RETAIL FOOD FACILITY INSPECTION REPORT # Risk Factor Viola ons RADNOR TOWNHSIP 301 IVEN AVENUE WAYNE, PA 19087 # Repeat Risk Factor Viola ons Overall Compliance Status Food Facility Address VALLEY FORGE FLOWERS Registra on # 06/23/17 10:20am TIME OUT City/State 503 Lancaster Ave Zip Phone # License Type Risk Category Retail Retail Wayne, Pa Owner FE00001157 DATE TIME IN Purpose of Inspec on (choose one) ANNE MARIE VARGA Routine FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS Risk Factors are important prac ces or procedures iden fied as the most prevalent contribu ng factors of foodborne illness or injury. Public Health interven ons are control measures to prevent foodborne illness or injury. Demonstra on of Knowledge 1 Protec on from Contamina on 14 Person in charge, demonstrates knowledge & performs du es IN Food separated & protected N/A 15 Employee Health 2 IN 3 Management, food employee & condi onal employee; knowledge, responsibili es & repor ng Food contact surfaces: cleaned and sani zed N/A IN 16 N/A Proper disposi on of returned, previously served, recondi oned and unsafe food. IN N/A Time/Temperature Control for Safety Proper use of repor ng; restric on & exclusion IN N/A IN N/A 17 Proper cooking me & temperature IN 4 N/A Procedures for responding to vomi ng & diarrheal events N/A IN Proper reheating procedures for hot holding 18 IN Good Hygienic Prac ces 5 19 Proper ea ng, tas ng, drinking or tobacco use IN 6 Proper cooling me & temperature 20 No discharge from eyes, nose & mouth N/A Preven ng Contamina on by Hands N/A IN N/A IN N/A Proper hot holding & temperatures IN 21 N/A Proper cold holding & temperatures N/A IN 7 Hands clean & properly washed N/A IN 22 Proper data marking & disposi on IN 8 IN No bare hand contact with RTE foods or pre-approved alternate method properly followed N/A 23 N/A Time as a public health control: procedures & record N/A IN 9 Adequate handwashing sinks properly supplied and accessible IN Consumer Advisory N/A 24 10 Consumer advisory provided for raw/undercooked foods IN Approved Source Highly Suscep ble Popula on Food obtained from approved source IN 11 N/A Food received at proper temperature 25 N/A IN 12 Pasteurized food used; prohibited foods not offered IN Food in good condi on, safe & unadulterated IN N/A Food/Color Addi ves & Toxic Substances N/A 26 13 N/A Food/Color addi ves: approved & properly used IN Required records available, shellstock tags, parasite N/A N/A IN 27 Toxic substances properly iden fied, stored & used IN N/A Conformance with Approved Procedures Reset Form 28 Compliance with variance/specialized process/HACCP N/A IN IN = in compliance, OUT = not in compliance, N/O = not observed, N/A = not applicable C = corrected on site, R = repeated GOOD RETAIL PRACTICES Good Retail Prac ces are preventa ve measures to control the addi on of pathogens, chemicals, and physical objects into food. Safe Food & Water 29 Proper Use of Utensils Pasteurized eggs used where required 42 IN 30 N/A 43 Water & Ice from approved source N/A IN 31 44 Variance obtained for specialized processing methods N/A IN 45 Food Temperature Control 32 IN IN IN IN Plant food properly cooked for hot holding IN 34 Approved thawing methods used OUT IN N/A N/A IN 35 Thermometers provided & accurate N/A Replace thermometer in cooler under coffee 47 IN 48 Food properly labeled; original container N/A Insects, rodents, & animals not present IN 39 IN IN 40 Personal cleanliness Wipe clothes; properly used & stored IN Washing fruits & vegetables FOOD EMPLOYEE CERTIFICATION N/A 51 N/A 52 N/A N/A N/A IN N/A N/A N/A Plumbing installed: installed, maintained & used; test N/A Sewage & waste water properly disposed N/A IN 53 OUT IN 54 Toilet facili es; properly constructed, supplied, cleaned Replace sign in men's room for employees to wash hands Garbage & refuse properly disposed: facili es maintained 55 Physical facili es installed, maintained & clean IN N/A N/A N/A IN Adequate ven la on & ligh ng: designated areas used N/A CERTIFICATE 57 N/A Cer fied Food manager cer ficate: valid and properly displayed IN IN = in compliance, OUT = not in compliance, N/O = not observed, N/A = not applicable P.I.C. Signature Warewashing facili es; installed, maintained & used; test N/A Compliance with PA Food Employee Cer fica on Act (3Pa.CSASS§§6501-6510) Cer fied Food Employee employed; acts as PIC; accessible IN Food & non-food contact surfaces cleanable, properly designed, constructed, & used Hot & cold water available: adequate pressure CERTIFIED FOOD EMPLOYEE 56 Gloves used properly IN N/A Contamina on prevented during food prepara on, storage & display IN 41 N/A Non-food contact surfaces clean 49 50 Preven on of Food Contamina on 38 Single-use/single-service ar cles: properly stored & used Physical Facili es IN 37 N/A IN Food Iden fica on 36 Utensils, equipment & linens; properly stored, dried & handled N/A 46 33 N/A Utensils, Equipment & Vending Proper cooling methods used; adequate equipment for temperature control IN In-Use utensils; properly stored N/A C = corrected on site, R = repeated Sanitarian Signature # Risk Factor ViolaƟons RADNOR TOWNHSIP 301 IVEN AVENUE WAYNE, PA 19087 # Repeat Risk Factor ViolaƟons Overall Compliance Status Food Facility Address VALLEY FORGE FLOWERS RegistraƟon # 06/23/17 10:20am TIME OUT City/State Zip Phone # License Type Risk Category Retail Retail Wayne, Pa 503 Lancaster Ave Owner Purpose of InspecƟon (choose one) ANNE MARIE VARGA FE00001157 DATE TIME IN Routine TEMPERATURE RECORDINGS ITEM/LOCATION ITEM/LOCATION TEMP Display cooler 37 TEMP Chicken curry soup 135 Soup 135 WAREWASHING FACILITIES SANITIZER PPM Hot water 180 3 Bay Sink 3 Bay Sink Dishwasher Wiping Coths OBSERVATIONS & CORRECTIVE ACTIONS ITEM # **** VIOLATION TEXT Use bleach sanitizer solution to clean food prep areas as discussed until further information can be found on Envirox solution. Follow‐up to be completed on sanitarian copy only! Warning Le er Requested Prosecu on Requested Follow‐up Date
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