Florida Department of Agriculture and Consumer Services ... Meat Mar… · Florida Department of...

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Florida Department of Agriculture and Consumer Services Division of Food Safety FOOD SAFETY INSPECTION REPORT 111111111111111 Visit # 3387-0002-62 Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C-25 Tallahassee, FL 32399-1650 NICOLE "NIKKI" FRIED COMMISSIONER Chapter 500, Florida Statutes (850) 245-5520 Print Date: February 11, 2019 Food Entity Number. 302019 Food Entity Name CIRO MEAT MARKET Date of Visit: February 11,2019 Food Entity Address: 18904 SW 114th Ave Miami, FL33157-7519 Food Entity Mailing Address: 18904 SW 114th Ave Miami, FL 33157-7519 Food Entity Type/Description: 131/ Meat Market Retail Food Entity Owner: CIRO MEAT MARKET INC Owner Code: INSPECTION SUMMARY - Re-Inspection Required On February 11, 2019, CIRO MEAT MARKET was inspected by NORA COUTO, a representative of the Florida Department of Agriculture and Consumer Services. The following violations observed during the inspection must be corrected to be in compliance with Chapter 500, Florida Statutes, and Rule 5K-4, Florida Administrative Code. A Department inspector will return for a reinspection on or about February 25, 2019. The failure to correct the violations by this date may result in the imposition of the maximum penalties provide in Chapter 500 Florida Statutes, including an administrative fine and the suspension or revocation of your food permit. The reinspection visit is due to documented citations that pose a risk of foodborne illness. PERMIT APPLICATION INFORMATION The permit application information was verified with management or a qualified representative. COMPLIANCE KEY IN = In Compliance OUT = Not In Compliance N/O = Not Observed N/A = Not Applicable FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS Violation Compliance Number Status Violation DescriPtion 1 OUT Supervision: Person in Charge present, demonstrates knowledge, and performs duties 2 OUT Employee Health: Management, food employee and conditional employee; knowledge, responsibilities and reporting 3 IN Employee Health: Proper use of restriction and exclusion 4 OUT Good Hygienic Practices: Proper eating, tasting, drinking, or tobacco use 5 IN Good Hygienic Practices: No discharge from eyes, nose, and mouth 6 OUT Preventing Contamination by Hands: Hands clean and properly washed 7 IN Preventing Contamination by Hands: No bare hand contact with ready-to-eat foods or approved alternate method properly followed 8 OUT Preventing Contamination by Hands: Adequate handwashing sinks, properly supplied and accessible 9 IN Approved Source: Food obtained from approved source 10 N/O Approved Source: Food received at proper temperature 11 OUT Approved Source: Food in good condition, safe and unadulterated 12 N/A Approved Source: Required records available: shellstock tags, parasite destruction 13 OUT Protection from Contamination: Food separated and protected FDACS 14205 Rev. 07/13 Page 1 of 8 Scanned by CamScanner

Transcript of Florida Department of Agriculture and Consumer Services ... Meat Mar… · Florida Department of...

Page 1: Florida Department of Agriculture and Consumer Services ... Meat Mar… · Florida Department of Agriculture and Consumer Services Division of Food Safety FOOD SAFETY INSPECTION REPORT

Florida Department of Agriculture and Consumer Services Division of Food Safety

FOOD SAFETY INSPECTION REPORT

111111111111111 Visit # 3387-0002-62 Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C-25 Tallahassee, FL 32399-1650

NICOLE "NIKKI" FRIED COMMISSIONER

Chapter 500, Florida Statutes (850) 245-5520

Print Date: February 11, 2019

Food Entity Number. 302019 Food Entity Name CIRO MEAT MARKET Date of Visit: February 11,2019

Food Entity Address: 18904 SW 114th Ave Miami, FL33157-7519

Food Entity Mailing Address: 18904 SW 114th Ave Miami, FL 33157-7519

Food Entity Type/Description: 131/ Meat Market Retail

Food Entity Owner: CIRO MEAT MARKET INC Owner Code:

INSPECTION SUMMARY - Re-Inspection Required On February 11, 2019, CIRO MEAT MARKET was inspected by NORA COUTO, a representative of the Florida Department of Agriculture and Consumer Services. The following violations observed during the inspection must be corrected to be in compliance with Chapter 500, Florida Statutes, and Rule 5K-4, Florida Administrative Code. A Department inspector will return for a reinspection on or about February 25, 2019. The failure to correct the violations by this date may result in the imposition of the maximum penalties provide in Chapter 500 Florida Statutes, including an administrative fine and the suspension or revocation of your food permit. The reinspection visit is due to documented citations that pose a risk of foodborne illness.

PERMIT APPLICATION INFORMATION The permit application information was verified with management or a qualified representative.

COMPLIANCE KEY IN = In Compliance OUT = Not In Compliance N/O = Not Observed N/A = Not Applicable

FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS

Violation Compliance Number Status Violation DescriPtion

1 OUT Supervision: Person in Charge present, demonstrates knowledge, and performs duties

2 OUT Employee Health: Management, food employee and conditional employee; knowledge, responsibilities and reporting

3 IN Employee Health: Proper use of restriction and exclusion

4 OUT Good Hygienic Practices: Proper eating, tasting, drinking, or tobacco use

5 IN Good Hygienic Practices: No discharge from eyes, nose, and mouth

6 OUT Preventing Contamination by Hands: Hands clean and properly washed

7 IN Preventing Contamination by Hands: No bare hand contact with ready-to-eat foods or approved alternate method properly followed

8 OUT Preventing Contamination by Hands: Adequate handwashing sinks, properly supplied and accessible

9 IN Approved Source: Food obtained from approved source

10 N/O Approved Source: Food received at proper temperature

11 OUT Approved Source: Food in good condition, safe and unadulterated

12 N/A Approved Source: Required records available: shellstock tags, parasite destruction

13 OUT Protection from Contamination: Food separated and protected

FDACS 14205 Rev. 07/13

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NICOLE "NIKKI" FRIED COMMISSIONER

Food Entity Number: Food Entity Name. Date of Visit:

Food Entity Address:

Food Entity Mailing Address:

Food Entity Type/Description:

Food Entity Owner:

