STATE OF FLORIDA DEPARTMENT OF HEALTH COUNTY HEALTH DEPARTMENT FOOD SERVICE INSPECTION REPORT

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Facility Information Permit Number: 13-48-10998 Name of Facility: Pine Lake Elem Address: 16700 SW 109th Avenue City, Zip: Miami 33157 SatisfactoryRESULT: Correct By: None Re-Inspection Date: None
Type: School (more than 9 months) Owner: M-DCSB Food and Nutrition Person In Charge: Crystal Coffey Inspection Information Phone: (305) 223-7018
Purpose: Routine Inspection Date: 11/4/2016 Begin Time: 12:00 PM End Time: 12:45 PM
Additional Information

No Additional Information Available

Items marked below violate the requirements of Chapter 64E-11 of the Florida Administrative Code and must be corrected. Continued operation of this facility without making these corrections is a violation of Chapter 64E-11, Florida Administrative Code and Chapters 381 and 386, Florida Statutes. Violations must be corrected by the date and time indicated in the Results section above or an administrative fine or other legal action will be initiated.

Violation Markings
FOOD SUPPLIES 17. Exclusion of personnel 34. Plumbing
1. Sources, etc. 18. Cleanliness 35. Toilet facilities
FOOD PROTECTION 19. Tobacco use 36. Handwashing facilities
2. Stored temperature 20. Handwashing 37. Garbage disposal
3. No further cooking/Rapid cooling 21. Handling of dishware 38. Vermin control
4. Thawing EQUIPMENT/UTENSILS OTHER FACILITIES AND OPERATIONS
5. Raw fruits 22. Refrigeration facilities/Thermometers 39. Other facilities and operations
6. Pork cooking 23. Sinks TEMPORARY FOOD SERVICE EVENTS
7. Poultry cooking 24. Ice storage/Counter-protector 40. Temporary food service events
8. Other animal cooking 25. Ventilation/Storage/Sufficient equipment VENDING MACHINES
9. Least contact/Reheating 26. Dishwashing facilities 41. Vending machines
10. Food container 27. Design and fabrication MANAGER CERTIFICATION
11. Buffet requirements 28. Installation and location 42. Manager certification
12. Self-service condiments 29. Cleanliness of equipment CERTIFICATES AND FEES
13. Reservice of food 30. Methods of washing 43. Certificates and fees
14. Sneeze guards SANITARY FACILITIES AND CONTROLS INSPECTION/ENFORCEMENT
15. Transportation of food 31. Water supply 44. Inspection/Enforcement
16. Poisonous/Toxic materials 32. Ice
PERSONNEL 33. Sewage
General Comments

Satisfactory Email Address(es): mbristol@dadeschools.net

Inspector Signature: Client Signature:

Form Number: DH 4023 01/05 13-48-10998 Pine Lake Elem

STATE OF FLORIDA DEPARTMENT OF HEALTH COUNTY HEALTH DEPARTMENT FOOD SERVICE INSPECTION REPORT

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Violations Comments

No Violation Comments Available

Inspection Conducted By: Maria Adrover (82515) Inspector Contact Number: Work: (305) 623-3500 ex. Print Client Name: Date: 11/4/2016

Inspector Signature: Client Signature:

Form Number: DH 4023 01/05 13-48-10998 Pine Lake Elem