HOSPICE OF WICHITA FALLS, INC.November 14, 2013
Public Health
Pre vcu[. Promolc. Pro�c et.
Wichita Falls - Wichita County
Public Health District
1700 Third Street
Wichita Falls, TX 76301
940 - 761 -7800
Inspection Checklist
558 -16F -1
HOSPICE OF WICHITA FALLS, INC.
4909 JOHNSON RD
WICHITA FALLS TX 76310
Process 2
Inspection- Regular
Page 1 of 1
In
Out
N/O
N/A
Pts
Violation Description ftE
X
5
1 Proper Cooling of Cooked/Prepared Foods
X
5
2 Cold Hold 41/45 degrees F
X
5
3 Hot Hold 135 °F
X
5
4 Proper Cooking Temperatures per PHF
X
5
5 Rapid Reheating for Hot Holding
X
4
6 Personnel with Infections Restricted /Excluded
X
4
7 Proper/Adequate Handwashin
X
4
8 Good Hygienic Practices Eatin /Drinkin /Smokin /Other
X
4
9 Approved Source/Labeling
X
4
10 Sound Condition
X
4
11 Proper Handling of Read -To -Eat Foods
X
4
1 12 Cross - Contamination of Raw /Cooked Foods /Other
X
4
1 13 Approved Systems Time as Public Hlth Control /HACCP Plan
X
4
14 Water Supply - Approved/Adequate/Hot & Cold Under Pressure
X
3
15 Equipment Ade uate to Maintain Product Temperature
X
3
16 Handwash Facilities Adequate & Access
X
3
17 Handwash Facilities with Soap & Towels
X
3
18 No Evidence of Insect Contamination
X
3
19 No Evidence of Rodents /Other Animals
X
3
20 Toxic Items Properly Labeled /Stored /Used
X
3
21 Manual /Mechanical Warewashing & Sanitizing m/Tem p.
X
1 3
22 Manager Demonstration of knowledge/Food Handlers Certificate
X
3
23 Approved sewage
X
3
24 Thermometers Provided/Accurate/Properly Calibrated +/- 2 F
X
3
25 Food Contact Surfaces - Cleaned /Sanitized /Good Repair/Storage
X
3
26 Posting Consumer Advisories- Heimlich /Raw Shellfish /Buffet
X
3
27 Food Establishment Permit
S`Cff
100
Robbie O'Neal, Public Health Officer
OWNER / MANAGER SIGNATURE
Control# 84823 HOSPICE OF WICHITA FALLS, INC.; 4909 JOHNSON RD; WICHITA FALLS Site 558 Inventory 1 Printed 11/18/1308:20