385 N Arrowhead Ave, San Bernardino, CA 92415 Phone: 800.442.2283 Fax: 909.387.4323 www.SBCounty.gov www.SBCounty.gov/dph/dehs Public Health Environmental Health Services CAL CODE OFFICIAL INSPECTION REPORT FACILITY NAME REINSPECTION DATE DATE LA NUEVA COPA CABANA 1/24/2019 PERMIT EXPIRATION 2/07/2019 LOCATION 3/31/2019 INSPECTOR 1241 W 5TH ST, SAN BERNARDINO, CA 92411 Tamara King ¨FACILITY MAILING ADDRESS ¨OWNER þACCOUNT IDENTIFIER: None SERVICE: 033 - Re-score Grade Inspection 19319 MISSION RANCH ROAD, RIVERSIDE CA 92508 TIME IN TIME OUT 8:34 AM 10:14 AM FACILITY ID RELATED ID FA0010191 RESULT: 005 - Corrective Action / Follow up Required ACTION: 013 - Permit Suspended / Facility Closed PE PR0000297 1622 Based on an inspection this day, the items marked below identify the violation(s) in operation or facilities which must be corrected. Failure to correct listed violation(s) prior to the designated compliance date may necessitate an additional inspection to be billed at the hourly rate as provided in the San Bernardino County Code Schedule of Fees. B Administrative Order to Show Cause (OSC): The Permittee has the right to a hearing if requested in writing within 15 calendar days of receipt of this notice, to show cause why the permit to operate should not be suspended or revoked; otherwise the right to a hearing shall be deemed waived. SCORE 85 Reduce food loss, and feed those in need by donating your surplus food. Learn more about donating surplus food. See the following pages for the code sections and general requirements that correspond to each violation listed below.  In = In compliance  N/O = Not observed X MAJ = Major violation Ë COS = Corrected on-site DEMONSTRATION OF KNOWLEDGE In COS FOOD FROM APPROVED SOURCES MAJ OUT 2 X 1. Demonstration of knowledge; food safety certification N/O Food Safety Cert Name: Data not collected In  EMPLOYEE HEALTH & HYGIENIC PRACTICES  In  In  N/O 3. No discharge from eyes, nose, and mouth 2 N/O 4. Proper eating, tasting, drinking or tobacco use 2 In  N/O 5. Hands clean and properly washed; gloves used properly In 2. Communicable disease; reporting, restrictions & exclusions  N/A = Not applicable X OUT = Out of compliance In N/O In N/O N/A  N/A  2 2 CONFORMANCE WITH APPROVED PROCEDURES In N/A  18. Compliance with variance, specialized process, and HACCP N/A  19. Consumer advisory provided for raw or undercooked  20. Licensed health care facilities/public and private schools; prohibited foods not offered 2 In N/O 2 X 4 2 N/A 8. Time as a public health control; procedures & records 4 2 N/A 9. Proper cooling methods 4 2 N/A 10. Proper cooking time & temperatures 4 N/A 11. Proper reheating procedures for hot holding 4 N/O  N/A 12. Returned and reservice of food N/O N/A  N/O  N/O  N/O  In In In HIGHLY SUSCEPTIBLE POPULATIONS 7. Proper hot and cold holding temperatures In N/O In  In  2 4 2 1 PERSONAL CLEANLINESS 25. Personal cleanliness and hair restraints WATER/HOT WATER In  4 OUT GENERAL FOOD SAFETY REQUIREMENTS 22. Sewage and wastewater properly disposed In EQUIPMENT/UTENSILS/LINENS 33. Nonfood contact surfaces clean 35. Equipment/Utensils approved; installed; clean; good repair, capacity 36. Equipment, utensils and linens: storage and use 23. No rodents, insects, birds, or animals PERMANENT FOOD FACILITIES OUT X 1 45. Floor, walls, ceilings: built, maintained, and clean 1 46. No unapproved private homes/living or sleeping quarters 1 X 1 X 4 2 4 2 X 1 1 3 1 38. Adequate ventilation and lighting; designated areas, use 1 28. Washing fruits and vegetables 1 39. Thermometers provided and accurate 1 49. Permits Available 29. Toxic substances properly identified, stored, used 1 40. Wiping cloths: properly used and stored 1 50. Restrooms Required COMPLIANCE & ENFORCEMENT 