Florida Department of Agriculture and Consumer Services Division of Food Safety

FOOD SAFETY INSPECTION REPORT

Chapter 500, Florida Statutes (850) 245-5520

Print Date: February 11, 2019

302019 CIRO MEAT MARKET February 11, 2019

18904 SW 114th Ave Miami, FL33157-7519

18904 SW 114th Ave Miami, FL 33157-7519

131/ Meat Market Retail

CIRO MEAT MARKET INC

11111011111 Visit # 3387-0002-62 Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C-26 Tallahassee, FL 32399-1650

Owner Code:

FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS

Violation Description

Protection from Contamination: Food-contact surfaces: cleaned and sanitized

Protection from Contamination: Proper disposition of returned, previously served, reconditioned, and unsafe food Potentially Hazardous Food Time/Temperature: Proper cooking time and temperature

Potentially Hazardous Food Time/Temperature: Proper reheating procedures for hot holding

Potentially Hazardous Food Time/Temperature: Proper cooling time and temperatures

Potentially Hazardous Food Time/Temperature: Proper hot holding temperatures

Potentially Hazardous Food Time/Temperature: Proper cold holding temperatures

Potentially Hazardous Food Time/Temperature: Proper date marking and disposition

Potentially Hazardous Food Time/Temperature: Time as a public health control: procedures and records Consumer Advisory: Consumer advisory provided for raw or undercooked foods

Highly Susceptible Populations: Pasteurized Foods, Prohibited Re-service, and Prohibited Foods*

Chemical: Food additives: approved and properly used

Chemical: Toxic substances properly identified, stored, and used

Conformance with Approved Procedures

Violation Compliance Number Status

14 OUT

15 IN

16 N/A

17 N/A

18 N/O

19 N/A

20 IN

21 OUT

22 N/A

23 N/A

24 N/A

25 N/A

26 OUT

27 N/A

GOOD RETAIL PRACTICES

Violation Compliance Number Status

36 OUT

37 OUT

39 OUT

45 OUT

46 OUT

47 OUT

50 OUT

53 OUT

FDACS 14205 Rev. 07/13

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Violation Description Prevention of Food Contamination; Insects, rodents, and animals not present

Prevention of Food Contamination: Contamination prevented during food preparation, storage & display - Prevention of Food Contamination: Wiping cloths: properly used and stored

Utensils Equipment and Vending: Food and nonfood-contact surfaces cleanable, properly designed, constructed, and used Utensils Equipment and Vending: Warewashing facilities: installed, maintained, used; test strips -

Utensils Equipment and Vending: Nonfood-contact surfaces clean

Physical Facilities: Sewage and waste water properly disposed

Physical Facilities: Physical facilities installed, maintained, and clean

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Page 3: Florida Department of Agriculture and Consumer Services ... Meat Mar… · Florida Department of Agriculture and Consumer Services Division of Food Safety FOOD SAFETY INSPECTION REPORT

NICOLE "NIKKI" FRIED COMMISSIONER

Food Entity Number: Food Entity Name: Date of Visit:

Food Entity Address:

Food Entity Mailing Address:

Food Entity Type/Description:

Food Entity Owner:

Florida Department of Agriculture and Consumer Services

Division of Food Safety

FOOD SAFETY INSPECTION REPORT

Chapter 500, Florida Statutes (850) 245-5520

Print Date: February 11, 2019

302019 CIRO MEAT MARKET February 11, 2019

18904 SW 114th Ave Miami, FL33157-7519

18904 SW 114th Ave Miami, FL 33157-7519

131/ Meat Market Retail

CIRO MEAT MARKET INC

GOOD RETAIL PRACTICES

1111111111111 Visit # 3387-0002-62 Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C-26 Tallahassee, FL 32399-1650

Owner Code:

Violation Compliance Number Status Violation Description

OBSERVATIONS AND CORRECTIVE ACTIONS COS = Corrected on Site P = Priority Citation Pf = Priority Foundation Citation

(Directly Associated with Foodborne Illnesses) (Supports or Leads to a Priority Citation)

INSPECTION: RISK BASED

Violation Number

1

2

4

Citation Description

Person in charge does not ensure active managerial control to comply with duties as required in the FDA Food Code. 2-103.11(A)-(M)&(0) Pt

No employee health policy to report information about employee or conditional employee health and activities as they relate to symptoms or diagnosis of diseases that are transmissible through food. 2-201.11(A) P

Employee eating, drinking or using tobacco where exposed food, clean equipment, utensils, and linens, unwrapped single service and single use articles or other items could become contaminated. 2-401.11

COS Observation

0 MEAT DEP. PERSON IN CHARGE DOES NOT ENSURE ACTIVE MANAGERIAL CONTROL AS EVIDENCED OF CROSS CONTAMINATION PREVENTION, HAND WASHING, FOOD CONTACT EQUIPMENTS, RODENT INFESTATION VIOLATIONS.

ID MEAT DEP. NO EMPLOYEE HEALTH POLICY IMPLEMENTED, EMPLOYEE HEALTH GUIDE LINE AND REPORTING AGREEMENT PROVIDED TO THE PERSON IN CHARGE

DO MEAT DEP. OBSERVED EMPLOYEE DRINKING WATER FROM AN OPENED BOTTLE OF WATER. COS WATER OF BOTTLE WAS DISCARDED

FDACS 14205 Rev. 07/13

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NICOLE "NIKKI" FRIED COMMISSIONER

Food Entity Number. Food Entity Name Date of Visit:

Food Entity Address:

Food Entity Mailing Address:

Food Entity Type/Description:

Food Entity Owner:

Florida Department of Agriculture and Consumer Services Division of Food Safety

FOOD SAFETY INSPECTION REPORT

Chapter 500, Florida Statutes (850) 245-5520

Print Date: February 11, 2019

302019 CIRO MEAT MARKET February 11,2019

18904 SW 114th Ave Miami, FL33157-7519

18904 SW 114th Ave Miami, FL 33157-7519

131/ Meat Market Retail

CIRO MEAT MARKET INC

INSPECTION: RISK BASED

111111111111 Visit # 3387-0002-62 Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C-26 Tallahassee, FL 32399-1650

Owner Code

Citation Description

Food employee not cleaning hands or exposed portions of arms immediately before engaging in food preparation or working with exposed food, clean equipment, utensils, or unwrapped single service or single use articles or anytime hands or exposed portions of arms have become contaminated. 2-301.14 P

Handwashing sink or group of 2 adjacent handwashing sinks not provided with hand cleaning liquid, powder, or bar soap. 6-301.11 Pf

Handwashing sink not accessible at all times for employee use, is used for other purposes or automatic facility not used in accordance with manufacturer's instructions. 5-205.11 Pf

