GEORGIA DEPARTMENT OF PUBLIC HEALTH
Food Service Establishment Inspection Report
Establishment Name:
FORTUNE PACIFICA INC. D/B/A GOLDEN SUN
Address:
4349 LAWRENCEVILLE HIGHWAY,SUITE C
City:
TUCKER
Time In:
01
:
40
PM
Time Out:
03
:
30
PM
Inspection Date:
12/01/2016
CFSM:
Mark Ma
Purpose of Inspection:
Routine
Follow-up
Initial
Issued Provisional Permit
Temporary
Risk Type:
1
2
3
Permit#:
887394
Risk Factors are food preparation practices and
employee behaviors most commonly reported to the
Centers for Disease Control and Prevention as contributing
factors in foodborne illness outbreaks.
Public Health Interventions are control measures to
prevent illness or injury.
Last Score
96
Grade
A
Date
07/06/16
Prior Score
77
Grade
C
Date
05/05/16
CURRENT SCORE
CURRENT GRADE
64
U
SCORING AND GRADING:
A=90-100
B=80-89
C=70-79
U≤69
FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS (Mark designated compliance staus (IN, OUT, NA, or NO) for each numbered item. For items marked OUT, mark COS or R for each item as applicable.)
IN=in compliance
OUT=not in compliance
NO=not observed
NA=not applicable
COS=corrected on-site during inspection
R=repeat violation of the same code provision=2 points
4-1B. Proper disposition of returned, previously served, reconditioned, and unsafe food
4 points
4-2A. Food stored covered
4-2B. Food-contact surfaces: cleaned & sanitized
Compliance Status
COS
R
5
IN
OUT
NA
NO
Cooking and Reheating of TCS Foods, Consumer Advisory
9 points
5-1A. Proper cooking time and temperatures
5-1B. Proper reheating procedures for hot holding
4 points
5-2. Consumer advisory provided for raw and undercooked foods
6
IN
OUT
NA
NO
Holding of TCS Foods, Date Marking of TCS Foods
9 points
6-1A. Proper cold holding temperatures
6-1B. Proper hot holding temperatures
6-1C. Proper cooling time and temperature
6-1D. Time as a public health control: procedures and records
4 points
6-2. Proper date marking and disposition
7
IN
OUT
NA
NO
Highly Susceptible Populations
9 points
7-1. Pasteurized foods used: Prohibited foods not offered
8
IN
OUT
NA
NO
Chemicals
4 points
8-2A. Food additives: approved and properly used
8-2B. Toxic substances properly identified, stored, used
9
IN
OUT
NA
NO
Conformance with Approved Procedures
4 points
9-2. Compliance with variance, specialized process and HACCP plan
GOOD RETAIL PRACTICES
(Mark the numbered item OUT, if not in compliance. For items marked OUT, mark COS or R for each item as applicable. R = Repeat Violation of the same code provision = 1 point)
Good Retail Practices are preventive measures to control the introduction of pathogens, chemicals, and physical objects into foods.
Compliance Status
COS
R
10
OUT
Safe Food and Water, Food Identification
3 points
10A. Pasteurized eggs used where required
10B. Water and ice from approved source
10C. Variance obtained for specialized processing methods
10D. Food properly labeled; original container
11
OUT
Food Temperature Control
3 points
11A. Proper cooling methods used: adequate equipment for temperature control
11B. Plant food properly cooked for hot holding
11C. Approved thawing methods used
11D. Thermometers provided and accurate
12
OUT
Prevention of Food Contamination
3 points
12A. Contamination prevented during food preparation, storage, display
17C. Physical facilities installed, maintained, and clean
17D. Adequate ventilation and lighting; designated areas used
18
OUT
Pest and Animal Control
3 points
18. Insects, rodents, and animals not present
Person in Charge (Signature)
(Print) Sunny Sun
Date: 12/01/2016
Inspector (Signature)
Shakendra Strafford
Follow-up:
YESNO
Follow-up Date: 12/13/2016
Food Establishment Inspection Report Addendum
Violations cited in this report must be corrected within the time frames specified below, or as stated in the Georgia Department of Public Health Rules and Regulations Food Service Chapter 511-6-1, Rule .10 subsections (2) (h) and (i).
