Hunterdon County Department of Public Safety Division of Public Health Services

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Hunterdon County Department of Public Safety Division of Public Health Services Karen DeMarco, Health Officer Physical Address: 312 Route 12 County Complex, Building # 1, 2nd Floor Mailing Address: PO Box 2900, Flemington, NJ 08822-2900 Telephone: 908-788-1351 Fax: 908-782-7510 E-Mail: health@co.hunterdon.nj.us www.co.hunterdon.nj.us Insp Date: 1/7/2016 Business ID: 6 Inspection: HC000462 Business: VALLEY VIEW MANOR NURSING HOME Risk Type: 3 117 COUNTY RDT 513 Phone: 908-996-4112 117 COUNTY RDT 513 REHS: B-2225 Daniel Wyckoff FRENCHTOWN, NJ 08825 Reason: Initial Billable Results: Satisfactory Establishment Information Municipality Alexandria Twp Risk Type on File 3 Risk Type Observed 3 FMC Yes Name Velvia Rolle Type ServSafe Exp Date 04/30/16 Sewage System On Site Water System Well Lab QC Lab Reference # F-01-18/39 Total Coliform 12/04/15 FOODBORNE ILLNESS RISK FACTORS AND INTERVENTIONS RISK FACTORS are improper practices identified as the most common factors resulting in foodborne illness (FBI). INTERVENTIONS are control measures to prevent FBI. Mark "X" in appropriate Box: IN=In Compliance; OUT=Not in Compliance; NO=Not Observed; NA=Not Applicable; COS=Corrected On-site; R=Repeat Violation. MANAGEMENT AND PERSONNEL IN OUT N.O. N/A COS REPEAT 1. PIC demonstrates knowledge of food safety principles pertaining to this operation. 2. PIC in Risk Level 3 Retail Food Establishments is certified by January 2, 2010. 3. Ill or injured foodworkers restricted or excluded as required. PREVENTING CONTAMINATION FROM HANDS IN OUT N.O. N/A COS REPEAT 4. Handwashing conducted in a timely manner; prior to work, after using restoom, etc. 5. Handwashing proper; duration at least 20 seconds with at least 10 seconds of vigorous lathering. 6. Handwashing facilities provided in toilet rooms and prep areas; convenient, accessible, unobstructed. 7. Handwashing facilities provided with warm water; soap and acceptable hand-drying method. 8. Direct bare hand contact with exposed, ready-to-eat foods is avoided. FOOD SOURCE IN OUT N.O. N/A COS REPEAT Page 1 of 10