Handwashing sink or group of adjacent handwashirig sinks not provided with either individual, disposable towels, continuous towel system, high velocity pressurized air at ambient temperature, or heated-air hand drying device. 6-301.12 Pf

Violation Nurnber

6

8

8

8

COS Observation

El MEAT DEP. OBSERVED EMPLOYEE CHANGED TASK AND NOT WASHING HANDS . EMPLOYEE LEAVING AND ENTERING THE MEAT DEP. WITH OUT WASHING HIS HANDS AND SERVING TO CUSTOMER RAW CHICKEN ALSO NOT WASHING HANDS BEFORE DONNING GLOVES COS MANAGER ASKED TO WASH HIS HANDS IMMEDIATELY AND EVERY TIME CHANGED TASK, ALSO HAND WASHING PRODUCES WAS EXPLAINED TO MANAGER AND EMPLOYEE

OD MEAT DEP. . NO SOAP IN HAND Pf

SINK NEXT TO 3 COMP. SINK COS PROVIDED DURING INSPECTION.

1:Ell MEAT DEP. OBSERVED HAND Pt

SINK NOT ACCESSIBLE, STORED FOOD EMPTY CONTAINER INSIDE. COS CONTAINER REMOVED FROM HAND SINK

0 MEAT DEP, NO PAPER TOWEL Pf

AVAILABLE IN HAND SINK NEXT TO 3 COMP. SINK

FDACS 14205 Rev. 07/13

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NICOLE "NIKKI" FRIED COMMISSIONER

Food Entity Number Food Entity Name Date of Visit.

Food Entity Address

Food Entity Mailing Address:

Food Entity Type/Descnption

Food Entity Owner.

Florida Department of Agriculture and Consumer Services Division of Food Safety

FOOD SAFETY INSPECTION REPORT

Chapter 500. Florida Statutes (850) 245.5520

Print Date: February 11,2019

302019 CIRO MEAT MARKET February 11, 2019

18904 SW 114th Ave Miami, FL33157-7519

18904 SW 114th Ave Miami, FL 33157-7519

131/ Meat Market Retail

CIRO MEAT MARKET INC INSPECTION: RISK BASED

11111111111111 Visit # 3387-0002-62 Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C-26 Tallahassee, FL 32399-1650

Owner Code:

13 Food not protected from cross contamination by not storing in packages, covered containers or wrappings. 3-302.11(A)(5)

14 Equipment or utensils not cleaned during the operation when contamination may have occurred; when used with potentially hazardous food (time/temperature control for safety food) not cleaned at least every 4 hours when in use, or if documented, at allowed times where cleaning frequency is based on the ambient temperature of the refrigerated room or area or food temperature measuring device not cleaned before using or storing. 4-602.11(A)-(D) P

21 Improper date Marking system or no date marking on ready-to-eat potentially hazardous food (time/temperature control for safety food) as specified in the food code held at 41°F for more than 24 hours fora maximum of 7 days. 3-501.17 Pf

26 Poisonous or toxic materials not stored to prevent contamination of food, equipment, utensils, linens, and single-service and single-use articles by separation or location. 7-201.11 P

COS Observation

El RETAIL AREA, OBSERVED Pt SEVERAL DRY FOOD NIBBLED BY RODENTS ( RICE BAGS , PAN ELA ( BROWN CANE SUGAR) BEANS (GREEN PEAS, GARBANZO CORN MEAL) COS DESTROYED VOLUNTARILY BY MANAGER, CHECKED BY INSPECTOR

El BACK ROOM, UNCOVERED RAW CHICKEN INSIDE WALK IN COOLER NOT COVERED INSIDE A BOX

El MEAT DEP. FOUND CUTTING BOARD, MEAT SLICER, SAW MACHINE, MEAT GRINDER AND KNIFE WITH EVIDENCES OF OLD DRY PRODUCTS RESIDUES AND DIRT FROM PREVIOUS DAY. STOP USED ISSUE. SEE SUPPLEMENT.

E3 MET DEP, OBSERVED OPENED DELI HAM INSIDE DELI COOLER AREA FROM 2 DAYS AGO ,(MORE THAN 24 HRS ) WITH OUT DATE MARKING. COS CORRECT DATE MARKING WAS PLACED ON PACKAGES

IX) MEAT DEP. OBSERVED CLEANING SPRAY AND DETERGENT STORED ON TOP OF 3 COMP. SINK. COS ALL TOXIC ITEMS REMOVED FROM 3 COMP. SINK

Violation Number

11

Citation Description

Food packages not in good condition to protect the integrity of the contents from adulteration or potential contaminants. 3-202.15 Pt

INSPECTION: GRP

FDACS 14205 Rev. 07/13

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NICOLE "NIKKI" FRIE0 COMMISSIONER

Food Entity Number: Food Entity Name Date of Visit:

Food Entity Address:

Food Entity Mailing Address.

Food Entity Type/Description:

Food Entity Owner

Florida Department of Agriculture and Consumer Services Division of Food Safety

FOOD SAFETY INSPECTION REPORT

Chapter 500, Florida Statutes (850) 245-5520

Print Date: February 11,2019

302019 CIRO MEAT MARKET February 11, 2019

18904 SW 114th Ave Miami, FL33157-7519

18904 SW 114th Ave Miami, FL 33157-7519

131/ Meat Market Retail

CtIRO MEAT MARKET INC INSPECTION: GRP

11111111111111 Visit # 3387-0002-62 Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C-26 Tallahassee, FL 32399-1650

Owner Code:

Violation Number Citation Description

36 Premises not maintained free of roaches and rodents; not controlled by routinely inspecting incoming shipments of food and supplies for evidence of pests; routinely inspecting the premises for evidence of pests; using methods, such as trapping devices or other means of pest control as specified under 7-202.12, 7-206.12, and 7-206.13 . 6-501.111 (A)(B) (C) P

37 Food not stored in a clean, dry location, not at least 6" above the floor; or subjected to contamination. 3-305.11

39 Dry wiping cloths and the chemical sanitizing solutions in which wet wiping cloths are held between uses not free of food debris and visible soiI.3-304.14(D)

45 Non food-contact surfaces not free of unnecessary ledges, projections, and crevices or not designed and constructed to allow easy cleaning to facilitate maintenance. 4-202.16

45 Nonfood-contact surfaces of equipment exposed to splash, spillage, or other food soiling or that require frequent cleaning not constructed of a corrosion-resistant, nonabsorbent, and smooth material. 4-101.19

