to pests. A re-inspection will be conducted on or about 14 days.

Re-inspection visit required due to pests. Food establishment can call 850-245-5520 to request food safety inspector visit for written release when all affected areas have been adequately cleaned and sanitized. In addition, food establishment should develop and implement a pest management control program.

Stop Sale Order issued, Food establishment can call 850-245-5520 when corrections have been made and/or when required documents have been obtained to request food safety inspector visit for written release of product.

Stop Use Order issued. Food establishment can call 850-245-5520 when corrections have been made and/or when required documents have been obtained to request food safety inspector visit for written release of equipment.

Failure to provide required service sink with hot and cold running water in 30 days may result in Administrative Action,

Three compartment sink is directly plumbed. Establishment has ninety days to properly indirectly plumb the three compartment sink. Failure to do so may result in a stop use order. Evidence of this may be emailed to Carolyn Dragone@FreshF rom Florida .corn.

Employee Health Guidelines and reporting agreement provided.

In order to start processing establishment must clean affected backroom area, repair the three compartment sink, and obtain a thermometer.

FDACS 14205 Rev. 07/13

Page 8 of 9



Food Entity Number Food Entity Name: Date of Visit: Food Entity Address: Food Entity Mailing Address*


Food Entity Owner:



Chapter 500. Flonda Statutes (850) 245-5520







11111111111111 Visit # 3460-0000-82 Bureau of Food Inspection Anention: Business Center 3125 Conner Boulevard, C-26 Tallahassee, FL 32399-1850

Owner Code:

ACKNOWLEDGMENT

I acknowledge receipt of a copy of this document, and I further acknowledge that I have verified the location and mailing addresses on the first page of thisqmertt are correct, or I have e correct information on the first page of this document.

CS ntative) (Signature of Representative)

C410LYN DRAGONS, SENIOR SANITATION AND SAFETY SPECIALIST

X,46A 4 111/tKti 1/A-1-r

Print Name and Title

FOACS 14205 Rev. 07/13

Page 9 of 0



FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT

Bureau of Food Inspection Attention Business Centef 3125 Conner Boulevard. C-28 Tallahassee, FL 32399-1850

Florida Statues. Chapter 500.177, 500.174 (850) 745-5570 I1Ii1111IlIII III

NICOLE "NIKKr FRIED COMMISSIONER

Print Date: March 22, 2019 Visit

#:3460000082

Food Entity #: 03262 Food Entity Name: SHOP SMART FOOD STORES Date Of Visit: March 22, 2019 Food Entity Location Address: 535 NE 24th ST Pompano Beach, FL 33064-5454 Food Entity Mailing Address: 535 NE 24th ST Pompano Beach, FL 33064-5454 Food Entity Type/Description: 123/Convenience Store Limited FS Food Entity Owner: MANARA INC DI3A SHOP SMART FOOD STORES Owner Code:

STOP SALE ORDER

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

Article: Brand Name: Lot #:

Manufacturer: Distributor:

All Open Food Dealer

# Of Pkgs: Size Of Pkg: Total Weight: Invoice #: 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.

FDACS 14205 Rev. 07/13

Page 1 Of 6


NICOLE "NIKKI" FRIED COMNIISSIONER

Food Entity #: Food Entity Name: Date Of Visit: Food Entity Location Address: Food Entity mailing Address: Food Entity Type/Description:

Food Entity Owner:



Florida Statues, Chapter 500.172. 500.174 (850) 245-5520


Bureau of Food Inspection Attention- Business Center 3125 Coverer Boulevard, C-28 Tallahassee, FL 32399-1650

111111111101

II III

Visit #:3460000082

03262 SHOP SMART FOOD STORES March 22, 2019 535 NE 24th ST Pompano Beach, FL 33064-5454 535 NE 24th ST Pompano Beach, FL 33064-5454

123/Convenience Store Limited FS

MANARA INC DBA SHOP SMART FOOD STORES Owner Code:

Ill

STOP USE ORDER

You are hereby ordered to withhold from movement, sale or use subject to further instructions from an authorized agent of the

Florida Department of Agriculture and Consumer Services, the goods or equipment listed below.

