Board of Health Hearing Summary & Recommendation

Transcription

1 Franklin County Public Health 280 East Broad Street Columbus, Ohio (614) Board of Health Hearing Summary & Recommendation Facility information License: NFRY-9C34TF Designation: Retail Food Establishment (RFE) Current situation Repeat uncorrected violations and failure to maintain sanitary conditions according to the Ohio Uniform Food Safety Code. Timeline Date Action 3/8/2017 Standard Inspection (6 Violations) 4/5/2018 Standard Inspection (7 Violations) 6/6/2018 Follow-Up Inspection (6 Violations) 6/14/2018 Follow-Up Inspection (5 Violations)- Warning Letter Issued 6/28/2018 Follow-Up Inspection (5 Violations)- Administrative Hearing Ordered 7/5/2018 Administrative Hearing Conducted 7/26/2018 Follow-Up Inspection (5 Violations) 8/9/2018 Follow-Up Inspection (8 Violations) Staff conducted 7 inspections between 3/8/2017-8/9/2018: Standard = 2 Follow-up = 5 42 violations have been cited: Critical = 6 Non-critical = 36 Options Suspend or revoke the Retail Food Establishment License. Recommend Suspend the Retail Food Establishment License for 29 days, effective immediately, and; Staff may conduct an inspection on August 23, 2018, if there are no uncorrected and no critical violations, the suspension may be stayed. If there are uncorrected or critical violations present during the August 23, 2018 inspection, provide the licensee with a notice of license suspension or revocation to be heard on September 11,

2 Franklin County Public Health 280 East Broad Street Columbus, Ohio (614) Board of Health Hearing Summary & Recommendation Documentation The following documentation is attached: 2018 RFE License Application 2018 RFE License Inspection Reports Warning Letter Administrative Hearing documentation Board of Health Hearing notice Pictures Violation Summary Chart 2

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4 Retail Food Establishment License Audit Number: BFRY-AWUPUC License No. NFRY-9C34TF Licensor Franklin County Public Health, 280 E Broad Street, Columbus, OH, Name of Facility/License Holder, Family Dollar Stores Of Ohio, Inc. Address/City/State/Zip, Category / Descriptive Commercial RFE < sq. ft. - Risk Level I This license has been issued in accordance with the requirements of Chapter 3717 of the Ohio Revised Code and is subject to revocation or suspension for cause and is not transferable without consent of the licensor. This license shall expire on March 1, Mar-2018 Date Joe Mazzola, MPA Health Commissioner AGR 1270 (Rev. 04/13) This license must be displayed in a conspicuous place at the location Ohio Department of Agriculture Family Dollar Stores Of Ohio, Inc. ATTN: 500 Volvo Parkway Chesapeake VA 23320

5 Name of facility Address, Westerville OH 43081, USA License holder Family Dollar Stores Of Ohio, Inc. Type of visit (check) Standard Follow up Foodborne Complaint Prelicensing State of Ohio Standard Inspection Report Authority: Chapters 3717 and 3715 Ohio Revised Code Consultation 30 day Other specify Check one FSO RFE License number NFRY-9C34TF Category/Descriptive Risk Level I/Commercial RFE < sq. ft. Inspection time (min) Travel time (min) 90 0 Follow-up date (if required) 06/05/2018 Date April 05, 2018 Other Sample date/result (if required) OAC Violation Checked Management and Personnel Poisonous or Toxic Materials 2.1 Employee health 4.4 Maintenance and operation 7.0 Labeling and identification 2.2 Personal cleanliness X 4.5 Cleaning of equipment and utensils 7.1 Operational supplies and applications 2.3 Hygienic practices 4.6 Sanitizing of equipment and utensils 7.2 Storage and display separation X 2.4 Supervision 4.7 Laundering Special Requirements Food 4.8 Protection of clean items 8.0 Fresh juice production 3.0 Safe, unadulterated and honestly presented Water, Plumbing, and Waste 8.1 Heat treatment dispensing freezers 3.1 Sources, specifications and original containers 5.0 Water 8.2 Custom processing 3.2 Protection from contamination after receiving 5.1 Plumbing system 8.3 Bulk water machine criteria 3.3 Destruction of organisms 5.2 Mobile water tanks 8.4 Acidified white rice preparation criteria 3.4 Limitation of growth of organisms 5.3 Sewage, other liquid waste and rainwater 9.0 Facility layout and equipment specifications 3.5 Identity, presentation, on premises labeling 5.4 Refuse, recyclables, and returnables 20 Existing facilities and equipment 3.6 Discarding or reconditioning unsafe, adulterated Physical Facilities Administrative 3.7 Special requirements for highly susceptible populations 6.0 Materials for construction and repair 901:3-4 OAC Equipment, Utensils, and Linens 6.1 Design, construction, and installation OAC 4.0 Materials for construction and repair 6.2 Numbers and capacities X 4.1 Design and construction 6.3 Location and placement 4.2 Numbers and capacities X 6.4 Maintenance and operation 4.3 Location and installation Violation(s)/Comment(s) (C)(14) - Person in charge: duties - ensure employees are informed in a verifiable manner of their responsibility to report their health information This is a critical violation. Observation: Person in charge did not ensure that employees are informed in a verifiable manner of their responsibility to report information about their health. OBSERVED NOV VERIFIABLE HEALTH POLICY. ENSURE THAT A VERIFIABLE HEALTH POLICY WITH THE 13 REPORTABLE ILLNESSES IS AVAILABLE. A SAMPLE POLICY MAY BE FOUND ON MYFCPH.ORG. Corrective Action(s): To prevent transmission of foodborne illness, the person in charge shall ensure that food and conditional employees are informed in a verifiable manner of their responsibility to report information about their health as it relates to diseases that are transmissible through food (C)(15) - Person in charge: duties - ensure written procedures and plans are maintained and implemented in the facility. This is a critical violation. Observation: Person-in-charge did not ensure that written procedures and plans are not maintained and implemented in the facility. VOMIT OR DIARRHEAL INCIDENT KIT WAS NOT FULLY IN TACT. ENSURE THAT ALL MATERIALS ARE AVAILABLE SO THAT PROCEDURES MAY BE FOLLOWED. Corrective Action(s): Person in charge shall ensure that written procedures and plans developed by the FSO or RFE are maintained and implemented as required (H) - Nonfood-contact surfaces - cleanability Observation: Nonfood-contact surfaces are not designed and constructed to allow easy cleaning or maintenance. OBSERVED RUST BUILD UP ON MULTIPLE SHELVES ON SALES FLOOR. ENSURE ALL SURFACES ARE SMOOTH AND EASILY CLEANABLE. Corrective Action(s): Nonfood-contact surfaces shall be designed and constructed to allow easy cleaning and to facilitate maintenance (A)(3) - Cleanliness of nonfood-contact surfaces of equipment. Observation: Non-food contact surfaces of equipment are dirty. OBSERVED DUST BUILD UP ON VENTS OF MILK & DAIRY AND FROZEN FOOD COOLERS. CLEAN AND MAINTAIN. Corrective Action(s): Nonfood-contact surfaces of equipment shall be kept clean. Observation: Non-food contact surfaces of equipment are dirty. OBSERVED SHELVING WITH DIRT BUILD UP. ALL SURFACES SHOULD BE MAINTAINED CLEAN. Corrective Action(s): Nonfood-contact surfaces of equipment shall be kept clean (A) - Repairing. Observation: The physical facilities are not being maintained in good repair. OBSERVED CRACKED TILES IN MULTIPLE PARTS OF FACILITY. ENSURE THAT ALL TILES ARE IN GOOD REPAIR AND THAT THE FLOOR IS SMOOTH AND EASILY CLEANABLE.