46 Drainboards, utensil racks, or tables not large enough to accommodate all soiled and cleaned Items that accumulate during hours of operation or not provided for necessary utensil holding before cleaning and after sanitizing. 4-301.13

COS Observation

0 RETAIL SALE AREA, -APPARENT RODENT DROPPINGS FOUND THROUGHOUT DRY FOOD RETAIL SHELVES. THE AFFECTED AREA MUST BE COMPLETELY CLEARED OF ALL MERCHANDISES AND CLEANED AND SANITIZED PROPERLY, NO OTHER MERCHANDISES MAY BE ADDED TO THE AREA OR BROKEN THE STOP USED ISSUED. SEE SUPPLEMENT

o BACK ROOM, OBSERVED BOXES OF MEAT PRODUCTS STORED DIRECTLY ON THE FLOOR INSIDE WALK IN COOLER

O MEAT DEP. OBSERVED DIRTY WIPING CLOTHS STORED ON SHELVE ALONG THE MEAT DISPLAY COOLER, NOT IN A SANITIZER SOLUTION.

o RETAIL SALE AREA. , OBSERVED MILK CRATES USED TO LIFT FOOD ITEMS OFF THE FLOOR.

O MEAT DEP. OBSERVED SHELVES INSIDE WALK IN COOLER RUSTY

O MEAT DEP. NO DRAIN BOARD BY 3 COMP. SINK BEING PROVIDED

DACS 14205 Rev. 07/13

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Page 7: Florida Department of Agriculture and Consumer Services ... Meat Mar… · Florida Department of Agriculture and Consumer Services Division of Food Safety FOOD SAFETY INSPECTION REPORT

NICOLE "NIKKI" FRIED COMMISSIONER

Food Entity Number Food Entity Name: Date of Visit:

Food Entity Address.

Food Entity Mailing Address:

Food Entity Type/Description:

Food Entity Owner:

Florida Department of Agriculture and Consumer Services

Division of Food Safety

FOOD SAFETY INSPECTION REPORT

Chapter 500, Florida Statutes (850) 245-5520

Print Date: February 11, 2019

302019 CIRO MEAT MARKET February 11,2019

18904 SW 114th Ave Miami, FL33157-7519

18904 SW 114th Ave Miami, FL 33157-7519

131/ Meat Market Retail

CIRO MEAT MARKET INC INSPECTION: GRP

MOM Visit # 3387-0002-62 Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C-26 Tallahassee, FL 32399-1650

Owner Code:

47 Non food-contact surfaces of equipment not cleaned at a frequency necessary to preclude accumulation of soil residues. 4-602.13

50 Direct connection exists between the sewage system and a drain originating from equipment in which food, portable equipment, or utensils are placed. 5-402.11

FDACS 14206 Rev. 07113

Page I of

COS Observation

151 MEAT DEP. OBSERVED 3 COMP SINK DIRTY INSIDE WITH AN ACCUMULATION OF MOLD AND OLD GREASE BUILD UP. COS 3 COMP. SINK WAS CLEANED AND SANITIZED DURING INSPECTION. VERIFIED BY INSPECTOR

ID MEAT DEP. OBSERVED SHELVES WITH A BUILD UP OF DUST AND OLD DRY PRODUCTS RESIDUES . BACK ROOM, OBSERVED SHELVES AND RACKS INSIDE WALK IN COOLER DIRTY WITH OLD SPILLAGE AND DIRT

ID MEAT DEP. DIRECT CONNECTION EXIST BETWEEN SEWAGE SYSTEM AND DRAINS FROM 3 COMP, SINK. A CHECK BACK VISIT WILL BE CONDUCTED IN 90 DAYS TO VERIFY COMPLIANCE OF THE CITATION.

111 MEAT DEP. OBSERVED WALL AROUND MEAT WALK IN COOLERS DOOR DAMAGED, RUSTY.

13 MEAT DEP. OBSERVED FLOOR IN MEAT PROCESSING AREA, UNDER EQUIPMENTS AND 3 COMP. SINK EXCESSIVE DIRTY WITH A BUILD UP OF OLD DIRT ACCUMULATION AND TRASH. ALSO BACK ROOM , WALK IN COOLER DIRTY FLOOR WITH OLD PRODUCTS RESIDUES AND DIRT.

Violation Number

46

Citation Description

Warewashing equipment not cleaned before use or throughout day at frequency necessary to prevent recontamination of equipment and utensils or at least every 24 hours if used. 4-501.14

53 Physical facilities not maintained in good repair, 6-501.11

53 Physical facilities cleaning not done as often as necessary to keep them clean or during periods when the least amount of food is exposed such as after closing. 6-501.12

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NICOLE ''NIKKI" FRIED COMMISSIONER

Food Entity Number: Food Entity Name. Date of Visit:

Food Entity Address.

Food Entity Mailing Address:

Food Entity Type/Description:

Food Entity Owner:

Florida Department of Agriculture and Consumer Services Division of Food Safety

FOOD SAFETY INSPECTION REPORT

Chapter 500, Florida Statutes (850) 245-5520

Print Date: February 11, 2019

302019 CIRO MEAT MARKET February 11, 2019

18904 SW 114th Ave Miami, FL33157-7519

18904 SW 114th Ave Miami, FL 33157-7519

131/ Meat Market Retail

CIRO MEAT MARKET INC

INSPECTION: GRP

111111111111 Visit # 3387 0002-62 Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C-26 Tallahassee, FL 32399-1650

Owner Codes

Violation Number Citation Description

53 Wall and ceiling covering materials not attached so that they are easily cleanable or wall construction not finished and sealed to provide a smooth, nonabsorbent, easily cleanable surface. 6-201.16

COS Observation

0 MEAT DEP. OBSERVED WALL COVERED BEHIND 3 COMP. SINK UNSEALED TO WALL. PEELING OFF. ALSO SEVERAL HOLES ON WALL

A Supplemental Report was also issued during the visit which includes important information for management.

COMMENTS A re-inspection will be conducted on or about 14 days due to an Inspection Summary- Re-Inspection Required.

Re-inspection visit required due to pests. Food establishment can call 850-245-5520 to request food safety inspector visit for written release when all affected areas have been adequately cleaned and sanitized. In addition, food establishment must develop and implement a pest management control program.

Employee Health Guidelines and reporting agreement provided.

A check-back inspection will be conducted to verify compliance of food safety citations observed during inspection. Correction to indirect connection.

