JEFFERSON COUNTY DEPARTMENT OF HEALTH ?00 AVENUE, SOUTH Box 2648 OBIMNGHAM, AL 35202-2648 405.933.9110 Environmental Health Services lonathan Stanton, P.E., Director Certi?ed Mail Return Receipt Rg uested August 21, 2015 Matt Hutcheson, Chief Operations Of?cer Hill Crest Behavioral Health Services 6869 Avenue South Birmingham, AL 35212 Re: Denial? of application for 2015/16 Permit it 8864, Dear Mr. Hutcheson: On August 20, 2015, Jane Snow, Holly Lamb and inspected your facility and multiple critical and non-critical violations were observed and/or documented. Your application for permit to operate has been denied due to the cited violations. Your current food permit expires on 9/30/2015. You are required to take the listed actions for notice abatement and to qualify for a permit issued by the Jefferson County Department of Health per the Rules of the State Board of Health, Bureau of Environmental Services, Division of Food, Milk, and Lodging (This document may be accessed in its entirety at: I. We observed multiple areas of live gnat and roach activity, dead rodents on glue traps, open and baited rodent traps in food storage areas, presence of droppings, evidence of gnawing and patched areas in the walls from rodent intrusion. a. Provide effective pest control for insects (gnats and roaches) and rodents. All pest control applications shall be handled and applied in accordance to law and by a Certi?ed Applicator when required. i. The presence of insects and rodents shall be controlled and minimized so that there is not any evidence of infestation during an inspection of the facility. Ex: presence of dead or live rodents and insects, droppings and visible damage caused by intrusion. 1. NOV #2804002083 8/20/15; 6-501.l ll Provide effective insect control 2. NOV #2804002082 8/20/15; 6-501.l I Provide effective rodent control W?vagmi?n?tr>e, #93153?,- 1>4?th1aru?lwwtu 1 . 72? gr; w! .2 ?mv?v glam ?35" ll. Potentially hazardous food (PHF) temperatures measured in both walk-in coolers were above the required limits of 4! or lower (43 78 F) for cold storage due to improper cooling and inadequate ambient temperatures in both walk-in coolers. i. Maintain all PHF in cold holding at 41F or lower as required. l. 280400208l 8/20/15; Cool PHF from l35F to 41 or lower within 6 hours, and from I35 to 70 or below within the ?rst 2 hours. 2. 2804002080 8/20/15; Maintain PHF at 41 or below. 111. The ?oor tiles have been painted and the surface is peeling and ?aking. We were told that the tiles are scheduled for replacement as they are allowing water to in?ltrate the area below the ?oor and leak into the units below the kitchen. Wet dry vacuums are used in conjunction with mopping. This is not an acceptable method of cleaning and disinfecting food service and storage areas. 3. Provide a written plan with timeline for repairs, to allow the food service staff to effectively clean and disinfect the food prep and service areas without contaminating the units below the cafeteria. Your plan must be reviewed and approved by a JCDH Health Of?cer before proceeding to assure safety of food services during the construction period. Please notify me for re-inspection when you have taken the necessary actions to meet the requirements for obtaining a JCDH Food Permit. You have the right of appeal in accordance to with the Alabama Administrative Procedure Act, 41-22-1, et seq., Code of Alabama 1975, and the State Board of Health?s Contested Case Hearing Rules, Chapter 420-1-3. Informal settlement conferences may be conducted as provided in the State Board of Health?s Contested Case Hearing Rules, Chapter 420-1?3. If you have any questions or comments, you may contact me at (205) 930-1598, Jane Snow Supervisor at (205) 930-1216, or Bruce Braden, Program Manager at (205) 930-12l9. Sincerely, Haskey M. Bryant, MPH, MPA Environmental Health Specialist Food and Lodging Protection Division cc: Wade Merrit Spain Gillon, LLC The Zinszer Building 2117 Second Avenue North Birmingham Alabama, 35203 Dr. Tom Geary, ADPH 201 Monroe Street, STE 614 Montgomery, AL 36104 mini" .. . .1 3v. ?mum JEFFERSON COUNTY DEPARTMENT OF