6 Corrective Action(s): The physical facilities shall be maintained in good repair. REPEAT OBSERVATION The physical facilities are not being maintained in good repair. OBSERVED STAINED CEILING TILES ON SALES FLOOR. REPLACE AND MAINTAIN. Corrective Action(s): The physical facilities shall be maintained in good repair. Observation: The physical facilities are not being maintained in good repair. OBSERVED CEILING DROOPING IN THE MIDDLE OF THE STORE. WATER WAS DRIPPING FROM DAMAGED CEILING AREA. THIS AREA NEEDS TO BE FIXED AND MAINTAINED. Corrective Action(s): The physical facilities shall be maintained in good repair (B) - Cleaning - frequency and restrictions. Observation: Observed a build-up of dirt and debris. BACK STORAGE ROOM HAD AN EXCESS AMOUNT OF BACKSTOCK. THE FLOORS AND WALLS WERE NOT EASILY CLEANABLE. THE BATHROOM AND MOP SINK ARE BLOCKED BY BOXES. FACILITY NEEDS ORGANIZED AND SHOULD BE MAINTAINED. ALL AREAS SHOULD BE ACCESSIBLE AND EASILY CLEANABLE. Corrective Action(s): The physical facilities shall be cleaned as often as necessary to keep them clean, and cleaning shall be done during periods when the least amount of food is exposed. Observation: Observed a build-up of dirt and debris. FLOORS THROUGHOUT FACILITY HAD DIRT BUILD UP. CLEAN AND MAINTAIN. Corrective Action(s): The physical facilities shall be cleaned as often as necessary to keep them clean, and cleaning shall be done during periods when the least amount of food is exposed. 901:3-4-02(G) - RFE must display license Observation: The RFE license was not posted in the facility. FOOD LICENSE WAS NOT DISPLAYED OR AVAILABLE. ENSURE FOOD LICENSE IS AVAILABLE AND IS PLACED IN A CONSPICUOUS LOCATION. Corrective Action(s): A license holder shall display the license for that retail food establishment at all times at the licensed location. Comments: A FOLLOW UP WILL OCCUR ON OR AFTER JUNE 5, ALL VIOLATIONS MUST BE CORRECTED. THE FACILITY IS IN NEED OF ORGANIZING, CLEANING, AND GENERAL UPKEEP FOR CLEANING AND SAFETY PURPOSES. Inspected by James Smith Received by ERIC R.S./SIT # SIT Title PIC Licensor Franklin County Public Health Phone (614) HEA 5351 Ohio Department of Health (Rev. 05/13) AGR 1268 Ohio Department of Agriculture (Rev. 05/13)

7 Name of facility Address, Westerville OH 43081, USA License holder Family Dollar Stores Of Ohio, Inc. Type of visit (check) Standard Follow up Foodborne Complaint Prelicensing State of Ohio Standard Inspection Report Authority: Chapters 3717 and 3715 Ohio Revised Code Consultation 30 day Other specify Check one FSO RFE License number NFRY-9C34TF Category/Descriptive Risk Level I/Commercial RFE < sq. ft. Inspection time (min) Travel time (min) 90 0 Follow-up date (if required) Date July 26, 2018 Other Sample date/result (if required) OAC Violation Checked Management and Personnel Poisonous or Toxic Materials 2.1 Employee health 4.4 Maintenance and operation 7.0 Labeling and identification 2.2 Personal cleanliness X 4.5 Cleaning of equipment and utensils 7.1 Operational supplies and applications 2.3 Hygienic practices 4.6 Sanitizing of equipment and utensils 7.2 Storage and display separation 2.4 Supervision 4.7 Laundering Special Requirements Food 4.8 Protection of clean items 8.0 Fresh juice production 3.0 Safe, unadulterated and honestly presented Water, Plumbing, and Waste 8.1 Heat treatment dispensing freezers 3.1 Sources, specifications and original containers 5.0 Water 8.2 Custom processing 3.2 Protection from contamination after receiving 5.1 Plumbing system 8.3 Bulk water machine criteria 3.3 Destruction of organisms 5.2 Mobile water tanks 8.4 Acidified white rice preparation criteria 3.4 Limitation of growth of organisms 5.3 Sewage, other liquid waste and rainwater 9.0 Facility layout and equipment specifications 3.5 Identity, presentation, on premises labeling 5.4 Refuse, recyclables, and returnables 20 Existing facilities and equipment 3.6 Discarding or reconditioning unsafe, adulterated Physical Facilities Administrative 3.7 Special requirements for highly susceptible populations 6.0 Materials for construction and repair 901:3-4 OAC Equipment, Utensils, and Linens 6.1 Design, construction, and installation OAC 4.0 Materials for construction and repair 6.2 Numbers and capacities X 4.1 Design and construction 6.3 Location and placement 4.2 Numbers and capacities X 6.4 Maintenance and operation 4.3 Location and installation Violation(s)/Comment(s) (H) - Nonfood-contact surfaces - cleanability REPEAT OBSERVATION Nonfood-contact surfaces are not designed and constructed to allow easy cleaning or maintenance. OBSERVED RUST BUILD UP ON MULTIPLE SHELVES ON SALES FLOOR. ENSURE ALL SURFACES ARE SMOOTH AND EASILY CLEANABLE. Corrective Action(s): Nonfood-contact surfaces shall be designed and constructed to allow easy cleaning and to facilitate maintenance (A)(3) - Cleanliness of nonfood-contact surfaces of equipment. REPEAT OBSERVATION Non-food contact surfaces of equipment are dirty. OBSERVED SHELVING WITH DIRT BUILD UP. ALL SURFACES SHOULD BE MAINTAINED CLEAN. Corrective Action(s): Nonfood-contact surfaces of equipment shall be kept clean (A) - Repairing. REPEAT OBSERVATION The physical facilities are not being maintained in good repair. OBSERVED HOLE IN WALL BELOW TOILET IN THE MEN'S RESTROOM. THIS RESTROOM HAS NOT BEEN ACCESSIBLE IN PRIOR INSPECTIONS DUE TO PILES OF BACKSTOCK. Corrective Action(s): The physical facilities shall be maintained in good repair. REPEAT OBSERVATION The physical facilities are not being maintained in good repair. OBSERVED CRACKED TILES IN MULTIPLE PARTS OF FACILITY. ENSURE THAT ALL TILES ARE IN GOOD REPAIR AND THAT THE FLOOR IS SMOOTH AND EASILY CLEANABLE. Corrective Action(s): The physical facilities shall be maintained in good repair. REPEAT OBSERVATION The physical facilities are not being maintained in good repair. COVING IN BACK CORNER BY SOAP AND DETERGENTS WAS MISSING. WALL WAS UNFINISHED. ENSURE ALL FACILITIES ARE IN TACT AND ALL SURFACES ARE SMOOTH AND EASILY CLEANABLE. Corrective Action(s): The physical facilities shall be maintained in good repair. REPEAT OBSERVATION The physical facilities are not being maintained in good repair. OBSERVED HOLE IN WALL UNDER WINDOW SEAL NEXT TO BEAUTY/COSMETICS. REPAIR AND MAINTAIN. Corrective Action(s): The physical facilities shall be maintained in good repair. REPEAT OBSERVATION The physical facilities are not being maintained in good repair. ALL BROKEN OR STAINED CEILING TILE SMUST BE REPLACED. Corrective Action(s): The physical facilities shall be maintained in good repair (B) - Cleaning - frequency and restrictions. REPEAT OBSERVATION Observed a build-up of dirt and debris.observed BUILD UP OF DIRT AND DEBRIS IN MULTIPLE CORNERS OF THE FACILITY. CLEAN AND MAINTAIN. Corrective Action(s): The physical facilities shall be cleaned as often as necessary to keep them clean, and cleaning shall be done during periods