ACKNOWLEDGMENT

I acknowledge receipt of a copy of this document, and I further acknowledge that I have verified the location and mailing addresses on the first page of this document are correct, or I have wri en the correct information on the first age of this document.

(Signature of ACS Representative)

NORA COUTO, SANITATION AND SAFETY SPECIALIST

(Signature of Representative)

SERGIO MAROUINA, MANAGER

Print Name and Title

FDACS 14205 Rev. 07/13

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Article: Brand Name: Lot #:

ALL DRY RETAIL FOOD STOAGE AREA N/A

# Of Pkgs: 2 Size Of Pkg: RETAIL LINES

Total Weight: Invoice #: Invoice Date:

NICOLE "NIKKI" FRIED COMMISSIONER

Food Entity #: Food Entity Name: Date Of Visit: Food Entity Location Address: Food Entity Mailing Address: Food Entity Type/Description:

Food Entity Owner:

Florida Department of Agriculture and Consumer Services

Division of Food Safety

FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT

Florida Statues Chapter 500 172, 500 174 (850) 245-5520

Print Date: February 11, 2019

302019 CIRO MEAT MARKET February 11,2019 18904 SW 114th Ave Miami, FL 33157-7519 18904 SW 114th Ave Miami, FL 33157-7519 131/Meat Market Retail

CIRO MEAT MARKET INC

Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C-26 Tallahassee, FL 32399-1650

111

Owner Code:

If 111 II II Visit #:3387000262

STOP USE ORDER

You are hereby ordered to withhold from movement, sale or use subject to further instructions from an authorized agent of the Florida Department of Agriculture and Consumer Services, the goods or equipment listed below.

Manufacturer: Distributor:

The primary reason and condition that caused the product or equipment stop sale or stop use and determined dangerous, unwholesome, fraudulent, or insanitary was: FS 500.04; FS 500.10 ADULTERATED* Prevention of Food Contamination: Insects, rodents, and animals not present

Comments: CALL 850-245-5520 TO REQUEST FOOD SAFETY INSPECTOR VISIT FOR WRITTEN RELEASE WHEN ALL EFFECTED AREAS HAVE BEEN ADEQUATELY CLEANED AND SANITIZED, IN ADDITION, FOOD ESTABLISHMENT MUST DEVELOP AND IMPLEMENT A PEST MANAGEMENT CONTROL PROGRAM.

STOP USE ORDER

You are hereby ordered to withhold from movement, sale or use subject to further instructions from an authorized agent of the Florida Department of Agriculture and Consumer Services, the goods or equipment listed below.

Article: KNIFES

Brand Name: Lot #: #01 Pkgs: 5 Size Of Pkg: Total Weight:

Invoice #: Invoice Date:

Manufacturer: Distributor:

The primary reason and condition that caused the product or equipment stop sale or stop use and determined dangerous, unwholesome, fraudulent, or insanitary was: FS 500.04; FS 500.172 UNSANITARY EQUIPMENT* Protection from Contamination: Food-contact surfaces: cleaned and sanitized

Comments: CALL 850-245-5520 TO REQUEST FOOD SAFETY INSPECTOR VISIT FOR WRITTEN RELEASE WHEN CORRECTIONS HAVE BEEN MADE TO REQUEST RELEASE OF EQUIPMENT.

FDACS 14205 Rev. 07/13

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NICOLE "NIKKI" FRIED COMMISSIONER

Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C-28 Tallahassee, FL 32399-1650

111

II II II

IL

Visit 4:3387000262

Owner Code:

Florida Department of Agriculture and Consumer Services

Division of Food Safety

FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT

Florida Statues. Chapter 500 172, 500.174 (850) 245-5520

Print Date: February 11, 2019

Food Entity #: Food Entity Name: Date Of Visit: Food Entity Location Address: Food Entity Mailing Address: Food Entity Type/Description:

302019 CIRO MEAT MARKET February 11,2019 18904 SW 114th Ave Miami, FL 33157-7519 18904 SW 114th Ave Miami, FL 33157-7519 131/Meat Market Retail

Food Entity Owner: CIRO MEAT MARKET INC

STOP USE ORDER

You are hereby ordered to withhold from movement, sale or use subject to further instructions from an authorized agent of the Florida Department of Agriculture and Consumer Services, the goods or equipment listed below.

Article Brand Name: Lot #:

Manufacturer: Distributor:

SLICER MACHINE N/A

# Of Pkgs: 1 Size Of Pkg: Total Weight: Invoice #: Invoice Date:

The primary reason and condition that caused the product or equipment stop sale or stop use and determined dangerous, unwholesome, fraudulent, or insanitary was: FS 500.04; FS 500.172 UNSANITARY EQUIPMENT* Protection from Contamination: Food-contact surfaces: cleaned and sanitized

Comments: CALL 850-245-5520 TO REQUEST FOOD SAFETY INSPECTOR VISIT FOR WRITTEN RELEASE WHEN CORRECTIONS HAVE BEEN MADE TO REQUEST RELEASE OF EQUIPMENT.

STOP USE ORDER

You are hereby ordered to withhold from movement, sale or use subject to further instructions from an authorized agent of the Florida Department of Agriculture and Consumer Services, the goods or equipment listed below.

Article: CUTTING BOARD

Brand Name: Lot #: # Of Pkgs: 1 Size Of Pkg: Total Weight:

Invoice #: Invoice Date:

Manufacturer: Distributor:

The primary reason and condition that caused the product or equipment stop sale or stop use and determined dangerous, unwholesome, fraudulent, or insanitary was: FS 500.04; FS 500.172 UNSANITARY EQUIPMENT' Protection from Contamination: Food-contact surfaces: cleaned and sanitized

Comments: CALL 850-245-5520 TO REQUEST FOOD SAFETY INSPECTOR VISIT FOR WRITTEN RELEASE WHEN CORRECTIONS HAVE BEEN MADE TO REQUEST RELEASE OF EQUIPMENT.

FDACS 14205 Rev. 07/13

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Size Of Pkg: Total Weight: Invoice #: Invoice Date:

Article SAW MACHINE Brand Name: N/A Lot #: #01 Pkgs: 1

Manufacturer: Distributor:

Size Of Pkg: Total Weight: Invoice #: Invoice Date:

Article MEAT GRINDER

Brand Name: N/A Lot #: #01 Pkgs: 1

Manufacturer: Distributor:

II II II ll II 11H

Florida Department of Agriculture and Consumer Services Division of Food Safety

FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT

Florida Statues Chapter 500 172, 500 174 (850) 245-5520

Print Date. February 11,2019

Food Entity # Food Entity Name: Date Of Visit Food Entity Location Address: Food Entity Mailing Address: Food Entity Type/Description.