HEALTH Not/#2504002? Environmental Health Services issued Wm Food And Lodging Protection Division PO. Box 2648 Facility 3 Birmingham, AL 35202-2648 Official Notice of Violation Date: 08/20/2015 Facility 8864 Point AB Site AB Notify Name: HILL CREST HOSPITAL Phone: (205)333-9000 Facility Address: 6869 5TH AVE City; BIRMINGHAM Zip: 35212 Site Location: Regulation Code(s): Date ?f Vio'ationi WE Compliance: Extended: Abated: 09/23/2015 Violation 2) Maintain PHF at 41 or below. PHF in cold holdin unit 41 due to faulty . Comments: equrpment. ease use of equipment until repaired and verl?ed by H. Food items the walk in cooler (Back storage area) 48 F. Voluntarily2discarded full pans of hamburger, chicken, vegetables, meat and gra greens, milk, buttermilk. ood items 1n the walk 1n cooler (near the kitchen door) 43 - 45 F. Voluntarily discarded chicken salad, deli turkey. Burch Servrcemg coolers durmg inspection. Observed ambient temperature of the back cooler 37 and front cooler 39 F. Failure to comply with this notice may necessitate further action as provided by law. 12) Signature On File RULES OF ALABAMA STATE BOARD OF HEALTH FOR FOOD ESTABLISHMENT SANITATION The inspection report shall state that failure to comply with any time limits for corrections may result in cessation of operations. An oppotunity for hearing on the Received By inspection ?ndings or the time limitations or both will be provided if a written request is ?led With the Health Of?cer within 15 days following cessation of operations. If a request for hearing is received, a hearing shall be held in accordance with Signature on File Whenever a food establishment is required under the provisions of to cease operations, it shall not resume operations until it is shown on reinspection that conditions responsible for the order to cease operations no longer exist. Opportunity for reinspection shall be offered Within a reasonable time. Environmental Health Specialis NOV FollowUp Print (Jaw Number. 280499208Q Facility Name; HILL CREST HOSPITAL Type Fallowup: AbateCL . Date: 9/23/2015 12:00:001?3? Comments: Bath walk in coolers haldimg below JEFFERSON coumv DEPARTMENT OF HEALTH Envrronmental Health Services 'ssued Bijood stem Food And Lodging Protection Division Syilem' P.O. Box 2648 Fac'l'? 8864 Birmingham. AL 35202-2648 Official Notice of Violation Date: 08/20/2015 Facility 8864 Point AB Site AB Notify Name: HILL CREST Phone: (w Address; 6869 5TH AVE 3 Zip: Site Location: Regulation Code(s): Date of Violation: Compliance: Extended: Abated: Violation Cool PHF from 135E to 41F or lower within 6 hours, and from 135F to 20F or below Within 3 Comments: the first 2 hours of coolin time. PHF 41F in cold holding unit due_to improper cooling procedure followin coolon . Coo ed sausa cooling after breakfast, stored With cover on rolling rack. 78F after 2. hours. oluntarily discar ed. Failure to comply with this notice may necessitate further action as provided by law. 420-3-22-.08( 12) No Signature On File RULES OF ALABAMA STATE BOARD OF HEALTH FOR FOOD ESTABLISHMENT SANITATION The inspection report shall state that failure to comply with any time limits for corrections may result in cessation of operations. An opporunity for hearing on the Received By inspection ?ndings or the time limitations or both will be provided if a written 5; request is ?led With the Health Of?cer within 15 days following cessation of i operations. If a request for hearing is received, a hearing shall be held in accordance with No Signature on File Whenever a food establishment is required under the provisions of to cease operations, it shall not resume operations until it is shown on reinspection that conditions responsible for the order to cease operations no longer exist. Opportunity for reinspection shall be offered within a reasonable time. 395%5; Environmental Health Specialis Flu . va1mm? Cbmnents: ,373"? 1, NOV FollowUp Print . 