HOTEL/MOTEL INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503)
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1 Historical 9/2/2015 Page 1 of 6 Inspector: Mason Lyman Start Date/Time: 9/2/2015 at 1:39:58 PM ANNUAL INSPECTION OF FACILITY- 14 ROOMS TOTAL- INSPECTED ROOM #5. FIRE EXT. WITHIN 75 FEET OF ALL ROOMS FIRE ALARM OPERATIONAL MATTRESS PADS PROVIDED CLEAN SHEETS ON BEDS FREE OF DEBRIS GOOD VENTILATION IN RESTROOMS HOT WATER PROVIDED FRIDGE/FREEZERS COLD MICROWAVES CLEAN LAUNDRY ROOM WELL MAINTAINED WITH GOOD SEPARATION BETWEEN DIRTY AND CLEAN LINENS LIGHTS PROTECTED TOXICS LABELED/ STORED WELL SHELVING SMOOTH/EASILY CLEANABLE (5)(a) Violation of OAR (5)(a) The openable windows in the bathrooms, toilet rooms, laundry room or similar rooms are not screened. NO SCREEN ON 2 WINDOWS IN LAUNDRY. Screen all openable windows in the aforementioned room(s) to comply with OAR (5)(a). PLEASE CORRECT. Person In Charge Inspection By: Mason Lyman Page 1
2 Page 2 of 6 Start Date/Time: 9/18/2014 at 3:11:44 Historical 9/18/2014 Page 2 of 6 Inspector: Mason Lyman Start Date/Time: 9/18/2014 at 3:11:44 PM ANNUAL INSPECTION 14 ROOMS ON PROPERTY, CHECKED ROOMS #6 AND #11 (#11 WITH KITCHEN) HOT WATER PRESENT IN EACH ROOM MATTRESS PADS ON BEDS CLEAN SHEETS BETWEEN LINENS **NORTH BED IN ROOM 6 HAD SAND BELOW MATTRESS, INCLUDE IN CLEANING SCHEDULE TO SHAKE OUT BOTTOM LAYERS ON BED OF DEBRIS. FIRE EXTINGUISHERS PRESENT IN ROOMS, OR WITHIN 75 FEET OF ROOMS. MICROWAVES/OVENS CLEAN GOOD VENTILATION AVAILABLE NO EVIDENCE OR PESTS/RODENTS NO LARGE HOLES/GAPS IN WALLS VISIBLE LAUNDRY ROOM- SHELVES SMOOTH AND EASILY CLEANABLE LIGHT BULBS PROTECTED CHEMICALS STORED BELOW, AWAY AND LABELED GOOD SEPARATION BETWEEN DIRTY AND CLEAN LINENS NO STAIRWAYS PRESENT GOOD OVERALL HYGIENE SEEN AROUND FACILITY (5)(a) Violation of OAR (5)(a) The openable windows in the bathrooms, toilet rooms, laundry room or similar rooms are not screened. WINDOW IN BATHROOM IN ROOM #11 DOES NOT HAVE A SCREEN. Screen all openable windows in the aforementioned room(s) to comply with OAR (5)(a). PROVIDE SCREENS FOR ALL OPENABLE WINDOWS.
3 Page 3 of 6 Start Date/Time: 9/18/2014 at 3:11:44 Person In Charge Inspection By: Mason Lyman Page 3
4 Page 4 of 6 Start Date/Time: 9/5/2013 at 10:59:11 Historical 9/5/2013 Page 4 of 6 Inspector: Melissa Kauffman Start Date/Time: 9/5/2013 at 10:59:11 AM THE PURPOSE OF THIS VISIT IS AN ANNUAL INSPECTION TWO ROOMS WERE INSPECTED 5 AND 11 MATRESS COVERS ON BEDS, LINENS IN GOOD REPAIR DISHES THAT WERE CHECKED ARE IN GOOD CONDITION GOOD SIGNS FOR DISHWASHING GOOD VENTILATION IN BATHROOM SMOKE DETECTORS ARE WORKING FIRE EXTINGUISHERS WITHIN 75FT LAUNDRY ROOM IN GOOD REPAIR CLEAN IN SOILED LINENS ARE KEPT SEPARATE CHEMICLES ARE PROPERLY STORED ROOM IN GOOD REPAIR LIGHTS ARE PROTECTED NO VIOLATIONS AT THIS TIME, THANK YOU!