302019 CIRO MEAT MARKET February 11, 2019 18904 SW 114th Ave Miami, FL 33157-7519 18904 SW 114th Ave Miami, FL 33157-7519

131/Meat Market Retail

Food Entity Owner CIRO MEAT MARKET INC

STOP USE ORDER

You are hereby ordered to withhold from movement, sale or use subject to further instructions from an authorized agent of the Florida Department of Agriculture and Consumer Services, the goods or equipment listed below.

The primary reason and condition that caused the product or equipment stop sale or stop use and determined dangerous, unwholesome, fraudulent, or insanitary was: FS 500.04; FS 500.172 UNSANITARY EQUIPMENT* Protection from Contamination: Food-contact surfaces: cleaned and sanitized

Comments: CALL 850-245-5520 TO REQUEST FOOD SAFETY INSPECTOR VISIT FOR WRITTEN RELEASE WHEN CORRECTIONS HAVE BEEN MADE TO REQUEST RELEASE OF EQUIPMENT.

STOP USE ORDER

You are hereby ordered to withhold from movement, sale or use subject to further instructions from an authorized agent of the Florida Department of Agriculture and Consumer Services, the goods or equipment listed below.

The primary reason and condition that caused the product or equipment stop sale or stop use and determined dangerous, unwholesome, fraudulent, or insanitary was: FS 500.04; FS 500.172 UNSANITARY EQUIPMENT* Protection from Contamination: Food-contact surfaces: cleaned and sanitized

Comments: CALL 850-245-5520 TO REQUEST FOOD SAFETY INSPECTOR VISIT FOR WRITTEN RELEASE WHEN CORRECTIONS HAVE BEEN MADE TO REQUEST RELEASE OF EQUIPMENT,

When the department or its duly authorized agent finds, or has probable cause to believe, that any food or food-processing equipment is in violation of this chapter or any rule adopted under this chapter so as to be dangerous, unwholesome, fraudulent, or insanitary within the meaning of this chapter, an agent of the department may issue and enforce a stop-sale, stop-use, removal, or hold order, which order gives notice that such article or processing equipment is, or is suspected of being, in violation and has

FoAcs 14205 Rev. 07/13

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Bureau of Food Inspection Attention Business Center 3125 Conner Boulevard, C-26 Tallahassee, FL 32399-1650

Visit #:3387000262

Owner Code:

NICOLE "NIKKI" FRIED COMMISSIONER

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been detained or embargoed and which order warns all persons not to remove, use, or dispose of such article or processing equipment by sale or otherwise until permission for removal, use, or disposal is given by the department or the court. It is unlawful for any person to remove, use, or dispose of such detained or embargoed article or processing equipment by sale or otherwise without such permission in accordance with 500.172 (1) Florida Statutes.

AN ADMINISTRATIVE HEARING IS AVAILABLE FOR ALL ORDERS, NOTICES, AND REPORTS IN THIS SUPPLEMENTAL REPORT

If you wish to contest the Department's action, you have the right to request an administrative hearing to be conducted in accordance with Sections 120.569 and 120.57, Florida Statutes and to be represented by counsel or other qualified representative. Your request for hearing must contain:

1. Your name, address, and telephone number, and facsimile number (if any).

2. The name, address, and telephone number, and facsimile number of your attorney or qualified representative (if any) upon whom service of pleadings and other papers shall be made.

3. A statement that you are requesting an administrative hearing and dispute the material facts alleged by the department, in which case you must identify the material facts that are in dispute (formal hearing), or that you request an administrative hearing and that you do not dispute the facts alleged by the department (informal hearing),

4. A statement of when (date) you received the Notice and the file number of this Notice.

Your request for a hearing must be received at the address shown on this Notice within twenty-one (21) days of receipt of this Notice. If you fail to obtain a Release from this Notice or fail to request an administrative hearing within the twenty-one (21) day deadline you waive your right to a hearing and the Department may enter a Final Order imposing up to the maximum penalties as authorized by Florida Law.

HEARING WAIVER AND WAIVER OF RIGHTS

4/Q (J the person in charge of CIRO MEAT MARKET hereby waive a notice and a hearing as provided in Chapter 120, Florida Statutes and waive all rights as provided on the last page of this r5prt.

(Signature) ACKNOWLEDGEMENT ACKNOWLEDGEMENT

I knowledge receipt of a co of this d ment.

67v/ ct (Sig ure of FDACS Representative) (Signature of Representative)

NOFtA COUTO, SANITATION AND SAFETY SPECIALIST SERGIO MARQUINA, MANAGER

Print Name and Title

MACS 14205 Rev. 07/13

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C) ( /1 (Signature of Representative)

(Signature of DACS Representative)

NICOLE "Nikki" FRIED COMMISSIONER

Food Entity Number: Food Entity Name Date of Visit

Food Entity Address:

Food Entity Mailing Address.

Food Entity Type/Description:

Food Entity Owner:

Florida Department of Agriculture and Consumer Services

Division of Food Safety

FOOD SAFETY INSPECTION REPORT

Chapter 500. Florida Statutes (850) 245-5520

Print Date: February 12, 2019

302019 CIRO MEAT MARKET February 12, 2019

18904 SW 114th Ave Miami, FL33157-7519

18904 SW 114th Ave Miami, FL 33157-7519

131/ Meat Market Retail

CIRO MEAT MARKET INC

11101111111 Visit # 3387-0002-64 Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C-26 Tallahassee, FL 32399-1650

Owner Code

INSPECTION SUMMARY - Focused Inspection On February 12, 2019, CIRO MEAT MARKET was inspected by NORA COUTO, a representative of the Florida Department of Agriculture and Consumer Services. A Focused Inspection is a visit focused on a specific task that does not constitute an inspection and will not result in an inspection summary.

PERMIT APPLICATION INFORMATION The permit application information was verified with management or a qualified representative.