Article: Brand Name. Lot #:

Three Compartment Sink Dealer


Manufacturer: Distributor

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


STOP USE ORDER

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


Backroom Dealer



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


FDACS 14205 Rev. 07/13

page 2 016

VII Ina ORM 1111111•11111111111,a111•111111! 111111Mr

2111111.1=1.


Bureau of Food Inspection

Attention: Business Center

3125 Conner Boulevard, C-28

Tallahassee, FL 32399-1850

NICOLE "NIKKI^ FRIED COMMISSIONER

Food Entity #: Food Entity Name: Date Of Visit: Food Entity Location Address: Food Entity Mailing Address: Food Entity Type/Description:

Food Entity Owner




Ronda Statues. Chapter 500.172, 500.174 (850) 245-5520

Print Date: March 22, 2019 Visit #:3460000082

03262 SHOP SMART FOOD STORES March 22, 2019 535 NE 24th ST Pompano Beach, FL 33064-5454



MANARA INC OBA SHOP SMART FOOD STORES

STOP USE ORDER

II 1111 1111 1111

Owner Code:




Manufacturer Distributor

Hot Case Dealer




STOP USE ORDER

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


Slushie Machine Dunn





FDACS 14205 Rev. 07/13

Page 3 o16


Bureau of Food Inspection Attention Business Center 3125 Conner Boulevard. C-26 Tallahassee, FL 32399-1650




FIonda Statues. Chapter 500.172, 500.174 (850) 245-5520


III 111111 1111 Visit #:3460000082

Food Entity #. 03262 Food Entity Name: SHOP SMART FOOD STORES Date Of Visit: March 22, 2019 Food Entity Location Address: 535 NE 24th ST Pompano Beach, FL 33064-5454 Food Entity Mailing Address: 535 NE 24th ST Pompano Beach, FL 33064-5454

Food Entity Type/Description: 123/Convenience Store Limited FS

Food Entity Owner: MANARA INC DBA SHOP SMART FOOD STORES Owner Code:

STOP USE ORDER





Capp Machine Dunn


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


STOP USE ORDER

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



Hot Dog Roller Truel-leat


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.

FDACS 14205 Rev. 07/13

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Bureau of Food Inspection

Attention. Business Center

3125 Conner Boulevard. C-26

Tallahassee. FL 32399-1550

11111

III

II I 111 1111111




Florida Statues. Chapter 500.172. 500.174

(850) 245-5520

NICOLE 1NIKKI" FRIED COMMISSIONER

Food Entity #-. Food Entity Name: Date Of Visit: Food Entity Location Address: Food Entity Mailing Address: Food Entity Type/Description:

Food Entity Owner


03262 SHOP SMART FOOD STORES March 22, 2019 535 NE 24th ST Pompano Beach, FL 33064-5454




Visit #:3460000082

Owner Code:

STOP USE ORDER



Article: Brand Name: Lot it

Boiled Peanuts Hawk


Manufacturer Distributor


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 Departments 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.

3.A statement that you are requesting an administrative hearing and dispute the material facts alleged by the department in which FDACS 14205 Rev. 07/13

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7 11, Scanned by CamScanner

I acknowledge receipt of a copy of this document.

gnature f FDAC resentative)

CAROLYN DRAGONE. SENIOR SANITATION AND SAFETY SPECIAUST

(Signature of Representative)

1(14 /71 gtiv A40-4\ Print Name and Title

case you must identify the 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 an administrative hearing within the twenty-one (21) day deadline you waive your right to a hearing and the Department may enter a Final Order imposing up to the maximum penalties as authorized by Florida Law.

HEARING WAIVER AND WAIVER OF RIGHTS

I. (N 'i12t)f the person in charge of SHOP SMART FOOD STORES 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 report.

(Signature)114 1 ACKNOWLEDGEMENT

MACS 14205 Rev. 07/13

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florida department of agriculture and consumer services ii iii · food entity owner: manara inc dba...

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