GEORGIA DEPARTMENT OF PUBLIC HEALTH
Food Service Establishment Inspection Report
Establishment Name:  Fordhams Farmhouse Restaurant
Address:  23657 Hwy 80 E
City:  Statesboro Time In:  10 :  55 AM Time Out:  12 :  45 PM
Inspection Date:    10/08/2020   CFSM:   30 day notice given
Purpose of Inspection:    Routine    Followup    Initial   
     Issued Provisional Permit    Temporary     
Risk Type:   1   2   3 Permit#:  FSP-016-000019
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. Good Retail Practices are preventive measures to control the introduction of pathogens, chemicals, and physical objects into foods.
Last Score

97
Grade

A
Date

01/06/20
Prior Score

96
Grade

A
Date

07/18/19
CURRENT SCORE CURRENT GRADE
 
70
  
C
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
Compliance Status COS R
1 IN OUT NA NO Supervision 4 points
  circle circle     1-2A. PIC present, demonstrates knowledge, performs duties circle circle
  circle circle circle   1-2B. Certified Food Protection Manager circle circle
2 IN OUT NA NO Employee Health, Good Hygienic Practices, Preventing Contamination by Hands 9 points
  circle circle     2-1A. Proper use of restriction & exclusion circle circle
  circle circle   circle 2-1B. Hands clean and properly washed circle circle
  circle circle circle circle 2-1C. No bare hand contact with ready-to-eat foods or approved alternate method properly followed circle circle
  4 points
  circle circle     2-2A. Management knowledge, responsibilities, reporting circle circle
  circle circle   circle 2-2B. Proper eating, tasting, drinking, or tobacco use circle circle
  circle circle   circle 2-2C. No discharge from eyes, nose, and mouth circle circle
  circle circle     2-2D. Adequate handwashing facilities supplied & accessible circle circle
  circle circle     2-2E. Response procedures for vomiting & diarrheal events circle circle
3 IN OUT NA NO Approved Source 9 points
  circle circle     3-1A. Food obtained from approved source circle circle
  circle circle circle circle 3-1B. Food received at proper temperature circle circle
  circle circle     3-1C. Food in good condition, safe, and unadulterated circle circle
  circle circle circle circle 3-1D. Required records: shellstock tags, parasite destruction circle circle
4 IN OUT NA NO Protection From Contamination 9 points
  circle circle circle circle 4-1A. Food separated and protected circle circle
  circle circle     4-1B. Proper disposition of returned, previously served, reconditioned, and unsafe food circle circle
  4 points
  circle circle circle   4-2A. Food stored covered circle circle
  circle circle circle   4-2B. Food-contact surfaces: cleaned & sanitized circle circle
 
Compliance Status COS R
5 IN OUT NA NO Cooking and Reheating of TCS Foods, Consumer Advisory 9 points
  circle circle circle circle 5-1A. Proper cooking time and temperatures circle circle
  circle circle circle circle 5-1B. Proper reheating procedures for hot holding circle circle
    4 points
  circle circle circle   5-2. Consumer advisory provided for raw and undercooked foods circle circle
6 IN OUT NA NO Holding of TCS Foods, Date Marking of TCS Foods 9 points
  circle circle circle circle 6-1A. Proper cold holding temperatures circle circle
  circle circle circle circle 6-1B. Proper hot holding temperatures circle circle
  circle circle circle circle 6-1C. Proper cooling time and temperature circle circle
  circle circle circle circle 6-1D. Time as a public health control: procedures and records circle circle
    4 points
  circle circle circle circle 6-2. Proper date marking and disposition circle circle
7 IN OUT NA NO Highly Susceptible Populations 9 points
  circle circle circle   7-1. Pasteurized foods used: Prohibited foods not offered circle circle
8 IN OUT NA NO Chemicals 4 points
  circle circle circle   8-2A. Food additives: approved and properly used circle circle
  circle circle     8-2B. Toxic substances properly identified, stored, used circle circle
9 IN OUT NA NO Conformance with Approved Procedures 4 points
  circle circle circle   9-2. Compliance with variance, specialized process and HACCP plan circle circle
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
  circle 10A. Pasteurized eggs used where required circle circle
  circle 10B. Water and ice from approved source circle circle
  circle 10C. Variance obtained for specialized processing methods circle circle
  circle 10D. Food properly labeled; original container circle circle
11 OUT Food Temperature Control 3 points
  circle 11A. Proper cooling methods used: adequate equipment for temperature control circle circle
  circle 11B. Plant food properly cooked for hot holding circle circle
  circle 11C. Approved thawing methods used circle circle
  circle 11D. Thermometers provided and accurate circle circle
12 OUT Prevention of Food Contamination 3 points
  circle 12A. Contamination prevented during food preparation, storage, display circle circle
  circle 12B. Personal cleanliness circle circle
  circle 12C. Wiping cloths: properly used and stored circle circle
  circle 12D. Washing fruits and vegetables circle circle
13 OUT Postings and Compliance with Clean Air Act 1 point
  circle 13A. Posted: Permit/Inspection/Choking Poster/Handwashing circle circle
  circle 13B. Compliance with Georgia Smoke Free Air Act circle circle
 