5 Page 5 of 6 Start Date/Time: 9/5/2013 at 10:59:11 Person In Charge Inspection By: Melissa Kauffman Page 5
6 Page 6 of 6 Start Date/Time: 9/27/2012 at 10:08:15 Historical 9/27/2012 Page 6 of 6 Inspector: Melissa Kauffman Start Date/Time: 9/27/2012 at 10:08:15 AM THE PURPOSE OF THIS VISIT IS AN ANNUAL INSPECTION MATRESS PADS ON BEDS FRIE EXTINGUISHER IN KITCHEN AREA AND OUTSIDE LOCATED WITHIN 75FT. WORKING SMOKE DETECTOR GOOD VENTILATION IN BATHROOM SIGNS FOR PATRON DISHWASHING DISHES THAT WERE CHECKED ARE IN GOOD REPAIR LAUNDRY ROOM HAS GOOD SEPARATION OF CLEAN AND SOILED LINENS. CHEMICLES ARE PROPERLY STORED LIGHTS ARE PROTECTED FLOOR IS TORN UP BECUASE OF BROKEN DRYER THAT IS IN THE PROCESS OF BEING REPLACED AND NEW FLOORING WILL BE PUT IN. Person In Charge Inspection By: Melissa Kauffman Page 6
HOTEL/MOTEL INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503)
Historical 8/31/2016 Page 1 of 9 Inspector: Jaime Craig Start Date/Time: 8/31/2016 at 3:24:04 PM PERSON IN CHARGE EASILY FOUND INSPECTED ROOMS 6 AND 8, 14 TOTAL ROOMS ADEQUATE HOT WATER IN EACH ROOM SMOKE
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Historical 3/3/2016 Page 1 of 10 Inspector: Annette Pampush Start Date/Time: 3/3/2016 at 10:55:22 AM THIS IS S SEMI ANNUAL INSPECTION LUNCH BEING PREPPED/SERVED SANITIZER AT 50 PPM DISHWASHER AT 180 F
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Historical 2/24/2016 Owner Name: QK HOLDINGS, LLC 2230 MAIN AVE N, STE 200 TILLAMOOK, OR 97141 101 E HOPI DR HOLBROOK, AZ 86025 SEMIANNUAL INSPECTION OF FACILITY- FOOD SERVICE INSPECTION REPORT Tillamook
FOOD SERVICE INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503)
Historical 1/22/2016 Page 1 of 13 N Inspection Type: REINSP Inspection Result: COMPLD Establishment #: 2900114 Area: 01 Phone: (503) 815-1300 x1113 Inspector: Mason Lyman Start Date/Time: 1/22/2016 at
FOOD SERVICE INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503)
Historical 9/24/2015 INSPECITON OF FACILITY- Inspection Result: COMPLD Establishment #: Phone: 2900178C (503) 368-7675 x Inspector: Mason Lyman Start Date/Time: 9/24/2015 at 4:12:35 PM Page 1 of 13 Area:
FOOD SERVICE INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503)
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FOOD SERVICE INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503)
Historical 5/23/2016 FOOD SERVICE INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR 97141 (503) 842-3943 Page 1 of 6 Owner Name: KENDRA M HALL Inspection Type: REINSP Inspection
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Historical 1/7/2016 Priority/Priority Foundation Score: 100 Core Item Total: 0 Inspection Result: COMPLD Establishment #: Phone: 2900328A (503) 842-5603 x Inspector: Mason Lyman Start Date/Time: 1/7/2016
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Historical 11/17/2016 Owner Name: QK HOLDINGS, LLC 2230 MAIN AVE N, STE 200 TILLAMOOK, OR 97141 101 E HOPI DR HOLBROOK, AZ 86025 FOOD SERVICE INSPECTION REPORT Tillamook Co. Environmental Health PO Box
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