8 when the least amount of food is exposed. REPEAT OBSERVATION Observed a build-up of dirt and debris. FLOORS THROUGHOUT FACILITY HAD DIRT BUILD UP. CLEAN AND MAINTAIN. Corrective Action(s): The physical facilities shall be cleaned as often as necessary to keep them clean, and cleaning shall be done during periods when the least amount of food is exposed. REPEAT OBSERVATION Observed a build-up of dirt and debris. BACK STORAGE ROOM HAD AN EXCESS AMOUNT OF BACKSTOCK. THE FLOORS AND WALLS WERE NOT EASILY CLEANABLE. FACILITY NEEDS ORGANIZED AND SHOULD BE MAINTAINED. ALL AREAS SHOULD BE ACCESSIBLE AND EASILY CLEANABLE. Corrective Action(s): The physical facilities shall be cleaned as often as necessary to keep them clean, and cleaning shall be done during periods when the least amount of food is exposed. REPEAT OBSERVATION Observed a build-up of dirt and debris. OBSERVED DIRT AND DEBRIS BUILD UP UNDER AND BEHIND END CAPS. CLEAN AND MAINTAIN. Corrective Action(s): The physical facilities shall be cleaned as often as necessary to keep them clean, and cleaning shall be done during periods when the least amount of food is exposed. REPEAT OBSERVATION Observed a build-up of dirt and debris. OBSERVED MULTIPLE SHELVING UNITS WITH DEBRIS, DIRT, AND DUST UNDERNEATH. CLEAN AND MAINTAIN. Corrective Action(s): The physical facilities shall be cleaned as often as necessary to keep them clean, and cleaning shall be done during periods when the least amount of food is exposed (N) - Maintaining premises - unnecessary items and litter. Observation: Observed unnecessary or nonfunctional items and /or litter on the premises. THERE ARE EXCESS ITEMS AND LITTER THROUGHOUT THE STORE. THE FACILITY NEEDS TO REMOVE EXCESS BOXES, TRASH, AND LITTER. THE MOP SINK MUST BE ACCESSIBLE, AND THE FACILITY NEEDS TO BE ORGANIZED TO REDUCE RISK OF HARBORAGE. Corrective Action(s): The premises shall be free of Items that are unnecessary to the operation or maintenance of the FSO or RFE such as equipment that is nonfunctional or no longer used and litter. Comments: The Board of Health Hearing is scheduled for August 14, The facility has not made significant progress. A thorough cleaning is needed throughout the entire facility. The floors and walls need to be cleaned. All shelving and racks need to be cleaned, including under and behind the end caps. Remove excess items and litter so that the store is maintained in a clean and organized manner to reduce the risk of harborage. Corrected violations: (A)(3) - Cleanliness of nonfood-contact surfaces of equipment. Observation: Non-food contact surfaces of equipment are dirty. OBSERVED DUST BUILD UP ON VENTS OF MILK & DAIRY AND FROZEN FOOD COOLERS. CLEAN AND MAINTAIN. Corrective Action(s): Nonfood-contact surfaces of equipment shall be kept clean (A) - Poisonous or toxic materials: Storage: separation.this is a critical violation. Observation: Observed improper storage of poisonous or toxic materials. OBSERVED ALCOHOL AND HYDROGEN PEROXIDE STORED ABOVE FOOD ITEMS IN STORAGE AREA. ENSURE ALL CHEMICALS ARE STORED AWAY FROM FOOD OR FOOD CONTACT ITEMS. Corrective Action(s): To prevent contamination, poisonous or toxic materials shall be stored so they cannot contaminate food, equipment, utensils, linens, or single-service or single-use articles by: 1) Separating the poisonous materials by spacing or partitioning; and 2) Locating the poisonous or toxic materials in an area that is not above food, equipment, utensils, linens, single-service articles or single-use articles.. Inspected by Garrett Guillozet Received by Daniel R.S./SIT # 3471 Title PIC Licensor Franklin County Public Health Phone (614) HEA 5351 Ohio Department of Health (Rev. 05/13) AGR 1268 Ohio Department of Agriculture (Rev. 05/13)