FOOD SOURCE IN OUT N.O. N/A COS REPEAT 9. All foods, including ice and water, from approved sources; with proper records. 10. Shellfish/Seafood record keeping procedures; storage; proper handling; parasite destruction 11. PHFs received at 41 F or below. Except: milk, shell eggs and shellfish (45 F) FOOD PROTECTION FROM CONTAMINATION IN OUT N.O. N/A COS REPEAT 12. Proper separation of raw meats and raw eggs from ready-to-eat foods provided 13. Food protected from contamination 14. Food contact surfaces properly cleaned and sanitized þ þ Fail Notes 4.7(a) Equipment food-contact surfaces and utensils shall be sanitized. [The concentration for the sanitizer used in the dishwasher was below 25 PPM. This violation was corrected on site and is working as it should.] PHFs TIME/TEMPERATURE CONTROLS IN OUT N.O. N/A COS REPEAT 15. SAFE COOKING TEMPERATURES (Internal temperatures for raw animal foods for 15 seconds) Except: Foods may be served raw or undercooked in response to a consumer order and for immediate service. 130 F for 112 minutes: Roasts or as per cooking chart found under 3.4.(a)2; 145 F: Fish, Meat, Pork; 155 F: Ground Meat/Fish; Injected Meats; or Pooled Shell Eggs; 165 F; Poultry, Stuffed fish/meat/or pasta; Stuffing containing fish/meat. 16. PASTEURIZED EGGS: substituted for shell eggs in raw or undercooked eggcontaining foods, i.e. Caesar salad dressing, hollandaise sauce, tiramisu, chocolate mousse, meringue, etc. 17. COLD HOLDING: PHFs maintained at "Refrigeration Temperatures" (41 F) 18. COOLING: PHFs rapidly cooled from 135 F to 41 F within 6 hours and from 135 F to 70 F within 2 hours. 19. COOLING: PHFs prepared from ingredients at ambient temperature cooled to 41 F within 4 hours 20. REHEATING: PHFs rapidly reheated (within 2 hours) in proper facilities to at least 165 F; or commercially processed PHFs heated to at least 135 F prior to hot holding. 21. HOT HOLDING: PHFs Hot Held at 135 F or above in appropriate equipment. 22. TIME as a PUBLIC HEALTH CONTROL: Approval; written procedures; time marked; discarded in 4 hours. 23. SPECIALIZED PROCESSING METHODS: Approval; written procedures; conducted properly. 24. HIGHLY SUSCEPTIBLE POPULATIONS: Pasteurized foods used; prohibited foods not offered. GOOD RETAIL PRACTICES Good retail practices are preventive measures to control the addition of pathogens, chemicals and physical objects into foods. OUT = Not in Compliance; COS = Corrected On-site; REPEAT = Repeat Violations SAFE FOOD AND WATER / PROTECTION FROM CONTAMINATION 25. Hot and cold water water available; adequate pressure. 26. Food properly labeled; original container 27. Food protected from potential contamination during preparation, storage, display. Page 2 of 10

SAFE FOOD AND WATER / PROTECTION FROM CONTAMINATION 28. Utensils, spatulas, tongs, forks, disposable gloves provided and used properly to restrict bare hand contact. 29. Raw fruits and vegetables washed prior to serving. 30. Wiping cloths properly used and stored. 31. Toxic substances properly identified, stored and used. 32. Presence of insects/rodents minimized: outer openings protected, animals as allowed. 33. Personal cleanliness (fingernails, jewelery, outer clothing, hair restraint). FOOD TEMPERATURE CONTROL 34. Food temperature measuring devices provided and calibrated. 35. Thin-probed temperature measuring device provided for monitoring thin foods (i.e., meat patties and fish fillets). 36. Frozen foods maintained completely frozen. 37. Frozen foods properly thawed. 38. Plant food for hot holding properly cooked to at least 135 F. 39. Methods for rapidly cooling PHFs are properly conducted and equipment is adequate. EQUIPMENT, UTENSILS AND LINENS 40. Materials, construction, repair, design, capacity, location, installation, maintenance. 41. Equipment temperature measuring devices provided (refrigeration units, etc). þ þ Fail Notes 4.2(c)5 Ambient air temperature, water pressure, and water temperature measuring devices shall be maintained in good repair and be accurate within the intended range of use. [There was no thermometer in the milk refridgerator outside but the violation was corrected.] 42. In-use utensils properly stored. 43. Utensils, single service items, equipment, linens properly stored, dried and handled. 44. Food and non-food contact surfaces properly constructed, cleanable, used. 45. Proper warewashing facilities installed, maintained, cleaned, used; sanitizer test strips available, used. PHYSICAL FACILITIES 46. Plumbing system properly installed; safe and in good repair; no potential backflow or backsiphonage conditions. 47. Sewage and waste water properly disposed. 48. Toilet facilities are adequate, properly constructed, properly maintained, supplied and cleaned. 49. Design, construction, installation and maintenance proper-floors/walls/ceilings. 50. Adequate ventilation; lighting; designated areas used. 51. Premises maintained free of litter, unnecessary articles, cleaning and maintenance equipment properly stored; and garbage and refuse properly maintained. 52. All required signs (handwashing, inspection placard, etc) provided and conspicuously posted. Page 3 of 10

