SELF IMPROVEMENT
HOW TO USE THE TOOLS
Mike Nordos
Standard 3 – Risk Based Inspection
Written and Implemented Policies.
4a: Has the Board developed a documented procedure to
address corrective action?
Standard 3 – Risk Based Inspection
Written and Implemented Policies.
Answer: The Board has a Compliance and Enforcement policy
that was last revised in 2010. This policy includes very detailed
guidelines for follow-up inspections, letters to owners, risk
control plans, informal meetings, administrative hearings,
emergency closure, food embargo and destruction, and license
suspension or revocation.
Standard 3 – Risk Based Inspection
Written and Implemented Policies.
4c: Has the Board developed a documented procedure that
requires follow-up activities on risk factors, and health and safety
violations?
Standard 3 – Risk Based Inspection
Written and Implemented Policies.
Answer: Food Program Re-Inspection policy last revised in 2011.
The policy includes flow charts for each program area that
outline when follow-up actions are to be used.
Answer: A follow-up inspection is required any time a critical
violation is found that is not able to be corrected at the time of
inspection, or when there are more than five non-critical
violations. Emergency closure is warranted for severe situations
that are immediately hazardous to public health.
Standard 4 – Uniform Inspection
Inspections and Written Reports
3b. Does the Board encourage active managerial
control concepts in all food establishments?
Standard 4 – Uniform Inspection
Inspections and Written Reports
Answer: staff encourage active managerial
control through a variety of methods. The
Sanitarians discuss active managerial control
during each inspection. Inspection staff
encourage establishments to perform daily selfinspections which include the use of employee
illness, temperature, cooking, and cooling logs.
Standard 4 – Uniform Inspection
Inspections and Written Reports
d. Are written reports complete and accurate,
and do they describe compliance activities?
Standard 4 – Uniform Inspection
Inspections and Written Reports
Answer: Inspections are complete and marked
accurately. Compliance activities are well
documented. Supervisory staff review reports to
ensure consistency among inspectors and
accurate interpretation of code. Randomly
selected inspection reports are used as training
activities during staff meetings.
Standard 4 – Uniform Inspection
Inspections and Written Reports
Answer: There is opportunity for improvement
in this area. File review of the randomly selected
establishments showed that violations are not
always interpreted accurately or written using
the proper code citation. For Example…..
Standard 6 – Compliance and
Enforcement
a. Does the Board identify and document
violations according to statute, rule and
ordinance?
Standard 6 – Compliance and
Enforcement
b. Does the Board address the identified risk
factors and health and safety hazards by: (1)
following up or using appropriate enforcement
tools, including revocation or suspension, and
(2) by maintaining adequate documentation
throughout the enforcement process?
Standard 6 – Compliance and
Enforcement
Answer: It is evident from the file and field
review that enforcement is being used when
necessary. Follow-up inspections are conducted
and examples of corrective action letters were
found in many establishment files. All
enforcement activities are well documented
and are kept in the establishment file
Standard 6 – Compliance and
Enforcement
c. Does the Board resolve identified violations
within a reasonable time?
Standard 6 – Compliance and
Enforcement
Answer: Critical violations are usually resolved at
the time of inspection or have a one day comply by
order. Good retail practices are usually followed-up
on at the next routine inspection. Some good retail
practices have been outstanding for multiple years
but are consistently documented for correction.
Note: sometimes the inspector extends a complyby-date when re-issuing an outstanding order. If a
previously written violation has not been
corrected, the original comply-by-date should be
kept.