9 Name of facility Address, Westerville OH 43081, USA License holder Family Dollar Stores Of Ohio, Inc. Type of visit (check) Standard Follow up Foodborne Complaint Prelicensing State of Ohio Standard Inspection Report Authority: Chapters 3717 and 3715 Ohio Revised Code Consultation 30 day Other specify Check one FSO RFE License number NFRY-9C34TF Category/Descriptive Risk Level I/Commercial RFE < sq. ft. Inspection time (min) Travel time (min) 75 0 Follow-up date (if required) 06/14/2018 Date June 06, 2018 Other Sample date/result (if required) OAC Violation Checked Management and Personnel Poisonous or Toxic Materials 2.1 Employee health 4.4 Maintenance and operation 7.0 Labeling and identification 2.2 Personal cleanliness X 4.5 Cleaning of equipment and utensils 7.1 Operational supplies and applications 2.3 Hygienic practices 4.6 Sanitizing of equipment and utensils 7.2 Storage and display separation X 2.4 Supervision 4.7 Laundering Special Requirements Food 4.8 Protection of clean items 8.0 Fresh juice production 3.0 Safe, unadulterated and honestly presented Water, Plumbing, and Waste 8.1 Heat treatment dispensing freezers 3.1 Sources, specifications and original containers 5.0 Water 8.2 Custom processing 3.2 Protection from contamination after receiving 5.1 Plumbing system 8.3 Bulk water machine criteria 3.3 Destruction of organisms 5.2 Mobile water tanks 8.4 Acidified white rice preparation criteria 3.4 Limitation of growth of organisms 5.3 Sewage, other liquid waste and rainwater 9.0 Facility layout and equipment specifications 3.5 Identity, presentation, on premises labeling 5.4 Refuse, recyclables, and returnables 20 Existing facilities and equipment 3.6 Discarding or reconditioning unsafe, adulterated Physical Facilities Administrative 3.7 Special requirements for highly susceptible populations 6.0 Materials for construction and repair 901:3-4 OAC Equipment, Utensils, and Linens 6.1 Design, construction, and installation OAC 4.0 Materials for construction and repair 6.2 Numbers and capacities X 4.1 Design and construction 6.3 Location and placement 4.2 Numbers and capacities X 6.4 Maintenance and operation 4.3 Location and installation Violation(s)/Comment(s) (C)(14) - Person in charge: duties - ensure employees are informed in a verifiable manner of their responsibility to report their health information This is a critical violation. REPEAT OBSERVATION Person in charge did not ensure that employees are informed in a verifiable manner of their responsibility to report information about their health. OBSERVED NOV VERIFIABLE HEALTH POLICY. ENSURE THAT A VERIFIABLE HEALTH POLICY WITH THE 13 REPORTABLE ILLNESSES IS AVAILABLE. A SAMPLE POLICY MAY BE FOUND ON MYFCPH.ORG. Corrective Action(s): To prevent transmission of foodborne illness, the person in charge shall ensure that food and conditional employees are informed in a verifiable manner of their responsibility to report information about their health as it relates to diseases that are transmissible through food (C)(15) - Person in charge: duties - ensure written procedures and plans are maintained and implemented in the facility. This is a critical violation. REPEAT OBSERVATION Person-in-charge did not ensure that written procedures and plans are not maintained and implemented in the facility. VOMIT OR DIARRHEAL INCIDENT KIT WAS NOT FULLY IN TACT. ENSURE THAT ALL MATERIALS ARE AVAILABLE SO THAT PROCEDURES MAY BE FOLLOWED. Corrective Action(s): Person in charge shall ensure that written procedures and plans developed by the FSO or RFE are maintained and implemented as required (H) - Nonfood-contact surfaces - cleanability REPEAT OBSERVATION Nonfood-contact surfaces are not designed and constructed to allow easy cleaning or maintenance. OBSERVED RUST BUILD UP ON MULTIPLE SHELVES ON SALES FLOOR. ENSURE ALL SURFACES ARE SMOOTH AND EASILY CLEANABLE. Corrective Action(s): Nonfood-contact surfaces shall be designed and constructed to allow easy cleaning and to facilitate maintenance (A)(3) - Cleanliness of nonfood-contact surfaces of equipment. REPEAT OBSERVATION Non-food contact surfaces of equipment are dirty. OBSERVED DUST BUILD UP ON VENTS OF MILK & DAIRY AND FROZEN FOOD COOLERS. CLEAN AND MAINTAIN. Corrective Action(s): Nonfood-contact surfaces of equipment shall be kept clean. REPEAT OBSERVATION Non-food contact surfaces of equipment are dirty. OBSERVED SHELVING WITH DIRT BUILD UP. ALL SURFACES SHOULD BE MAINTAINED CLEAN. Corrective Action(s): Nonfood-contact surfaces of equipment shall be kept clean (A) - Repairing. REPEAT OBSERVATION The physical facilities are not being maintained in good repair. OBSERVED CRACKED TILES IN MULTIPLE PARTS OF FACILITY. ENSURE THAT ALL TILES ARE IN GOOD REPAIR AND THAT THE FLOOR IS SMOOTH AND EASILY CLEANABLE.

10 Corrective Action(s): The physical facilities shall be maintained in good repair. REPEAT OBSERVATION The physical facilities are not being maintained in good repair. OBSERVED STAINED CEILING TILES ON SALES FLOOR. REPLACE AND MAINTAIN. Corrective Action(s): The physical facilities shall be maintained in good repair. REPEAT OBSERVATION The physical facilities are not being maintained in good repair. OBSERVED CEILING DROOPING IN THE MIDDLE OF THE STORE. WATER WAS DRIPPING FROM DAMAGED CEILING AREA. THIS AREA NEEDS TO BE FIXED AND MAINTAINED. Corrective Action(s): The physical facilities shall be maintained in good repair (B) - Cleaning - frequency and restrictions. REPEAT OBSERVATION Observed a build-up of dirt and debris. BACK STORAGE ROOM HAD AN EXCESS AMOUNT OF BACKSTOCK. THE FLOORS AND WALLS WERE NOT EASILY CLEANABLE. THE BATHROOM AND MOP SINK ARE BLOCKED BY BOXES. FACILITY NEEDS ORGANIZED AND SHOULD BE MAINTAINED. ALL AREAS SHOULD BE ACCESSIBLE AND EASILY CLEANABLE. Corrective Action(s): The physical facilities shall be cleaned as often as necessary to keep them clean, and cleaning shall be done during periods when the least amount of food is exposed. REPEAT OBSERVATION Observed a build-up of dirt and debris. FLOORS THROUGHOUT FACILITY HAD DIRT BUILD UP. CLEAN AND MAINTAIN. Corrective Action(s): The physical facilities shall be cleaned as often as necessary to keep them clean, and cleaning shall be done during periods when the least amount of food is exposed. Comments: A FOLLOW UP WILL OCCUR ON OR AFTER JUNE 13, ALL VIOLATIONS MUST BE CORRECTED. Corrected violations: 901:3-4-02(G) - RFE must display license Observation: The RFE license was not posted in the facility. FOOD LICENSE WAS NOT DISPLAYED OR AVAILABLE. ENSURE FOOD LICENSE IS AVAILABLE AND IS PLACED IN A CONSPICUOUS LOCATION. Corrective Action(s): A license holder shall display the license for that retail food establishment at all times at the licensed location. Inspected by James Smith R.S./SIT # SIT Licensor Franklin County Public Health Received by JIM/DANIELLE Title MANAGER/ ASSISTANT MANAGER Phone (614) HEA 5351 Ohio Department of Health (Rev. 05/13) AGR 1268 Ohio Department of Agriculture (Rev. 05/13)

