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Food Establishment Inspection Report |
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FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS |
Circle designated compliance status (IN, OUT, N/O, N/A) for each numbered item IN=in compliance OUT=not in compliance N/O=not observed N/A=not applicable Mark "X" in appropriate box for COS and/or R COS=corrected on-site during inspection R=repeat violation |
Risk factors are important practices or procedures identified as the most prevalent contributing factors of foodborne illness or injury. Public health interventions are control measures to prevent foodborne illness or injury. |
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GOOD RETAIL PRACTICES |
Good Retail Practices are preventative measures to control the addition of pathogens, chemicals, and physical objects into foods. In the sections below, red circle=out of compliance Mark "X" in appropriate box for COS and/or R COS=corrected on site during inspectionR=repeat violation |
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Food Establishment Inspection Report |
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Page 2 of ?????? | |
Establishment Name: Pho Noodle Station | Permit #: 3134 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type:: Chlorine | PPM: Within specified range | Heat: NA |
Illinois Requirements: | Use of non-latex gloves for food handling and preparation 410 ILCS 180/10. |
Appropriate default beverage for children's meal 410 ILCS 620/21.5. |
CFPM AND HACCP |
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CFPM Verification (name, expiration date, ID#): | |||
Runxia Li Exp. Date: 03/04/2029 ID #: 25282878 |
Wanqiang Lan Exp. Date: 03/03/2028 ID #: 23456335 |
Qing Chen Exp. Date: 10/16/2026 ID #: 21150815 |
Feng Hui Weng Exp. Date: 01/19/2025 ID #: 18841451 |
HACCP Topic: Approved Sources |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item No. |
P | Pf | C | R |
Violations cited in this report must be corrected within the timeframes below. NRI=Next Routine Inspection |
Correction Date |
20 | X |
3-501.14 (A): Cooling-Cooked TCS FOODS Two large stock pots contained broth at 48.6F and 45.6F in the walk-in cooler. The stock pots were lidded and filled more than 10 inches high with broth. According to an employee, the broth was prepared yesterday. COS: The broth was discarded. Discussed cooling methods, including portioning food, using ice as an ingredient, leaving cooling foods uncovered, and tracking the cooling process using a cooling log. |
COS |
22 | X | X |
3-501.16(A) (2): TCS FOODS: Cold Holding 41ºF or Less 1) Raw shrimp was 50.5F and raw meat was 43.7 to 44.6F in the cook line make table reach-in cooler. According to the PIC, the food has been in the refrigerator overnight. The ambient temperature of the unit was 37.6F in the middle and 39.9F on the right side (R2). COS: The shrimp and the meat were discarded. 2) At 11:19 AM, cooked and cooled noodles were 45F on the cook line prep table. The noodles were marked with a sticker stating that they were removed from the cooler at 11:00 AM and were to be discarded at 2:00 PM. This facility does not currently have approval for Time as a Public Health Control (TPHC) (R2). COS: The noodles were moved to the walk-in cooler. The PIC was directed to cease using unapproved TPHC. (R2): This is the third consecutive routine inspection that this violation has been documented. As a result, a yellow Food Safety Alert placard was posted. *See the Inspection Comments at the end of the report. |
COS |
10 | X |
5-205.11 (B): HANDWASHING SINK No Other Uses An employee used the cook line hand sink to rinse a rag. COS: Discussed using hand sinks for handwashing only. |
COS |
24 | X |
3-501.19 (A) (1): TPHC-Working Supply Before Cooking or RTE for Display-Written Procedures As noted in violation item #22, the facility was using TPHC for cooked and cooled noodles without prior approved written procedures. Trays of bean sprouts (still stored in mechanical refrigeration and 41F or below) were similarly labeled with a start time of 11:00 AM and a discard time of 2:00 PM, not approved. COS: The noodles were moved to the walk-in cooler. The time labels were removed from all labeled foods. Directed the PIC to cease use of TPHC without prior approval from the health department. |