Fail Notes Summary Fail Code Fail Text 14. Food contact surfaces properly cleaned and sanitized 4.7(a) Equipment food-contact surfaces and utensils shall be sanitized. Addl [The concentration for the sanitizer used in the dishwasher was below 25 PPM. This violation was corrected on site and is working as it should.] 41. Equipment temperature measuring devices provided (refrigeration units, etc). 4.2(c)5 Ambient air temperature, water pressure, and water temperature measuring devices shall be maintained in good repair and be accurate within the intended range of use. Addl [There was no thermometer in the milk refridgerator outside but the violation was corrected.] Page 4 of 10

Footnote 1 Gloves were worn by all memebers of the kitchen staff. Footnote 2 All the cold in the kitchen was at the proper temperature. Footnote 3 Food temperatures measuring devices were all calibrated properly, thin prob and bi-metal thermometers are used in this establishment. Footnote 4 The three compartment sink was not holding water properly and utensils had to be run through the dishwasher. The part needed for the three compartment sink has been ordered. Page 5 of 10

Insp Date: 1/21/2016 Business ID: HC000005 Inspection: HH000254 Business: Sky Cafe Risk Type: 2 48 Sky Manor Rd. Phone: 908 996 3442 REHS: B-155381 Christie Visokay Pittstown, NJ 08867 Reason: Initial Billable Results: Satisfactory Establishment Information Municipality Alexandria Twp Risk Type on File 2 Risk Type Observed 2 FMC Yes Name Wayne Groff Type ServSafe Exp Date 03/10/20 Sewage System On-site Water System Transient PNCW Lab Reference # F-01-21/40 Total Coliform FOODBORNE ILLNESS RISK FACTORS AND INTERVENTIONS RISK FACTORS are improper practices identified as the most common factors resulting in foodborne illness (FBI). INTERVENTIONS are control measures to prevent FBI. Mark "X" in appropriate Box: IN=In Compliance; OUT=Not in Compliance; NO=Not Observed; NA=Not Applicable; COS=Corrected On-site; R=Repeat Violation. MANAGEMENT AND PERSONNEL IN OUT N.O. N/A COS REPEAT 1. PIC demonstrates knowledge of food safety principles pertaining to this operation. 2. PIC in Risk Level 3 Retail Food Establishments is certified by January 2, 2010. 3. Ill or injured foodworkers restricted or excluded as required. PREVENTING CONTAMINATION FROM HANDS IN OUT N.O. N/A COS REPEAT 4. Handwashing conducted in a timely manner; prior to work, after using restoom, etc. 5. Handwashing proper; duration at least 20 seconds with at least 10 seconds of vigorous lathering. 6. Handwashing facilities provided in toilet rooms and prep areas; convenient, accessible, unobstructed. 7. Handwashing facilities provided with warm water; soap and acceptable hand-drying method. 8. Direct bare hand contact with exposed, ready-to-eat foods is avoided. FOOD SOURCE IN OUT N.O. N/A COS REPEAT 9. All foods, including ice and water, from approved sources; with proper records. 10. Shellfish/Seafood record keeping procedures; storage; proper handling; parasite destruction 11. PHFs received at 41 F or below. Except: milk, shell eggs and shellfish (45 F) FOOD PROTECTION FROM CONTAMINATION IN OUT N.O. N/A COS REPEAT 12. Proper separation of raw meats and raw eggs from ready-to-eat foods provided 13. Food protected from contamination 14. Food contact surfaces properly cleaned and sanitized Page 6 of 10