11 Name of facility Address, Westerville OH 43081, USA License holder Family Dollar Stores Of Ohio, Inc. Type of visit (check) Standard Follow up Foodborne Complaint Prelicensing State of Ohio Standard Inspection Report Authority: Chapters 3717 and 3715 Ohio Revised Code Consultation 30 day Other specify Check one FSO RFE License number NFRY-9C34TF Category/Descriptive Risk Level I/Commercial RFE < sq. ft. Inspection time (min) Travel time (min) 90 0 Follow-up date (if required) 06/28/2018 Date June 14, 2018 Other Sample date/result (if required) OAC Violation Checked Management and Personnel Poisonous or Toxic Materials 2.1 Employee health 4.4 Maintenance and operation 7.0 Labeling and identification 2.2 Personal cleanliness X 4.5 Cleaning of equipment and utensils 7.1 Operational supplies and applications 2.3 Hygienic practices 4.6 Sanitizing of equipment and utensils 7.2 Storage and display separation X 2.4 Supervision 4.7 Laundering Special Requirements Food 4.8 Protection of clean items 8.0 Fresh juice production 3.0 Safe, unadulterated and honestly presented Water, Plumbing, and Waste 8.1 Heat treatment dispensing freezers 3.1 Sources, specifications and original containers 5.0 Water 8.2 Custom processing 3.2 Protection from contamination after receiving 5.1 Plumbing system 8.3 Bulk water machine criteria 3.3 Destruction of organisms 5.2 Mobile water tanks 8.4 Acidified white rice preparation criteria 3.4 Limitation of growth of organisms 5.3 Sewage, other liquid waste and rainwater 9.0 Facility layout and equipment specifications 3.5 Identity, presentation, on premises labeling 5.4 Refuse, recyclables, and returnables 20 Existing facilities and equipment 3.6 Discarding or reconditioning unsafe, adulterated Physical Facilities Administrative 3.7 Special requirements for highly susceptible populations 6.0 Materials for construction and repair 901:3-4 OAC Equipment, Utensils, and Linens 6.1 Design, construction, and installation OAC 4.0 Materials for construction and repair 6.2 Numbers and capacities X 4.1 Design and construction 6.3 Location and placement 4.2 Numbers and capacities X 6.4 Maintenance and operation 4.3 Location and installation Violation(s)/Comment(s) (C)(15) - Person in charge: duties - ensure written procedures and plans are maintained and implemented in the facility. This is a critical violation. REPEAT OBSERVATION Person-in-charge did not ensure that written procedures and plans are not maintained and implemented in the facility. VOMIT OR DIARRHEAL INCIDENT KIT WAS NOT FULLY IN TACT. ENSURE THAT ALL MATERIALS ARE AVAILABLE SO THAT PROCEDURES MAY BE FOLLOWED. Corrective Action(s): Person in charge shall ensure that written procedures and plans developed by the FSO or RFE are maintained and implemented as required (H) - Nonfood-contact surfaces - cleanability REPEAT OBSERVATION Nonfood-contact surfaces are not designed and constructed to allow easy cleaning or maintenance. OBSERVED RUST BUILD UP ON MULTIPLE SHELVES ON SALES FLOOR. ENSURE ALL SURFACES ARE SMOOTH AND EASILY CLEANABLE. Corrective Action(s): Nonfood-contact surfaces shall be designed and constructed to allow easy cleaning and to facilitate maintenance (A)(3) - Cleanliness of nonfood-contact surfaces of equipment. REPEAT OBSERVATION Non-food contact surfaces of equipment are dirty. OBSERVED DUST BUILD UP ON VENTS OF MILK & DAIRY AND FROZEN FOOD COOLERS. CLEAN AND MAINTAIN. Corrective Action(s): Nonfood-contact surfaces of equipment shall be kept clean. REPEAT OBSERVATION Non-food contact surfaces of equipment are dirty. OBSERVED SHELVING WITH DIRT BUILD UP. ALL SURFACES SHOULD BE MAINTAINED CLEAN. Corrective Action(s): Nonfood-contact surfaces of equipment shall be kept clean (A) - Repairing. REPEAT OBSERVATION The physical facilities are not being maintained in good repair. OBSERVED CRACKED TILES IN MULTIPLE PARTS OF FACILITY. ENSURE THAT ALL TILES ARE IN GOOD REPAIR AND THAT THE FLOOR IS SMOOTH AND EASILY CLEANABLE. Corrective Action(s): The physical facilities shall be maintained in good repair. REPEAT OBSERVATION The physical facilities are not being maintained in good repair. OBSERVED STAINED CEILING TILES ON SALES FLOOR. REPLACE AND MAINTAIN. Corrective Action(s): The physical facilities shall be maintained in good repair. REPEAT OBSERVATION The physical facilities are not being maintained in good repair. OBSERVED CEILING DROOPING IN THE MIDDLE OF THE STORE. WATER WAS DRIPPING FROM DAMAGED CEILING AREA. THIS AREA NEEDS TO BE FIXED AND MAINTAINED. Corrective Action(s): The physical facilities shall be maintained in good repair.