Compliance Status COS R
14 OUT Proper Use of Utensils 1 point
  circle 14A. In-use utensils: properly stored circle circle
  circle 14B. Utensils, equipment and linens: properly stored, dried, handled circle circle
  circle 14C. Single-use/single-service articles: properly stored, used circle circle
  circle 14D. Gloves used properly circle circle
15 OUT Utensils, Equipment and Vending 1 point
  circle 15A. Food and nonfood-contact surfaces cleanable, properly designed, constructed, and used circle circle
  circle 15B. Warewashing facilities: installed, maintained, used; test strips circle circle
  circle 15C. Nonfood-contact surfaces clean circle circle
16 OUT Water, Plumbing and Waste 2 points
  circle 16A. Hot and cold water available; adequate pressure circle circle
  circle 16B. Plumbing installed; proper backflow devices circle circle
  circle 16C. Sewage and waste water properly disposed circle circle
17 OUT Physical Facilities 1 point
  circle 17A. Toilet facilities: properly constructed, supplied, cleaned circle circle
  circle 17B. Garbage/refuse properly disposed; facilities maintained circle circle
  circle 17C. Physical facilities installed, maintained, and clean circle circle
  circle 17D. Adequate ventilation and lighting; designated areas used circle circle
18 OUT Pest and Animal Control 3 points
  circle 18. Insects, rodents, and animals not present circle circle
Person in Charge (Signature)   (Print)   Allen Fordham Date:   10/08/2020
Inspector (Signature)  
Follow-up: YES circle   NO circle
Follow-up Date:
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
Fordhams Farmhouse Restaurant		 Permit #
FSP-016-000019		 Date
10/08/2020
Address
23657 HWY 80 E 		City/State
STATESBORO GA		 Zipcode
30458
TEMPERATURE OBSERVATIONS
Item/Location Temp Item/Location Temp Item/Location Temp
Cooling, Front Food Service, Reach In Cooler, Salad, 51.0 ° F Cold Holding, Main Kitchen, Counter Top/Table, Dairy, Milk wash 50.0 ° F Hot Holding, Front Food Service, Buffet Unit, Vegetables, Spinach 140.0 ° F
Hot Holding, Front Food Service, Buffet Unit, Casseroles, Mac and Cheese 160.0 ° F Hot Holding, Front Food Service, Buffet Unit, Chicken, Breast 136.0 ° F Hot Holding, Main Kitchen, Buffet Unit, Turkey, Creamed Corn 150.0 ° F
Hot Holding, Main Kitchen, Heat Lamp, Chicken, Fried 181.0 ° F Cold Holding, Main Kitchen, Walk in Cooler, Brunswick Stew, 37.0 ° F Cold Holding, Main Kitchen, Walk in Cooler, Ambient, 41.0 ° F
Cold Holding, Main Kitchen, Reach In Cooler, Ambient, #2 33.0 ° F Cold Holding, Main Kitchen, Reach In Cooler, Ambient, #1 37.0 ° F    
Item
Number		 OBSERVATIONS AND CORRECTIVE ACTIONS
1-2B Violation of Code: [511-6-1.03(3)(c)] Observed no available CFSM certificate on file. CA: All food operations must have a current certificate on file.  New Violation.
2-2D Violation of Code: [511-6-1.07(3)(a)] Observed handwashing sink blocked by an empty container and rag. CA: All handwashing sinks may only be used for handwashing.  New Violation.
4-2A Violation of Code: [511-6-1.04(4)(c)1(iv)] Observed foods uncovered when not in use. CA: Cover all foods when not in use.  New Violation.
4-2B Violation of Code: [511-6-1.05(6)(n)] Observed dish machine not at proper sanitation concentration (0 ppm). CA: Dish machine must be at required sanitation concentration provided by manufacturer.  Corrected On-Site.  New Violation.
6-1A Violation of Code: [511-6-1.04(6)(f)] Observed salad in cold holding unit temping at 51 degrees Fahrenheit. CA: All TCS foods must reach 41 degrees Fahrenheit or below before service.  New Violation.
6-1A Violation of Code: [511-6-1.04(6)(f)] Observed milk wash on counter temping at 50 degree Fahrenheit. CA: All TCS foods must be held at 41 degree Fahrenheit or below.  New Violation.
12A Violation of Code: [511-6-1.04(4)(h)] Observed meat stored on ice without proper contamination precautions.  New Violation.
14B Violation of Code: [511-6-1.05(10)(a)] Observed dishes stacked wet to dry.  Repeat Violation.
14C Violation of Code: [511-6-1.05(10)(f)] Observed single-service milk jug used to store ranch.  New Violation.
17C Violation of Code: [511-6-1.07(5)(a),(b)] Observed hole in wall in dry storage.  New Violation.
17D Violation of Code: [511-6-1.07(5)(d)] Observed grease build-up on vent hood covers.  New Violation.
17D Violation of Code: [511-6-1.07(2)(i)] Observed light without protective light shield.  New Violation.
17D Violation of Code: [511-6-1.07(4)(b)] Observed personal drinks in food prep area.  New Violation.
18 Violation of Code: [511-6-1.07(5)(k)] Observed dead and live pests in kitchen area. CA: Fix back door seal.  New Violation.
Remarks
Person in Charge (Signature)    Date: 10/08/2020
Inspector (Signature) Kristen Smith Date: 10/08/2020