51. Plan Review 30. Food storage; food storage containers identified 1 41. Plumbing: proper backflow devices 1 52. VC&D 31. Consumer self-service 1 42. Garbage and refuse properly disposed; facilities maintained 1 53. Impoundment 32. Food properly labeled & honestly presented 1 43. Toilet facilities: properly constructed, supplied, cleaned 1 54. Permit Suspension 44. Premises; personal/cleaning items; vermin-proofing 1 X 48. Food handler cards 27. Food separated and protected PHYSICAL FACILITIES OUT 47. Signs posted; last inspection report available 1 5191 - CAL CODE OIR - v17.07.21 2 SIGNS REQUIREMENTS 26. Approved thawing methods used, frozen food FOOD STORAGE/DISPLAY/SERVICE 4 X VERMIN 34. Warewashing facilities: installed, maintained, used; test strips 1 4 21. Hot and cold water available 2 14. Food contact surfaces: clean and sanitized SUPERVISION N/A LIQUID WASTE DISPOSAL 13. Food in good condition, safe and unadulterated 24. Person in charge present and performs duties In In PROTECTION FROM CONTAMINATION In 2 foods TIME AND TEMPERATURE RELATIONSHIPS  2 Plan CONSUMER ADVISORY 4 N/A N/O OUT 4 17. Compliance with Gulf Oyster Regulations 4 6. Adequate handwashing facilities supplied & accessible In MAJ 16. Compliance with shell stock tags, condition, display PREVENTING CONTAMINATION BY HANDS In COS 15. Food obtained from approved source X 1 X DAKYACSRQ 1/25/2019 2:46 PM Page 1 of 6 385 N Arrowhead Ave, San Bernardino, CA 92415 Phone: 800.442.2283 Fax: 909.387.4323 www.SBCounty.gov www.SBCounty.gov/dph/dehs Public Health Environmental Health Services CAL CODE OFFICIAL INSPECTION REPORT FACILITY NAME DATE LOCATION INSPECTOR LA NUEVA COPA CABANA 1/24/2019 1241 W 5TH ST, SAN BERNARDINO, CA 92411 Tamara King 54. PERMIT SUSPENSION POINTS 0 Compliance date not specified Not In Compliance Violation Reference - HSC 114409, 114405 Inspector Comments: You are hereby notified that your health permit is temporarily suspended due to a lack of hot water above 100 F throughout the facility. Hot water shall be restored to the facility at a minimum temperature of 100F at the hand wash sinks and ware wash sinks and a minimum 120 degrees F within the facility measurable at the faucet prior to requesting a reopening inspection. Violation Description: If an imminent health hazard is found, an enforcement officer may temporarily suspend the permit and order the food facility immediately closed. (114409, 114405) ! ê 21. HOT AND COLD WATER AVAILABLE POINTS 4 Compliance date not specified Not In Compliance Violation Reference - HSC 113953(c), 114099.2(b) MAJOR ! ê Inspector Comments: Hot water was measured at the hand wash sink in the restroom, at the 3-compartmetn sink in the bar and at the 3-compartment sink in the kitchen. THe maximum water temperature measured was 64F. You are hereby notified that your health permit is temporarily suspended due to a lack of hot water above 100 F throughout the facility. Restore hot water to the facility. An adequate, protected, pressurized, potable supply of hot water and cold water shall be provided at all times. If there is no water, no hot water, or the water supply is unapproved/contaminated, a food facility shall immediately cease preparation of food. Hot water shall be restored to the facility at a minimum temperature of 100F at the hand wash sinks and ware wash sinks and a minimum 120 degrees F within the facility measurable at the faucet prior to requesting a reopening inspection. Violation Description: An adequate, protected, pressurized, potable supply of hot water and cold water shall be provided at all times. (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) 1. DEMONSTRATION OF KNOWLEDGE; FOOD SAFETY CERTIFICATION POINTS 2 Compliance date not specified Inspector Comments: