Florida Department of Agriculture and Consumer Services II II · 9/17/2019 · PENN DUTCH FOOD...

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: September 17, 2019

290778 PENN DUTCH FOOD CENTER II INC September 16, 2019

3201 N State Road 7 Margate, FL33063-7097

3201 N State Road 7 Margate, FL 33063-7097

111/ Supermarket

PENN DUTCH FOOD CENTER II INC

II II Visit # 9999-7182 1330 79 Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C-26 Tallahassee, FL 32399-1650

Owner Code:

INSPECTION SUMMARY - Re-Inspection Required

On September 16, 2019, PENN DUTCH FOOD CENTER II INC was inspected by DAVID GRIX, 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 October 01, 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 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

GOOD RETAIL PRACTICES

Violation Description Food deemed adulterated

OBSERVATIONS AND CORRECTIVE ACTIONS P = Priority Citation

(Directly Associated with Foodborne Illnesses)

INSPECTION: GRP

Violation Compliance Number Status

97 OUT

COS = Corrected on Site Pf = Priority Foundation Citation

(Supports or Leads to a Priority Citation)

Violation Number

97

Citation Description

* Food has been produced, prepared, packed, or held under insanitary conditions whereby it may have become contaminated with filth, or whereby it may have been rendered diseased, unwholesome, or injurious to health. 500.10(1)(f) F.S.

COS Observation

1:1 VARIOUS AREAS: AS EVIDENCED BY ENVIRONMENTAL SAMPLES FOUND POSITIVE FOR LISTERIA MONOCYTOGENES (LM).

A Supplemental Report was also issued during the visit which includes important information for management.

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

Food Entity Address:



Food Entity Owner:


FOOD SAFETY INSPECTION REPORT

Chapter 500, Florida Statutes (850) 245-5520


290778 PENN DUTCH FOOD CENTER II INC September 16, 2019

3201 N State Road 7 Margate, FL33063-7097

3201 N State Road 7 Margate, FL 33063-7097

111/ Supermarket

PENN DUTCH FOOD CENTER II INC

II II Visit # 9999-7182 1330-79 Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C-26 Tallahassee, FL 32399-1650

Owner Code:

COMMENTS 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.

Sample Collection #78, collected on 09/09/2019 has been corrected to properly identify the "Collected From:", field to indicate the Sample collected from the Ready Cooler, not "whirl pack" as previously entered.

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)

DAVID GRIX, SANITATION AND SAFETY SPECIALIST JOSE SANCHEZ, PERSON IN CHARGE

Print Name and Title

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Visit #:99997182133079


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

Food Entity Owner:

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


FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT

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


290778 PENN DUTCH FOOD CENTER II INC September 16, 2019 3201 N State Road 7 Margate, FL 33063-7097 3201 N State Road 7 Margate, FL 33063-7097

111/Supermarket

PENN DUTCH FOOD CENTER II 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 Florida Department of Agriculture and Consumer Services, the goods or equipment listed below.

Article: All Wheeled Dollies Brand Name: Penn Dutch Food Center Lot #: # Of Pkgs: All

Manufacturer: Penn Dutch Food Center Distributor: Penn Dutch Food Center

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 500.172 UNSANITARY EQUIPMENT* Food deemed adulterated

Comments: CALL 850-245-5520 TO REQUEST FOOD SAFETY INSPECTOR VISIT FOR WRITTEN RELEASE WHEN CORRECTIONS HAVE BEEN MADE TO REQUEST RELEASE OF EQUIPMENT.

STOP USE ORDER


Article: Black Plastic Trays Brand Name: Penn Dutch Food Center Lot #: # Of Pkgs: All



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 500.172 UNSANITARY EQUIPMENT* Food deemed adulterated

Comments: CALL 850-245-5520 TO REQUEST FOOD SAFETY INSPECTOR VISIT FOR WRITTEN RELEASE WHEN

CORRECTIONS HAVE BEEN MADE TO REQUEST RELEASE OF EQUIPMENT.