COMPLIANCE KEY IN = In Compliance OUT = Not In Compliance N/O = Not Observed N/A = Not Applicable

COMMENTS Check-Back release issued for Stop Use and/ RELEASED ALL EQUIPMENTS IN MEAT DEP, ALL CLEANED AND SANITIZED PROPERLY, CHECKED AND VERIFIED

RETAIL AREA REMAIN UNDER STOP USED , A NEW AGREEMENT WAS SIGNED WITH THE PEST CONTROL COMPANY, ( ORKIN ) TOMORROW THEY WILL BEGINNING THE PEST CONTROL WORK IN THE FE AND WILL PROVIDED THE PAPERS

ACKNOWLEDGMENT

I acknowledge receipt of a copy of this document, and I further acknowledge that I have verified the location and mailing addresses on the first pa e of this document are correct, or I have tten the correct information on the first page of this document.

NORA COUTO, NITATION AND SAFETY SPECIALIST SERGIO MARQUINA, MANAGER

Print Name and Title

MACS 14205 Rev, 07113

Page 1 el 1

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NICOLE "NIKKI" FRIED COMMISSIONER

Comments:

ACKNOWLEDGEMENT

I acknorledge receipt of a copy of this document.

e#9--6:10 A//tr" c/t ft 6i (Signature of Representativk)

SERGIO MARQUINA, MANAGER

Print Name and Title

Florida Department of Agriculture and Consumer Services

Division of Food Safety

FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT

Florida Statues. Chapter 500.172, 500.174 (850) 245-5520

Print Date: February 12, 2019

Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C-28 Tallahassee, FL 32399-1650

1111 Visit #:3387000264

IllI I! 11 Food Entity #: 302019 Food Entity Name: CIRO MEAT MARKET Date Of Visit: February 12, 2019 Food Entity Location Address: 18904 SW 114th Ave Miami, FL 33157-7519 Food Entity Mailing Address: 18904 SW 114th Ave Miami, FL 33157-7519 Food Entity Type/Description: 131/Meat Market Retail

Food Entity Owner: CIRO MEAT MARKET INC

RELEASE NOTICE

Owner Code:

You are hereby notified that the following item on which a STOP USE ORDER was issued on 02/11/2019 by NORA COUTO is hereby released.

Article: KNIFES Brand Name: Lot #: # Of Pkgs: 5 Size Of Pkg: Total Weight:

Invoice #: Invoice Date:

Manufacturer: Distributor:

The primary reason and condition that caused the product or equipment stop sale or stop use and determined dangerous, unwholesome, fraudulent, or insanitary was: FS 500.04; FS 500.172 UNSANITARY EQUIPMENT" Protection from Contamination: Food-contact surfaces: cleaned and sanitized

Disposition: EQUIPMENT WAS CLEANED, SANITIZED, CHECKED AND RELEASED.

FDACS 14205 Rev, 07/13

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(Signature o FDACS Representative)

NORA COUTO, ITATION AND SAFETY SPECIALIST

Florida Department of Agriculture and Consumer Services Division of Food Safety

FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT

Florida Statues Chapter 500 172. 500 174 (850) 245-5520

Print Date: February 12, 2019

Bureau e Food Inspection Attention: Business Center 3125 Conner Boulevard, C-28 Tallahassee, FL 32399-1650

Visit 3387000264

11111111111111111111111 NICOLE "NIKKI" FRIED

COMMISSIONER

Food Entity it 302019 Food Entity Name • CIRO MEAT MARKET Date Of Visit: February 12, 2019 Food Entity Location Address: 18904 SW 114th Ave Miami, FL 33157-7519 Food Entity Mailing Address: 18904 SW 114th Ave Miami, FL 33157-7519 Food Entity Type/Description: 131/Meat Market Retail

Food Entity Owner: CIRO MEAT MARKET INC Owner Code:

RELEASE NOTICE

You are hereby notified that the following item on which a STOP USE ORDER was issued on 02/11/2019 by NORA COUTO is hereby released.

Article: SLICER MACHINE Brand Name: N/A Lot #: # Of Pkgs: 1

Manufacturer: Distributor:

Size Of Pkg: Total Weight: Invoice #: Invoice Date:

The primary reason and condition that caused the product or equipment stop sale or stop use and determined dangerous, unwholesome, fraudulent, or insanitary was: FS 500.04; FS 500.172 UNSANITARY EQUIPMENT* Protection from Contamination: Food-contact surfaces: cleaned and sanitized

Disposition: EQUIPMENT WAS CLEANED, SANITIZED, CHECKED AND RELEASED.

Comments:

ACKNOWLEDGEMENT

I acknowledge receipt of a copy of this document.

'r14 Oct, (Signature of Representativ

SERGIO MARQUINA, MANAGER

Print Name and Title

FDACS 14205 Rev, 07/13

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NICOLE "NIKKI" FRIED COMMISSIONER

Food Entity #: Food Entity Name: Date Of Visit Food Entity Location Address: Food Entity Mailing Address: Food Entity Type/Description:

Food Entity Owner:

Florida Department of Agriculture and Consumer Services Division of Food Safety

FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT

Florida Statues Chapter 500.172, 500 174 (850) 245-5520

302019 CIRO MEAT MARKET February 12, 2019 18904 SW 114th Ave Miami, FL 33157-7519 18904 SW 114th Ave Miami, FL 33157-7519

131/Meat Market Retail

CIRO MEAT MARKET INC

Bureau of Food Inspection Attention Business Center 3125 Conner Boulevard, C.25

Tallahassee, FL 32399-1850

11111

110

Owner Code:

Print Date: February 12, 2019 Visit #.3387000264

RELEASE NOTICE

You are hereby notified that the following item on which a STOP USE ORDER was issued on 02/11/2019 by NORA COUTO is hereby released.

Article: Brand Name: Lot #:

CUTTING BOARD

#01 Pkgs 1 Size Of Pkg: Total Weight: Invoice #: Invoice Date:

Manufacturer: Distributor

The primary reason and condition that caused the product or equipment stop sale or stop use and determined dangerous, unwholesome, fraudulent, or insanitary was: FS 500.04; FS 500.172 UNSANITARY EQUIPMENT* Protection from Contamination: Food-contact surfaces: cleaned and sanitized

Disposition: EQUIPMENT WAS CLEANED, SANITIZED, CHECKED AND RELEASED.

Comments:

ACKNOWLEDGEMENT

I acknowledge receipt of a copy of this document.