12 (B) - Cleaning - frequency and restrictions. REPEAT OBSERVATION Observed a build-up of dirt and debris.observed BUILD UP OF DIRT AND DEBRIS IN MULTIPLE CORNERS OF THE FACILITY. CLEAN AND MAINTAIN. Corrective Action(s): The physical facilities shall be cleaned as often as necessary to keep them clean, and cleaning shall be done during periods when the least amount of food is exposed. REPEAT OBSERVATION Observed a build-up of dirt and debris. FLOORS THROUGHOUT FACILITY HAD DIRT BUILD UP. CLEAN AND MAINTAIN. Corrective Action(s): The physical facilities shall be cleaned as often as necessary to keep them clean, and cleaning shall be done during periods when the least amount of food is exposed. REPEAT OBSERVATION Observed a build-up of dirt and debris. BACK STORAGE ROOM HAD AN EXCESS AMOUNT OF BACKSTOCK. THE FLOORS AND WALLS WERE NOT EASILY CLEANABLE. THE BATHROOM AND MOP SINK ARE BLOCKED BY BOXES. FACILITY NEEDS ORGANIZED AND SHOULD BE MAINTAINED. ALL AREAS SHOULD BE ACCESSIBLE AND EASILY CLEANABLE. Corrective Action(s): The physical facilities shall be cleaned as often as necessary to keep them clean, and cleaning shall be done during periods when the least amount of food is exposed. Observation: Observed a build-up of dirt and debris. OBSERVED DIRT AND DEBRIS BUILD UP UNDER AND BEHIND END CAPS. CLEAN AND MAINTAIN. Corrective Action(s): The physical facilities shall be cleaned as often as necessary to keep them clean, and cleaning shall be done during periods when the least amount of food is exposed. Comments: A FOLLOW UP WILL OCCUR ON OR AFTER JUNE 28, ALL VIOLATIONS MUST BE CORRECTED. A WARNING LETTER WAS ISSUED JUNE 14, Corrected violations: (C)(14) - Person in charge: duties - ensure employees are informed in a verifiable manner of their responsibility to report their health informationthis is a critical violation. Observation: Person in charge did not ensure that employees are informed in a verifiable manner of their responsibility to report information about their health. OBSERVED NOV VERIFIABLE HEALTH POLICY. ENSURE THAT A VERIFIABLE HEALTH POLICY WITH THE 13 REPORTABLE ILLNESSES IS AVAILABLE. A SAMPLE POLICY MAY BE FOUND ON MYFCPH.ORG. Corrective Action(s): To prevent transmission of foodborne illness, the person in charge shall ensure that food and conditional employees are informed in a verifiable manner of their responsibility to report information about their health as it relates to diseases that are transmissible through food. Inspected by James Smith Received by DANIELLE R.S./SIT # SIT Title ASSISTANT MANAGER Licensor Franklin County Public Health Phone (614) HEA 5351 Ohio Department of Health (Rev. 05/13) AGR 1268 Ohio Department of Agriculture (Rev. 05/13)

13 Name of facility Address, Westerville OH 43081, USA License holder Family Dollar Stores Of Ohio, Inc. Type of visit (check) Standard Follow up Foodborne Complaint Prelicensing State of Ohio Standard Inspection Report Authority: Chapters 3717 and 3715 Ohio Revised Code Consultation 30 day Other specify Check one FSO RFE License number NFRY-9C34TF Category/Descriptive Risk Level I/Commercial RFE < sq. ft. Inspection time (min) Travel time (min) Follow-up date (if required) Date June 28, 2018 Other Sample date/result (if required) OAC Violation Checked Management and Personnel Poisonous or Toxic Materials 2.1 Employee health 4.4 Maintenance and operation 7.0 Labeling and identification 2.2 Personal cleanliness X 4.5 Cleaning of equipment and utensils X 7.1 Operational supplies and applications 2.3 Hygienic practices 4.6 Sanitizing of equipment and utensils 7.2 Storage and display separation 2.4 Supervision 4.7 Laundering Special Requirements Food 4.8 Protection of clean items 8.0 Fresh juice production 3.0 Safe, unadulterated and honestly presented Water, Plumbing, and Waste 8.1 Heat treatment dispensing freezers 3.1 Sources, specifications and original containers 5.0 Water 8.2 Custom processing 3.2 Protection from contamination after receiving 5.1 Plumbing system 8.3 Bulk water machine criteria 3.3 Destruction of organisms 5.2 Mobile water tanks 8.4 Acidified white rice preparation criteria 3.4 Limitation of growth of organisms 5.3 Sewage, other liquid waste and rainwater 9.0 Facility layout and equipment specifications 3.5 Identity, presentation, on premises labeling 5.4 Refuse, recyclables, and returnables 20 Existing facilities and equipment 3.6 Discarding or reconditioning unsafe, adulterated Physical Facilities Administrative 3.7 Special requirements for highly susceptible populations 6.0 Materials for construction and repair 901:3-4 OAC Equipment, Utensils, and Linens 6.1 Design, construction, and installation OAC 4.0 Materials for construction and repair 6.2 Numbers and capacities X 4.1 Design and construction 6.3 Location and placement 4.2 Numbers and capacities X 6.4 Maintenance and operation 4.3 Location and installation Violation(s)/Comment(s) (H) - Nonfood-contact surfaces - cleanability REPEAT OBSERVATION Nonfood-contact surfaces are not designed and constructed to allow easy cleaning or maintenance. OBSERVED RUST BUILD UP ON MULTIPLE SHELVES ON SALES FLOOR. ENSURE ALL SURFACES ARE SMOOTH AND EASILY CLEANABLE. Corrective Action(s): Nonfood-contact surfaces shall be designed and constructed to allow easy cleaning and to facilitate maintenance (A)(3) - Cleanliness of nonfood-contact surfaces of equipment. REPEAT OBSERVATION Non-food contact surfaces of equipment are dirty. OBSERVED SHELVING WITH DIRT BUILD UP. ALL SURFACES SHOULD BE MAINTAINED CLEAN. Corrective Action(s): Nonfood-contact surfaces of equipment shall be kept clean. REPEAT OBSERVATION Non-food contact surfaces of equipment are dirty. OBSERVED DUST BUILD UP ON VENTS OF MILK & DAIRY AND FROZEN FOOD COOLERS. CLEAN AND MAINTAIN. Corrective Action(s): Nonfood-contact surfaces of equipment shall be kept clean (A) - Repairing. Observation: The physical facilities are not being maintained in good repair. OBSERVED HOLE IN WALL BELOW TOILET IN THE MEN'S RESTROOM. THIS RESTROOM HAS NOT BEEN ACCESSIBLE IN PRIOR INSPECTIONS DUE TO PILES OF BACKSTOCK. Corrective Action(s): The physical facilities shall be maintained in good repair. REPEAT OBSERVATION The physical facilities are not being maintained in good repair. OBSERVED CRACKED TILES IN MULTIPLE PARTS OF FACILITY. ENSURE THAT ALL TILES ARE IN GOOD REPAIR AND THAT THE FLOOR IS SMOOTH AND EASILY CLEANABLE. Corrective Action(s): The physical facilities shall be maintained in good repair. Observation: The physical facilities are not being maintained in good repair. COVING IN BACK CORNER BY SOAP AND DETERGENTS WAS MISSING. WALL WAS UNFINISHED. ENSURE ALL FACILITIES ARE IN TACT AND ALL SURFACES ARE SMOOTH AND EASILY CLEANABLE. Corrective Action(s): The physical facilities shall be maintained in good repair. Observation: The physical facilities are not being maintained in good repair. OBSERVED HOLE IN WALL UNDER WINDOW SEAL NEXT TO BEAUTY/COSMETICS. REPAIR AND MAINTAIN. Corrective Action(s): The physical facilities shall be maintained in good repair (B) - Cleaning - frequency and restrictions. REPEAT OBSERVATION Observed a build-up of dirt and debris.observed BUILD UP OF DIRT AND DEBRIS IN MULTIPLE CORNERS OF THE FACILITY. CLEAN AND MAINTAIN. Corrective Action(s): The physical facilities shall be cleaned as often as necessary to keep them clean, and cleaning shall be done during periods