Establishment FORTUNE PACIFICA INC. D/B/A GOLDEN SUN
Permit # 887394
Date 12/01/2016
Address
4349 LAWRENCEVILLE HIGHWAY,SUITE C
City/State TUCKER GA
Zipcode 30084
TEMPERATURE OBSERVATIONS
Item/Location
Temp
Item/Location
Temp
Item/Location
Temp
cut leafy greens cut leafy greens / Main Kitchen, cabbage
54.0 ° F
noodles noodles / Main Kitchen,
52.0 ° F
Chicken Chicken / Main Kitchen, wings
52.0 ° F
Ambient Ambient / Main Kitchen,
40.0 ° F
Fish/Seafood Fish/Seafood / Main Kitchen, shrimp
40.0 ° F
Pork Pork / Main Kitchen, cooked
30.0 ° F
Beef Beef / Main Kitchen, cooked
41.0 ° F
tofu tofu / Main Kitchen,
41.0 ° F
Rice Rice / Main Kitchen, fried
143.0 ° F
Rice Rice / Main Kitchen, white
158.0 ° F
Chicken Chicken / Main Kitchen,
204.0 ° F
Rice Rice / Main Kitchen, white
195.0 ° F
Ambient Ambient / Main Kitchen,
42.0 ° F
Chicken Chicken / Main Kitchen, cooked
43.0 ° F
Chicken Chicken / Main Kitchen, sweet & sour
40.0 ° F
Eggs Eggs / Main Kitchen, shelled
40.0 ° F
Ambient Ambient / Main Kitchen, FFS
-08.3 ° F
Item Number
OBSERVATIONS AND CORRECTIVE ACTIONS
2-2D
Violation of Code: [511-6-1.06(2)(o)]
Upon arrival observed rubber gloves stored at hand sink. Advised PIC that nothing can be stored at hand sink due to it is used for hand washing only. COS-rubber gloves removed. New Violation.
2-2E
Violation of Code: [511-6-1.03(6)]
Bleach doesn't have a EPA number or a concentration amount of 5.25% or 8.3%. Advised PIC that chemical must match the written procedures. New Violation.
4-1A
Violation of Code: [511-6-1.04(4)(c)]
Observed raw chicken wing stored next to cooked shrimp in bottom of the prep cooler. Advised PIC that all raw animal food shall be stored according to final cook temperature. COS-cooked shrimp relocated. Corrected On-Site. New Violation.
4-2A
Violation of Code: [511-6-1.04(4)(c)1(iv)]
Observed cooked chicken, raw chicken, cooked beef, and cooked shrimp stored in bottom of prep cooler uncovered. Advised PIC that all food must be covered to prevent contamination. Corrected On-Site. New Violation.
6-1A
Violation of Code: [511-6-1.04(6)(f)]
Observed chicken wings and cut cabbage stored on countertop above 41F. Advised PIC that all TCS foods must be stored at 41F or below for cold holding. Also, discussed time as a public health control. COS-chicken and cabbage was discarded. Corrected On-Site. Repeat Violation.
11A
Violation of Code: [511-6-1.04(6)(e)]
Chicken and beef observed cooling on countertop. Advised PIC of approved cooling methods. COS-chicken and beef was placed in walk in cooler. Corrected On-Site. New Violation.
12A
Violation of Code: [511-6-1.04(4)(q)]
Upon arrival pan of chicken and box of green onions stored on floor. Advised PIC that all food must be stored 6 inches off floor. COS-pan of chicken and box of green onions removed from floor. Corrected On-Site. New Violation.
14A
Violation of Code: [511-6-1.04(4)(k)]
In use utensil used for rice observed stored in 63F water. Advised PIC that in use utensils must be stored in water at 135F or above or a clean surface. COS- utensil was cleaned and sanitized. Corrected On-Site. Repeat Violation.