PHFs TIME/TEMPERATURE CONTROLS IN OUT N.O. N/A COS REPEAT 15. SAFE COOKING TEMPERATURES (Internal temperatures for raw animal foods for 15 seconds) Except: Foods may be served raw or undercooked in response to a consumer order and for immediate service. 130 F for 112 minutes: Roasts or as per cooking chart found under 3.4.(a)2; 145 F: Fish, Meat, Pork; 155 F: Ground Meat/Fish; Injected Meats; or Pooled Shell Eggs; 165 F; Poultry, Stuffed fish/meat/or pasta; Stuffing containing fish/meat. 16. PASTEURIZED EGGS: substituted for shell eggs in raw or undercooked eggcontaining foods, i.e. Caesar salad dressing, hollandaise sauce, tiramisu, chocolate mousse, meringue, etc. 17. COLD HOLDING: PHFs maintained at "Refrigeration Temperatures" (41 F) 18. COOLING: PHFs rapidly cooled from 135 F to 41 F within 6 hours and from 135 F to 70 F within 2 hours. 19. COOLING: PHFs prepared from ingredients at ambient temperature cooled to 41 F within 4 hours 20. REHEATING: PHFs rapidly reheated (within 2 hours) in proper facilities to at least 165 F; or commercially processed PHFs heated to at least 135 F prior to hot holding. 21. HOT HOLDING: PHFs Hot Held at 135 F or above in appropriate equipment. 22. TIME as a PUBLIC HEALTH CONTROL: Approval; written procedures; time marked; discarded in 4 hours. 23. SPECIALIZED PROCESSING METHODS: Approval; written procedures; conducted properly. 24. HIGHLY SUSCEPTIBLE POPULATIONS: Pasteurized foods used; prohibited foods not offered. GOOD RETAIL PRACTICES Good retail practices are preventive measures to control the addition of pathogens, chemicals and physical objects into foods. OUT = Not in Compliance; COS = Corrected On-site; REPEAT = Repeat Violations SAFE FOOD AND WATER / PROTECTION FROM CONTAMINATION 25. Hot and cold water water available; adequate pressure. 26. Food properly labeled; original container 27. Food protected from potential contamination during preparation, storage, display. 28. Utensils, spatulas, tongs, forks, disposable gloves provided and used properly to restrict bare hand contact. 29. Raw fruits and vegetables washed prior to serving. 30. Wiping cloths properly used and stored. 31. Toxic substances properly identified, stored and used. 32. Presence of insects/rodents minimized: outer openings protected, animals as allowed. 33. Personal cleanliness (fingernails, jewelery, outer clothing, hair restraint). FOOD TEMPERATURE CONTROL 34. Food temperature measuring devices provided and calibrated. 35. Thin-probed temperature measuring device provided for monitoring thin foods (i.e., meat patties and fish fillets). 36. Frozen foods maintained completely frozen. Page 7 of 10

FOOD TEMPERATURE CONTROL 37. Frozen foods properly thawed. 38. Plant food for hot holding properly cooked to at least 135 F. 39. Methods for rapidly cooling PHFs are properly conducted and equipment is adequate. EQUIPMENT, UTENSILS AND LINENS 40. Materials, construction, repair, design, capacity, location, installation, maintenance. 41. Equipment temperature measuring devices provided (refrigeration units, etc). 42. In-use utensils properly stored. 43. Utensils, single service items, equipment, linens properly stored, dried and handled. 44. Food and non-food contact surfaces properly constructed, cleanable, used. 45. Proper warewashing facilities installed, maintained, cleaned, used; sanitizer test strips available, used. PHYSICAL FACILITIES 46. Plumbing system properly installed; safe and in good repair; no potential backflow or backsiphonage conditions. 47. Sewage and waste water properly disposed. 48. Toilet facilities are adequate, properly constructed, properly maintained, supplied and cleaned. 49. Design, construction, installation and maintenance proper-floors/walls/ceilings. 50. Adequate ventilation; lighting; designated areas used. 51. Premises maintained free of litter, unnecessary articles, cleaning and maintenance equipment properly stored; and garbage and refuse properly maintained. 52. All required signs (handwashing, inspection placard, etc) provided and conspicuously posted. Page 8 of 10

Fail Notes Summary No fail notes were selected on this questionnaire. Page 9 of 10

Footnote 1 Food handler was wearing gloves when handling ready to eat food. Footnote 2 Bleach is being used as the sanitizer onsite. Dishwasher was operating at proper wash/final rinse temperature and concentration. Footnote 3 All refrigeration units were below 41 degrees. Footnote 4 Manager/ food handler was aware of the proper temperature/ procedures of cooling PHFs. Footnote 5 Soup was being held at 174 degrees. Page 10 of 10