Silvertree Nursing & RehabHEALTI~ IITV'TST®N
1400 ~~'HET2TZ PAI~WAY
5C~IEItTZ, 'T'EXAS 7154-1634
611-1771
I~TAIL F'®®I) ESTAEI~ISII~'IENT INSPECTI®N ~P®I2'I'
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5~ Cede IWo Day Ye tarp Time ~PA3 CertiSaal CFN Poor®it lYa. k
Cat
Pwpose of lrtspeetion: 1-~mplianoe ~:2=ltoutiii~ 3-Feld Investigation 4-Visit 5 d?tiacr
Esteblishrnent: - , ; Owner:
Physical Address: ~ _ dip: Phone: ( )
DEMERITS
5 Pts Food (PFF()?) 'H'e~pat°atardT i lieylnircy~tnts
Violations 're lmtn~iate Corrective Action Remarks COS
1. Proper Cooling for CaolcedlP Food
2. Call Hold (41 F/45
3. Hot Hold (140 F)
4. Proper Cookie Tettyperatures per PHF
5. id Reheatin (165 F in 2 Hrs)
Remarks
DEMERITS
4 Pts 1Prrs~u,~eiibiag/Sourca [teainireyneyits
Violations airs Immediate Corrective Action Remarks C®S
b. Persayryel with lnfectioyts Restrided/Excluded
7. Proper/Adequ$te Hand washing
g. Good H iienic Practices (Eatinpf [kinkin 5tnokit~g/Other)
9: Ap ved Sourcell.abeiing
10. Sound Condition
l 1. Pro r Handii of heady-To-Eat Foods
12. Cross-Carstamination of Raw/Cooked Foods/Other
13. proved S terns (HACCP Plans/Iime as Public Health Control}
14. Water Supply -Approved Sotyrce/Sutlicierst Capacity/Hot and Cold Under Pressure
DE11dElil'TS
3 Pts Facility atfld Egyyipyney~ Regnircmt:44s
Violations wire Immediate Corrective Action Not to Exceed id Remarks C®S
15. Egyyipment Adequate To Mmintain Pradud Temperature
16. Hand Wash Facilities uaie and Accessible
17. Hand Wash Facilities with aytd Towels
18. No Evidence of Insect Contamination
19. No Evidence of Rodents/Other Animals
20. Toxic lteyns Properl T.abeledlS`tored/Used
21. Manual Ware Washing and Sanitizing at ( ) ppny/temperature
22. Mechanical Ware Wtyshin and 3anitizin at ) tern are
23. Ap roved Sewage/Was#ewaterDisposal S tern, Pr Dispose!
24. Thermometers Provided/ 1 Calibrated dr 2
25. Food Catttad Surfaces of E uipnyent and Utensils CleanediSaryitizedlGood 'r
26. Posting of Consumer Advisories (Heimi'ych/Raw Sheil~.sh W uffet Plate)
27. Food Establishment Pertatit -Grade Certitcate Pasted -Feed Handler 'IYnmin;
®tlyer Viola~ons - Violatimys Requiy+e Corrective Actions, Not To Exceed 90 Days Or The Next Inspection,
Whichever Coyne FBrst
Total
[I~errrerits
Total
Score
Ins ed i3 Prittt:
Follow-Up
Inspey~ion
DES N~
Received 13y:
Print:
'T'itle:
~. -- CLI$$ollter PO5ting
ITEVEL,®PA'TENT ~EItVICES I~EI'AlY'I'1VIEN'I'
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