A1A-r-/ CA (Signature of Representative)/

SERGIO MAROUINA, MANAGER

(Signature of FD S Representative)

NORA COUTO, SA ATION AND SAFETY SPECIALIST

Print Name and Title

FDACS 14205 Rev. 07/13

Page 3 of ft

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(07:,

(Signature of • DACS Representative)

NORA COUTO NITATION AND SAFETY SPECIALIST SERGIO MAROUINA, MANAGER

I acknowledge receipt of a copy of this document.

c7-0(

(Signature of Representativ4/

Florida Department of Agriculture and Consumer Services Division of Food Safety

FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT

Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C.25 Tallahassee, FL 32399-1650

11 il

111 Florida Statues Chapter 500172 , 500 174

(850) 245-5520

NICOLE "NIKKI" FRIED COMMISSIONER

Print Date February 12, 2019 Visit #:3387000264

Food Entity #: 302019 Food Entity Name: CIRO MEAT MARKET Date Of Visit: February 12, 2019 Food Entity Location Address: 18904 SW 114th Ave Miami, FL 33157-7519 Food Entity Mailing Address: 18904 SW 114th Ave Miami, FL 33157-7519

Food Entity Type/Description: 131/Meat Market Retail

Food Entity Owner: CIRO MEAT MARKET INC

RELEASE NOTICE

Owner Code:

You are hereby notified that the following item on which a STOP USE ORDER was issued on 02/11/2019 by NORA COUTO is hereby released.

Article: SAW MACHINE Brand Name: N/A Lot #: # Of Pkgs: 1

Manufacturer: Distributor:

Size Of Pkg: Total Weight: Invoice #: Invoice Date:

The primary reason and condition that caused the product or equipment stop sale or stop use and determined dangerous, unwholesome, fraudulent, or insanitary was: FS 500.04; FS 500.172 UNSANITARY EQUIPMENT* Protection from Contamination: Food-contact surfaces: cleaned and sanitized

Disposition: EQUIPMENT WAS CLEANED, SANITIZED, CHECKED AND RELEASED.

Comments:

ACKNOWLEDGEMENT

Print Name and Title

FDACS 14205 Rev, 07113

Page 4 of 6

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Bureau of Food Inspection Attention Business Center 3125 Conner Boulevard, C-26 Tallahassee. FL 32399-1650

II' II

11111 II

Ill III

III

Visit # 3387000264

Owner Code:

I ac owledge receipt of a copy of this document. .sq

A/Ml .

Vl i;?Ct (Signature of ACS Representative)

i

(Signature of Representati4e)

ITATION AND SAFETY SPECIALIST I SERGIO MAROUINA, MANAGER NORA COUTO,

NICOLE "NIKKI" FRIED COMMISSIONER

Florida Department of Agriculture and Consumer Services

Division of Food Safety

FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT

Florida Statues Chaplei 500 172 500 174 I850) 245-5520

Print Date February 12, 2019

Food Entity #' 302019 Food Entity Name. CIRO MEAT MARKET Date Of Visit February 12, 2019 Food Entity Location Address: 18904 SW 114th Ave Miami. FL 33157-7519 Food Entity Mailing Address: 18904 SW 114th Ave Miami, FL 33157-7519 Food Entity Type/Description: 131/Meat Market Retail

Food Entity Owner: CIRO MEAT MARKET INC

RELEASE NOTICE

You are hereby notified that the following item on which a STOP USE ORDER was issued on 02/11/2019 by NORA COUTO is hereby released.

Article: Brand Name: Lot #:

Manufacturer. Distributor:

MEAT GRINDER N/A

# Of Pkgs: 1 Size Of Pkg: Total Weight: Invoice #: Invoice Date:

The primary reason and condition that caused the product or equipment stop sale or stop use and determined dangerous, unwholesome, fraudulent, or insanitary was: FS 500.04; FS 500.172 UNSANITARY EQUIPMENT' Protection from Contamination: Food-contact surfaces: cleaned and sanitized

Disposition: EQUIPMENT WAS CLEANED, SANITIZED, CHECKED AND RELEASED.

Comments:

ACKNOWLEDGEMENT

Print Name and Title

FDACS 14205 Rev. 07/13

Page 5 of 6

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VVhen the department or its duly authorized agent finds, or has probable cause to believe, that any food or food-processing equipment is in violation of this chapter or any rule adopted under this chapter so as to be dangerous, unwholesome, fraudulent, or insanitary within the meaning of this chapter, an agent of the department may issue and enforce a stop-sale, stop-use, removal, or

hold order, which order gives notice that such article or processing equipment is, or is suspected of being, in violation and has been detained or embargoed and which order warns all persons not to remove, use, or dispose of such article or processing equipment by sale or otherwise until permission for removal, use, or disposal is given by the department or the court. It is unlawful for any person to remove, use, or dispose of such detained or embargoed article or processing equipment by sale or otherwise without such permission in accordance with 500.172 (1) Florida Statutes.

AN ADMINISTRATIVE HEARING IS AVAILABLE FOR ALL ORDERS, NOTICES, AND REPORTS IN THIS

SUPPLEMENTAL REPORT

If you wish to contest the Department's action, you have the right to request an administrative hearing to be conducted in accordance with Sections 120.569 and 120.57, Florida Statutes and to be represented by counsel or other qualified representative. Your request for hearing must contain:

1. Your name, address, and telephone number, and facsimile number (if any).

2. The name, address, and telephone number, and facsimile number of your attorney or qualified representative (if any) upon whom service of pleadings and other papers shall be made.

3. A statement that you are requesting an administrative hearing and dispute the material facts alleged by the department, in which case you must identify the material facts that are in dispute (formal hearing), or that you request an administrative hearing and that you do not dispute the facts alleged by the department (informal hearing).

4. A statement of when (date) you received the Notice and the file number of this Notice.

Your request for a hearing must be received at the address shown on this Notice within twenty-one (21) days of receipt of this Notice. If you fail to obtain a Release from this Notice or fail to request an administrative hearing within the twenty-one (21) day deadline you waive your right to a hearing and the Department may enter a Final Order imposing up to the maximum penalties as authorized by Florida Law.

HEARING WAIVER AND WAIVER OF RIGHTS

I EA ‘t R the person in charge of CIRO MEAT MARKET hereby waive a notice and a hearing as provided in Chapter 120, Florida Statutes and waive all rights as provided on the last page of this re Dort,

(Signature)

ACKNOWLEDGEMENT

owledge receipt of a co_Riy of this d9cument.

.0

(Signature of Representativ (Signatu of FDACS Representative)

NORA COUTO, SANITATION AND SAFETY SPECIALI

SERGIO MARQUINA, MANAGER

Print Name and Title

FDACS 14205 Rev. 07/13

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