COS |
25 | X |
3-603.11: Consumer Advisory--DISCLOSURE and REMINDER 1) The fried egg in the "Extra Topping" section of the menu was not provided with an asterisk leading to the reminder footnote located at the bottom of the menu. The reminder footnote on the bottom of the menu was not stated as provided in the FDA food code. 2) The fried egg was provided with an asterisk in the description for item V61 and V62 in the "Com Dia Rice Plate" section of the menu, but a reminder footnote was not provided at the bottom of the menu. VCF: Provide corrected menus by 4:00 PM on 4/1/2025. |
04/01/2025 |
33 | X | X |
3-501.15 (A): FOOD Temperature Control: Cooling Methods As noted in violation item #20, ineffective cooling methods caused two stockpots of broth to fail to cool properly within 6 hours (R1). COS: The broth was discarded. Cooling methods were discussed. (R1): This is the second consecutive routine inspection that this violation has been documented. *See the Inspection Comments at the end of the report. |
COS |
39 | X | X |
3-305.11 (A) (B) (C): FOOD Storage: Preventing Contamination from the PREMISES Cases of food were stored on the floor in the walk-in freezer (R3). |
NRI |
44 | X |
4-901.11 (A): EQUIPMENT and UTENSILS: Air-Drying Required Clean containers were stacked wet on the shelf above the 3-compartment sink. |
NRI |
47 | X | X |
4-101.19: Non-FOOD CONTACT SURFACES of EQUIPMENT: Material: Construction and Repair The paint was chipping on the storage cabinet in the women's restroom (R1). The racks were rusted in the cook line make table cooler and in the Coca-Cola refrigerator. |
NRI |
47 | X |
4-501.11 (B): EQUIPMENT Components (doors, seals, hinges, fasteners, and kick plates): Maintain in Good Repair and Adjustment The door seal was torn on the walk-in freezer door. |
NRI |
49 | X |
4-601.11(C): Non-FOOD CONTACT SURFACES-EQUIPMENT: Clean The door walk-in cooler door seal was soiled. The door seals on the cook line make table cooler were soiled. |
NRI |
55 | X |
6-501.12 (A): PHYSICAL FACILITIES Cleaned As Often As Necessary The floor was soiled in the walk-in freezer. The floor joints were soiled in the walk-in cooler. |
NRI |
Person in Charge (Signature)Runxia Li, CFPM |
Date:03/18/2025 |
Environmental Health Specialist (Signature)Rachel Pereira |
Follow-up: Yes No Follow-up Date: |
Food Establishment Inspection Report |
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Page 3 of ?????? | |
Establishment Name: Pho Noodle Station | Permit #: 3134 |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item No. |
P | Pf | C | R |
Violations cited in this report must be corrected within the timeframes below. NRI=Next Routine Inspection |
Correction Date |
Inspection Comments |
*(R1): A further repeat of this violation at the next routine inspection would result in the posting of a yellow Food Safety Alert placard and require the completion of a root cause questionnaire. Please implement long-term active managerial controls to ensure correction of this food safety concern is maintained between now and the next routine inspection.
*(R2): A yellow Food Safety Alert placard was posted due to the repeated violation. A Repeat P & Pf Root Cause Questionnaire was completed during the inspection debriefing. A follow-up inspection will be conducted to verify the long-term correction of this violation in 5-7 business days. ***The outcome of your follow-up inspection in 5-7 business days is contingent on the submission of adequate temperature logs. Please submit these via email by 8:00 AM on 3/25/2025.*** VCF: Provide corrected menus by 4:00 PM on 4/1/2025. Contact me with questions at rpereira@c-uphd.org. |
Person in Charge (Signature)Runxia Li, CFPM |
Date:03/18/2025 |
Environmental Health Specialist (Signature)Rachel Pereira |
Follow-up: Yes No Follow-up Date: |