Fraser Health Authority



INSPECTION REPORT
Health Protection
LKIM-AEXQDA
PREMISES NAME
Domino's Pizza #10052		Tel: (604) 585-7422
Fax: (604) 585-7489
PREMISES ADDRESS
102 - 15155 101st Ave
Surrey, BC V3R 7Z1		INSPECTION DATE
October 21, 2016		TIME SPENT
0.5 hours
OPERATOR (Person in Charge)
Michael		NEXT INSPECTION DATE
6 Months
INSPECTION TYPE
Follow-Up
ACTION TAKENFOOD SAFETY & SANITATION
ADMINISTRATIVE
ENFORCEMENT
Require Corrections
Comply
In Use
Food Safety Training [s. 10]
Yes
Food Safety Plan [s. 23]
Yes
Yes
Sanitation Plan [s. 24]
Yes
No
HAZARD RATING FOR YOUR FACILITY: Low (≤15) Total Score = 14
Critical Hazards: Total Number: 1
201 - Food contaminated or unfit for human consumption [s. 13]
Observation (CORRECTED DURING INSPECTION): Dipping cups in cardboard box on bottom shelf again. Rodent dropping observed to be inside box again.
. CORRECTED DURING INSPECTION - ITEMS DISCARDED
.
Corrective Action(s): DO NOT leave any dipping cups on this bottom shelf over night. This was explained to Manager Yesterday and the day before.
If facility continues to disregard Health Department FINES will be the result.
.
Violation Score: 5

Non-Critical Hazards: Total Number: 1
306 - Food premises not maintained in a sanitary condition [s. 17(1)]
Observation: Rodent droppings observed on floor in a few areas.
.
Corrective Action(s): Clean and sanitize with 200ppm QUAT sanitizer solution
Ensure that staff are cleaning the floors nightly.
.
Violation Score: 9

Follow Up to "Critical" Violations Noted on Previous Inspections (if applicable): No corrections entered
Comments

Items corrected: - facility has sealed gap next to cooler

ENSURE THAT FLOORS ARE CLEANED NIGHTLY AND THAT DIPPING CUPS ARE NOT STORED ON BOTTOM SHELF
TRANS FAT REGULATION ENFORCEMENT REFERENCE
Health Protection
Report #: LKIM-AEXQDA
COMPLIANCE REQUIREMENTS FOR FOOD PREPARED, SERVED OR OFFERED FOR SALE LOCATED ON THE PREMISES OF A BC FOOD SERVICE ESTABLISHMENT:




Compliance

Date to be corrected by


1.
Documentation for food is kept on site and provided to the EHO upon request.
Yes



2.
All soft spreadable margarine and oil meets the restriction of 2% trans fat or less of total fat content.
Yes



3.
All other food meets the restriction of 5% trans fat or less of total fat content.
Yes

Time Spent: 0.25 hour
Specific comments:
Food exempt from the regulation includes:
  • Pre-packaged food with a Nutrition Facts table sold directly to the consumer without alteration
  • Food with the sole source(s) as naturally occurring trans fat (i.e. beef, sheep, lamb, bison and dairy products)
  • Employee lunches not purchased from the food service establishment