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Visit #:99997182133079



Food Entity #: Food Entity Name: Date Of Visit: Food Entity Location Address:

Food Entity Mailing Address: Food Entity Type/Description:

Food Entity Owner:






111/Supermarket


STOP USE ORDER


Article: North Seafood Cutting Board (Seafood Cu Brand Name: Penn Dutch Food Center Lot #: # Of Pkgs: Size Of Pkg:


Total Weight: Invoice #: Invoice Date:



STOP USE ORDER


Article: Pallet Scale in Tray Wash Hallway Brand Name: Penn Dutch Food Center Lot #: # Of Pkgs: Size Of Pkg:



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 500.172 UNSANITARY EQUIPMENT" Food deemed adulterated


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Food Entity #: Food Entity Name: Date Of Visit: Food Entity Location Address:



Food Entity Owner:







111/Supermarket


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: Deli Dust Pan Brand Name: Penn Dutch Food Center Lot #: # Of Pkgs: 1






STOP USE ORDER



Article: Deli Brand Name: Penn Dutch Food Center Lot #: # Of Pkgs:


Size Of Pkg: Total Weight: Invoice #: N/A Invoice Date:





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Visit #:99997182133079


Food Entity #: Food Entity Name: Date Of Visit: Food Entity Location Address: Food Entity Mailing Address:


Food Entity Owner:







111/Supermarket


STOP USE ORDER



Article: Deli Slicing Room Brand Name: Penn Dutch Food Center Lot #: # Of Pkgs: N/A







STOP USE ORDER



Article: Special Cuts Room Brand Name: Penn Dutch Food Center Lot #: # Of Pkgs: N/A







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Visit #:99997182133079



Food Entity Owner:







111/Supermarket


STOP USE ORDER


Article: Seafood Department (Display and Cutting Brand Name: Penn Dutch Food Center Lot #: # Of Pkgs: N/A Size Of Pkg:



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 500.172 UNSANITARY EQUIPMENT" Food deemed adulterated


STOP USE ORDER


Article: Fish Cooler Brand Name: Penn Dutch Food Center Lot #: # Of Pkgs: N/A





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Food Entity Owner:





III II II II Visit #:99997182133079


111/Supermarket


STOP USE ORDER


Article: Brand Name: Lot #:

Seafood and Deli Hallway Penn Dutch Food Center

# Of Pkgs: N/A Size Of Pkg: Total Weight: Invoice #: Invoice Date:




STOP USE ORDER


Article: Ready Cooler Brand Name: Penn Dutch Food Center Lot #: # Of Pkgs: N/A





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Food Entity Owner:





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111/Supermarket


STOP USE ORDER


Article: Tray Wash Hallway Brand Name: Penn Dutch Food Center Lot #: # Of Pkgs:





STOP USE ORDER


Article: Brand Name: Lot #:

Chicken Production Room Penn Dutch Food Center

# Of Pkgs: N/A Size Of Pkg: Total Weight: Invoice #: Invoice Date:




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Visit #:99997182133079



Food Entity #: Food Entity Name: Date Of Visit: Food Entity Location Address: Food Entity Mailing Address:


Food Entity Owner:






111/Supermarket


STOP USE ORDER


Article: Future Room Brand Name: Penn Dutch Food Center Lot #: # Of Pkgs: N/A





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.

3.A statement that you are requesting an administrative hearing and dispute the material facts alleged by the department, in which

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).

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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, the person in charge of PENN DUTCH FOOD CENTER II INC 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)

ACKNOWLEDGEMENT

I acknowledge receipt of a copy of this document.

(Signature of FDACS Representative) (Signature of Representative)

DAVID GRIX, SANITATION AND SAFETY SPECIALIST JOSUE SANCHEZ, PERSON IN CHARGE

Print Name and Title

FDACS 14205 Rev. 07/13

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FDACS 14205 Rev. 07/13

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Florida Department of Agriculture and Consumer Services II II · 9/17/2019 · PENN DUTCH FOOD...

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