14 when the least amount of food is exposed. REPEAT OBSERVATION Observed a build-up of dirt and debris. FLOORS THROUGHOUT FACILITY HAD DIRT BUILD UP. CLEAN AND MAINTAIN. Corrective Action(s): The physical facilities shall be cleaned as often as necessary to keep them clean, and cleaning shall be done during periods when the least amount of food is exposed. REPEAT OBSERVATION Observed a build-up of dirt and debris. BACK STORAGE ROOM HAD AN EXCESS AMOUNT OF BACKSTOCK. THE FLOORS AND WALLS WERE NOT EASILY CLEANABLE. FACILITY NEEDS ORGANIZED AND SHOULD BE MAINTAINED. ALL AREAS SHOULD BE ACCESSIBLE AND EASILY CLEANABLE. Corrective Action(s): The physical facilities shall be cleaned as often as necessary to keep them clean, and cleaning shall be done during periods when the least amount of food is exposed. Observation: Observed a build-up of dirt and debris. OBSERVED DIRT AND DEBRIS BUILD UP UNDER AND BEHIND END CAPS. CLEAN AND MAINTAIN. Corrective Action(s): The physical facilities shall be cleaned as often as necessary to keep them clean, and cleaning shall be done during periods when the least amount of food is exposed. Observation: Observed a build-up of dirt and debris. OBSERVED MULTIPLE SHELVING UNITS WITH DEBRIS, DIRT, AND DUST UNDERNEATH. CLEAN AND MAINTAIN. Corrective Action(s): The physical facilities shall be cleaned as often as necessary to keep them clean, and cleaning shall be done during periods when the least amount of food is exposed (A) - Poisonous or toxic materials: Storage: separation. This is a critical violation. Observation: Observed improper storage of poisonous or toxic materials. OBSERVED ALCOHOL AND HYDROGEN PEROXIDE STORED ABOVE FOOD ITEMS IN STORAGE AREA. ENSURE ALL CHEMICALS ARE STORED AWAY FROM FOOD OR FOOD CONTACT ITEMS. Corrective Action(s): To prevent contamination, poisonous or toxic materials shall be stored so they cannot contaminate food, equipment, utensils, linens, or single-service or single-use articles by: 1) Separating the poisonous materials by spacing or partitioning; and 2) Locating the poisonous or toxic materials in an area that is not above food, equipment, utensils, linens, single-service articles or single-use articles.. Comments: FACILITY IS STILL IN NEED OF DEEP CLEANING. WHILE CEILING TILES HAVE BEEN REPLACED AND GENERAL SALES FLOOR HAS HAD A GENERAL SWEEPING, THERE IS STILL A BUILD UP OF DIRT ON THE FLOORS, EXCESSIVE DEBRIS, DIRT, AND DUST UNDER SHELVING AND END CAPS, AND A BUILD UP OF DIRT DEBRIS ON SHELVING. FACILITY IS STILL IN NEED OF DEEP CLEANING IN SEVERAL AREAS OF THE FACILITY. MORE FACILITY ISSUES HAVE BEEN NOTED DUE TO HAVING ACCESS TO NEW AREAS THAT COULD NOT BE SEEN IN PRIOR INSPECTION. AN ADMINISTRATIVE HEARING HAS BEEN ORDERED FOR FAMILY DOLLAR STORE #23601 ON JULY 5, 2018 AT 1:30PM. AN ADMINISTRATIVE HEARING LETTER WAS GIVEN TO MANAGER ON JUNE Corrected violations: (C)(15) - Person in charge: duties - ensure written procedures and plans are maintained and implemented in the facility.this is a critical violation. Observation: Person-in-charge did not ensure that written procedures and plans are not maintained and implemented in the facility. VOMIT OR DIARRHEAL INCIDENT KIT WAS NOT FULLY IN TACT. ENSURE THAT ALL MATERIALS ARE AVAILABLE SO THAT PROCEDURES MAY BE FOLLOWED. Corrective Action(s): Person in charge shall ensure that written procedures and plans developed by the FSO or RFE are maintained and implemented as required (A) - Repairing. Observation: The physical facilities are not being maintained in good repair. OBSERVED STAINED CEILING TILES ON SALES FLOOR. REPLACE AND MAINTAIN. Corrective Action(s): The physical facilities shall be maintained in good repair. Observation: The physical facilities are not being maintained in good repair. OBSERVED CEILING DROOPING IN THE MIDDLE OF THE STORE. WATER WAS DRIPPING FROM DAMAGED CEILING AREA. THIS AREA NEEDS TO BE FIXED AND MAINTAINED. Corrective Action(s): The physical facilities shall be maintained in good repair. Inspected by James Smith Received by JIM R.S./SIT # SIT Title MANAGER Licensor Franklin County Public Health Phone (614) HEA 5351 Ohio Department of Health (Rev. 05/13) AGR 1268 Ohio Department of Agriculture (Rev. 05/13)

