SCC Department of Environmental Health - Deli (2019.5.13)County of Santa Clara
Department of Environmental Health
Consumer Protection Division
1555 Berger Drive, Suite 300, San Jose, CA 95112-2716
Phone (408) 918-3400 www.ehinfo.org
OFFICIAL INSPECTION REPORT
Owner Name
Site AddressFacility
480 E HAMILTON AV, CAMPBELL, CA 95008
Program
PR0306367 - FOOD PREP / FOOD SVC OP 0-5 EMPLOYEES RC 3 - FP11
Inspection Date
05/13/2019
Inspection Time
13:00 - 14:00MARK KELLY'S MANAGEMENT MS CORP
Inspected By
ROCHA
Consent ByInspection Type
ROUTINE INSPECTIONLOC TRAN
FA0200408 - KELLY'S DELI @ THE HOME DEPOT
FSC ALEJANDRA J MORENO
9/30/20
GREEN
92
Placard Color & Score
IN OUT
Major Minor COS/SARISK FACTORS AND INTERVENTIO N/O N/A PBI
Demonstration of knowledge; food safety certificationK01 X
Communicable disease; reporting/restriction/exclusionK02 X
No discharge from eyes, nose, mouthK03 X
Proper eating, tasting, drinking, tobacco useK04 X
Hands clean, properly washed; gloves used properlyK05 X S
Adequate handwash facilities supplied, accessibleK06 X S
Proper hot and cold holding temperaturesK07 X
Time as a public health control; procedures & recordsK08 X
Proper cooling methodsK09 X
Proper cooking time & temperaturesK10 X
Proper reheating procedures for hot holdingK11 X
Returned and reservice of foodK12 X
Food in good condition, safe, unadulteratedK13 X
Food contact surfaces clean, sanitizedK14 X
Food obtained from approved sourceK15 X
Compliance with shell stock tags, condition, displayK16 X
Compliance with Gulf Oyster RegulationsK17 X
Compliance with variance/ROP/HACCP PlanK18 X
Consumer advisory for raw or undercooked foodsK19 X
Licensed health care facilities/schools: prohibited foods not being offeredK20 X
Hot and cold water availableK21 X
Sewage and wastewater properly disposedK22 X
No rodents, insects, birds, or animalsK23 X
GOOD RETAIL PRACTICE COSOUT
Person in charge present and performing dutiesK24
Proper personal cleanliness and hair restraintsK25
Approved thawing methods used; frozen foodK26
Food separated and protectedK27
Fruits and vegetables washedK28
Toxic substances properly identified, stored, usedK29
Food storage: food storage containers identifiedK30 X
Consumer self service does prevent contaminationK31
Food properly labeled and honestly presentedK32
Nonfood contact surfaces cleanK33
Warewash faciltiies: installed/maintained; test stripsK34
Equipment, utensils: Approved, in good repair, adequate capacityK35
Equipment, utensils, linens: Proper storage and useK36
Vending machinesK37
Adequate ventilation/lighting; designated areas, useK38
Thermometers provided, accurateK39
Wiping cloths: properly used, storedK40
Plumbing approved, installed, in good repair; proper backflow devicesK41
Garbage & refuse properly disposed; facilities maintainedK42
Toilet faclities: properly constructed, supplied, cleanedK43
Premises clean, in good repair; Personal/chemical storage; Adequate vermin-proofingK44
Floor, walls, ceilings: built,maintained, cleanK45
No unapproved private home/living/sleeping quartersK46
Signs posted; last inspection report availableK47
Plan reviewK48
Permits availableK49
Placard properly displayed/postedK58
Page 1 of 2 R202 DACCQGTZG Ver. 2.11
OFFICIAL INSPECTION REPORT
Owner Name
Site AddressFacility
480 E HAMILTON AV, CAMPBELL, CA 95008
Program
PR0306367 - FOOD PREP / FOOD SVC OP 0-5 EMPLOYEES RC 3 - FP11
Inspection Date
05/13/2019
Inspection Time
13:00 - 14:00MARK KELLY'S MANAGEMENT MS CORP
FA0200408 - KELLY'S DELI @ THE HOME DEPOT
Comments and Observations
Major Violations
No major violations were observed during this inspection.
Minor Violations
K14 - 3 Points - Food contact surfaces unclean and unsanitized; 113984(e), 114097, 114099.1, 114099.4, 114099.6, 114101, 114105,
114109, 114111, 114113, 114115(a,b,d), 114117, 14125(b), 114141
Inspector Observations: MEASURED CHLORINE SANITIZER IN THE BUCKET AT 50 PPM. [CA] MAINTAIN
CHLORINE SANITIZER AT 100 PPM
K21 - 3 Points - Hot and cold water not available; 113953(c), 114099.2(b), 114163(a), 114189, 114192, 114192.1, 11419
Inspector Observations: MEASURED HOT WATER IN THE 3 COMP SINK AT 117F. [CA] MAINTAIN HOT WATER AT
120F OR ABOVE.
K30 - 2 Points - Food storage containers are not identified; 114047, 114049, 114051, 114053, 114055, 114067(h), 114069 (b)
Inspector Observations: FOUND SMALL BOTTLE OF WATERS SUBMERGED UNDER THE ICE WATER. [CA] KEEP
THE LIP CONTACT AREA OF THE BEVERAGE CONTAINER ABOVE THE SUBMERGED ICE AND WATER.
Performance-Based Inspection Questions
All responses to PBI questions were satisfactory.
Measured Observations
LocationItem Measurement Comments
CHLORINE BUCKET 50.00 PPM
POLISH DOGS WARMER 138.00 Fahrenheit
CHICKEN BREAST WALKIN FRIG 41.00 Fahrenheit
HOT DOG WARMER 135.00 Fahrenheit
GROUND BEEF, COOKED WALKIN FRIG 41.00 Fahrenheit
HOT WATER 3 COMP SINK 117.00 Fahrenheit
SAUSAGES PREP FRIG 41.00 Fahrenheit
CHEESE PREP FRIG 41.00 Fahrenheit
THE BEVERAGE COOLER WITH ICE HAS A CATCH BASIN AND NOT SPILLING SIGNIFICANTLY ON THE CONCRETE.
EVALUATE USING PRE-STACK OF PLASTIC GLOVES.
Overall Comments:
When required to determine compliance, a single reinspection will be conducted without additional charge. If subsequent reinspections are required, an hourly
fee (minimum one hour) at the current rate approved by the Board of Supervisors will be assessed for each and every reinspection until the necessary
changes or corrections are made. Unless otherwise noted by the inspector, all violations are to be corrected no later than 5/27/2019.Any major change in
menu or any change in ownership must have prior approval by this Department. This may require structural and/or equipment changes or remodeling to
accommodate new operations.
ROCHA, LEADReceived By:
May 13, 2019Signed On:
Legend:
[CA] Corrective Action
[COS] Corrected on Site
[N]Needs Improvement
[NA]Not Applicable
[NO] Not Observed
[PBI]Performance-based Inspection
[PHF]Potentially Hazardous Food
[PIC] Person in Charge
[PPM]Part per Million
[S]Satisfactory
[SA] Suitable Alternative
[TPHC]Time as a Public Health Control
Page 2 of 2 R202 DACCQGTZG Ver. 2.11