280400208;_Faci11ty Rama; HILL CREST HOSPITAL TYpe Followup: Abated Date: 9/23/2015 12:00:00 AM up violations during follow up. JEFFERSON COUNTY DEPARTMENT OF HEALTH - issued By:406 gameiEtBiro/itcgsivision Fajita :22: 5mm Official Notice of Violation Date: 08/20/2015 Facility 8864 Point Site AB Notify Name; HILL CREST HOSPITAL Address; 6869 5TH AVE Phone: (205)833-9000 Facility City; BIRMINGHAM Zip: 3.211? Site Location: Regulation Code(s): Date of Violation: Compliance: Extended: Abated: Violation 6?501.111 Provide effective insect control. Heavy activity 0 ts in the storage area, mo sink area,soda area and around ve etables in the dry storage area: (Elsaerved live and dead roaches around Comments the wall base in the storage argea, under the 3 compartment and in the soda area. x. Failure to comply with this notice may necessitate further action as provided by law. RULES OF ALABAMA STATE BOARD OF HEALTH FOR FOOD ESTABLISHMENT SANITATION No Signature On File The inspection report shall state that failure to comply with any time limits for corrections may result in cessation of operations. An oppotunity for hearing on the Received 8 inspection ?ndings or the time limitations or both will be provided if a written request is filed with the Health Of?cer within 15 days following cessation of operations. If a request for hearing is received, a hearing shall be held in accordance with warty No Signature on File Whenever a food establishment is required under the provisions of to cease operations, it shall not resume operations until it is shown on reinspection that conditions responsible for the order to cease operations no longer exist. Opportunity for reinspection shall be offered within a reasonable time. Environmental Health Specialis Elf: War. JEFFERSON COUNTY DEPARTMENT OF HEALTH NOV ?504002083 Environmental Health Services lssued Food And Lodging Protection Division Systeszood System PO. Box 2648 ?my 3864 Bimingham, AL 35202-2648 Officral Notice of Violation Dam: 08/20/2015 Facility 8364?? Point AB Site AB Notify Name; HILL cassr HOSPITAL phone: (205)833-9000 Facility Address: 6869 5TH AVE City; BIRMINGHAM Zip: 35212 Site Location: Regulation Code(s): Date of Violation: 08/20/2015 Compliance: Forthwith Extended: Abated: 09/23/2015 Violation 6501.111 Provide effective rodent control. I Dead rodents observed in glue traps above the walk in Comments: cooler. Rodent droppings observed behind the cooler. Failure to comply with this notice may necessitate further action as provided by law. 420-3-22-.08( 12) Signature On File RULES OF ALABAMA STATE BOARD OF HEALTH FOR FOOD ESTABLISHMENT SANITATION The inspection report shall state that failure to comply with any time limits for corrections may result in cessation of operations. An oppotunity for hearing on the impaction ?ndings or the time limitations or both will be provided if a written request is ?led with the Health Of?cer within 15 days following cessation of operations. If a request for hearing is received, a hearing shall be held in [if accordance with Received By a Signature on File Whenever a food establishment is required under the provisions of to cease operations, it shall not resume operations until it is shown on reinspection that conditions responsible for the order to cease operations no longer exist. Opportunity for reinspection shall be offered within a reasonable time. Environmental Health Specialis . 53.13wag; . . 1. NOV FollowUp Print 30' 330?003003 Facility I?ll: HILL 80891?? Typo Followup: Matted Date: 9/23/2015 12:00:00 Mutt: Ho viaiblc signs of rectal; activity mating the tenor rm inspection. C, .. NOV FollowUp Print NOV Number: 2804002082 Facility Name: HILL CREST HOSPITAL Type Followup: Comment Only Date: 9/23/2015 3:00:00 PM Comments: Ghats have been eliminated. Observed a few live roaches in the closed area near the storage room. Cooks has been servicing every 2 weeks. Service was set up during the follow up inapection. Type Followup: Comment Only Date: 9/24/2015 3:18:00 PM Comments: Due to the upgrades, pest control service, roach activity has lessened and conditions have improved enough to approve the 2015/16 Food Permit, but not abate the NOV. OX Per Bruce Braden. .Notified Clerks on 9/24/15 Type Followup: Abated Date: 10/1/2015 12:00:00 AM Comments: No visible roaches during follow up. Writ? . WW: ?Hm: . a .