15 Name of facility Address, Westerville OH 43081, USA License holder Family Dollar Stores Of Ohio, Inc. Type of visit (check) Standard Follow up Foodborne Complaint Prelicensing State of Ohio Standard Inspection Report Authority: Chapters 3717 and 3715 Ohio Revised Code Consultation 30 day Other specify Check one FSO RFE License number NFRY-9C34TF Category/Descriptive Risk Level I/Commercial RFE < sq. ft. Inspection time (min) Travel time (min) 45 0 Follow-up date (if required) Date March 08, 2017 Other Sample date/result (if required) OAC Violation Checked Management and Personnel Poisonous or Toxic Materials 2.1 Employee health 4.4 Maintenance and operation 7.0 Labeling and identification 2.2 Personal cleanliness X 4.5 Cleaning of equipment and utensils 7.1 Operational supplies and applications 2.3 Hygienic practices 4.6 Sanitizing of equipment and utensils 7.2 Storage and display separation 2.4 Supervision 4.7 Laundering Special Requirements Food 4.8 Protection of clean items 8.0 Fresh juice production 3.0 Safe, unadulterated and honestly presented Water, Plumbing, and Waste 8.1 Heat treatment dispensing freezers 3.1 Sources, specifications and original containers 5.0 Water 8.2 Custom processing 3.2 Protection from contamination after receiving X 5.1 Plumbing system 8.3 Bulk water machine criteria 3.3 Destruction of organisms 5.2 Mobile water tanks 8.4 Acidified white rice preparation criteria 3.4 Limitation of growth of organisms 5.3 Sewage, other liquid waste and rainwater 9.0 Facility layout and equipment specifications 3.5 Identity, presentation, on premises labeling 5.4 Refuse, recyclables, and returnables 20 Existing facilities and equipment 3.6 Discarding or reconditioning unsafe, adulterated Physical Facilities Administrative 3.7 Special requirements for highly susceptible populations 6.0 Materials for construction and repair 901:3-4 OAC Equipment, Utensils, and Linens 6.1 Design, construction, and installation OAC 4.0 Materials for construction and repair 6.2 Numbers and capacities 4.1 Design and construction 6.3 Location and placement 4.2 Numbers and capacities X 6.4 Maintenance and operation 4.3 Location and installation Violation(s)/Comment(s) (A)(3) - Cleanliness of nonfood-contact surfaces of equipment. Observation: Non-food contact surfaces of equipment are dirty. THE SHELVING UNDER THE MILK FOR SALE HAS DRIED MILK DEBRIS. THE BOTTOM SHELF IN THE REACH-IN FRREZER ALSO NEEDS CLEANED DUE TO FOOD SOIL. THE FRONT OF THE REACH-IN COLD HOLDING UNITS ARE DUSTY. Corrective Action(s): Nonfood-contact surfaces of equipment shall be kept clean (S)(2) - Plumbing system - maintained in good repair. Observation: The plumbing system was not properly maintained. THE RESTROOM FAUCET IS DETERIORATING AND THE SCREEN ON THE FAUCET IS MISSING RESULTING IN WATER SPRAYING OUT OF THE FAUCET WHEN IT IS TURNED ON. Corrective Action(s): A plumbing system shall be properly maintained (A) - Repairing. Observation: The physical facilities are not being maintained in good repair. STAINED CEILING TILES WERE NOTED. Corrective Action(s): The physical facilities shall be maintained in good repair. Observation: The physical facilities are not being maintained in good repair. NOTED A WALL HOLE ON THE FRONT WALL BY THE OUTLET. REPAIR. Corrective Action(s): The physical facilities shall be maintained in good repair (B) - Cleaning - frequency and restrictions. Observation: Observed a build-up of dirt and debris. NOTED DEBRIS/ITEMS IN BACK CORNERS; BUILD UP OR DEBRIS IN HARD TO REACH PLACES SUCH AS THE OPENINGS AT THE END OF AISLES (AT END CAP DISPLAYS), UNDER CANDY DISPLAYS NEAR THE CASH REGISTER LINES. RID FACILITY OF BUILD UP AND DEBRIS. Corrective Action(s): The physical facilities shall be cleaned as often as necessary to keep them clean, and cleaning shall be done during periods when the least amount of food is exposed (H) - Cleaning and maintenance of plumbing fixtures. Observation: Observed plumbing fixtures that were not being kept clean and maintained. NOTED THE BUILD UP OF A BLACK SUBSTANCE ON THE FAUCET IN THE ACCESSIBLE RESTROOM. CLEAN Corrective Action(s): Plumbing fixtures such as handwashing sinks, toilets, and urinals shall be cleaned as often as necessary to keep them clean and maintained (N) - Maintaining premises - unnecessary items and litter.

16 REPEAT OBSERVATION Observed unnecessary or nonfunctional items and /or litter on the premises. NOTED AN EXCESSIVE AMOUNT OF ITEMS IN THE BACK ROOM SUCH AS SHELVING PIECES ON TOP OF THE OFFICE, IN FRONT OF THE MOP SINK, WHICH MAKES IT NOT ACCESSIBLE. PLEASE REMOVE ALL UNNECESSARY ITEMS TO ENSURE YOUR SAFETY, AND TO ENSURE RESTROOMS AND THE MOP SINK ARE ACCESSIBLE. Corrective Action(s): The premises shall be free of Items that are unnecessary to the operation or maintenance of the FSO or RFE such as equipment that is nonfunctional or no longer used and litter. Inspected by Mary Madlener R.S./SIT # RS 3554 Licensor Franklin County Public Health Received by CASSIE Title ASSISTANT MANAGER Phone (614) HEA 5351 Ohio Department of Health (Rev. 05/13) AGR 1268 Ohio Department of Agriculture (Rev. 05/13)

17 Date: WARNING LETTER Facility Name: Address: City/State/Zip: License#: Re: Continued Violations of Chapter OAC- Ohio Uniform Food Safety Code Due to repeat uncorrected violations and/or failure to maintain sanitary conditions according to the Ohio Uniform Food Safety Code, the above mentioned facility has entered into the enforcement procedures of the Food Safety Program at Franklin County Public Health. An additional follow-up inspection will be performed. If there are continued issues, repeat violations and/or new critical violations, an Administrative Hearing may be ordered. The Administrative Hearing may result in moving forward with a proposed license suspension or proposed revocation of the food license and possible additional enforcement actions. The expectations of the Food Safety Program are to ensure that all facilities maintain the standards set forth in the Ohio Uniform Food Safety Code. Your facility must maintain the standards and ensure that all areas of food safety are being followed and maintained. If you have any questions regarding this matter, please contact Garrett Guillozet, RS/REHS, Food Safety Program Supervisor at Sincerely, Nichole D. Lemin, MS, RS/REHS, MEP Assistant Health Commissioner/Director of Environmental Health CC: Health Commissioner File Received By: Date:

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19 July 9, 2018 License: NFRY-9C34TF Dear Family Dollar Stores of Ohio, Inc.: An administrative hearing for was held at Franklin County Public Health on July 5, In attendance were Jeff Gibbs, Division Manager; Garrett Guillozet, Supervisor; and Stephen Wheeler, District Manager of. Factual evidence was presented from file records regarding the ongoing violations of Chapter 3717 of the Ohio Administrative Code, which prompted this hearing. The inspection reports from March 8, 2017 through the most recent inspection (conducted on June 28, 2018) were discussed and reviewed. During this timeframe, sanitarians cited 29 violations over a total of five inspections. The violation summary chart was also reviewed and discussed. The facility must work to adopt a responsible food safety culture to ensure that all food safety rules are being followed. The management staff/person-in-charge has the responsibility to ensure that all food safety violations/concerns are immediately abated. It is recommended that the facility create and implement a daily food safety and cleaning checklist. The checklist should cover all applicable areas of Ohio Uniform Food Safety Code and include a daily cleaning schedule. The checklist should be filled out daily and the proper corrective actions should be taken to ensure that all items are in compliance with the Ohio Uniform Food Code. Due to the history of violations, and the need for this administrative hearing, it has been determined that a formal hearing with the Board of Health will be necessary. The formal hearing may result in a suspension or revocation of the Retail Food Establishment license. This hearing will be held on August 14, 2018 at 9:30am at Franklin County Public Health located at 280 East Broad Street, Columbus, Ohio If you have any questions, please feel free to call Garrett Guillozet, MPA, RS/REHS, AEMT at or by ing food@franklincountyohio.gov. Sincerely, Nichole D. Lemin, MS, RS/REHS, MEP Assistant Health Commissioner/Environmental Health Director CC: Health Commissioner Assistant Franklin County Prosecutor File

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