Observed no valid food safety certificate on site. Not In Compliance Violation Reference - HSC 113947-113947.1 One person in the facility must obtain a valid food safety certificate from an ANSI approved organization, within sixty (60) calendar days of today’s date. Original certificate must be kept on site at all times (photocopies are not acceptable). An inspector will conduct a re-inspection to determine compliance. Failure to comply by the deadline may result in additional billable re-inspections. Violation Description: All food employees shall have adequate knowledge of and be trained in food safety as it relates to their assigned duties. (113947) Food facilities that prepare, handle or serve non-prepackaged potentially hazardous food, shall have an employee who has passed an approved food safety certification examination. (113947-113947.1) More Information: http://www.sbcounty.gov/uploads/dph/dehs/Depts/EnvironmentalHealth/FormsPublications/FoodSafetyPracticesOverview.pdf 6. ADEQUATE HANDWASHING FACILITIES SUPPLIED & ACCESSIBLE POINTS 2 Compliance date not specified Not In Compliance Violation Reference - Inspector Comments: Observed the sink at the bar to not have paper towels in dispensers. (REPEAT VIOLATION) Provide paper towels in dispensers at all hand wash sinks. Violation Description: Handwashing soap and towels or drying device shall be provided in dispensers; dispensers shall be maintained in good repair. (113953.2) Adequate facilities shall be provided for hand washing. (113953, 113953.1, 114067(f)). Handwashing sink is not separated from a warewashing sink by a 6 inch high metal splashguard or 24 inch separation. (113953) Handwashing sinks shall not be obstructed, inaccessible, used improperly or kept unclean. (113953.1) 5191 - CAL CODE OIR - v17.07.21 DAKYACSRQ 1/25/2019 2:46 PM Page 2 of 6 385 N Arrowhead Ave, San Bernardino, CA 92415 Phone: 800.442.2283 Fax: 909.387.4323 www.SBCounty.gov www.SBCounty.gov/dph/dehs Public Health Environmental Health Services CAL CODE OFFICIAL INSPECTION REPORT FACILITY NAME DATE LOCATION INSPECTOR LA NUEVA COPA CABANA 1/24/2019 1241 W 5TH ST, SAN BERNARDINO, CA 92411 Tamara King 23. NO RODENTS, INSECTS, BIRDS, OR ANIMALS POINTS 2 Compliance date not specified Not In Compliance Violation Reference - HSC 114259.1, 114259.4, 11425 Inspector Comments: Observed one (1) dead cockroach ont he floor to the left of the 3-compartment bar sink. No live cockroaches were observed this date. 2 glue traps were observed below and above the 3-compartmetn bar sink and were free from any sign of cockroach activity. Pest control records were observed for 1/21/2019- per he record: "inspected, spot treated baseboards throughout restaurant, also gel baited bar area, kitchen area, and restrooms." Storage practices notes indicated : "Just need cleaning throughout". The facility shall continue to clean, sanitize, monitor, and treat the facility to completely eliminate the cockroach infestation and evidence of the infestation. All dead cockroaches shall be removed from the facility. All food contact surfaces in the facility shall be cleaned and sanitized using appropriate methods. All directives provided by pest control shall be completed to ensure appropriate and full treatments can be rendered by the pest control company. All vermin harborage areas shall be cleaned, sanitized, sealed, monitored, and treated using approved pest control methods. A follow up inspection will be conducted on 2/7/2019 to verify compliance. Failure to comply will result in further billable re-inspections and may result in further legal action. Violation Description: Food facility shall be kept free of vermin: rodents (rats, mice), cockroaches, flies. (114259.1, 114259.4, 114259.5) Live animals are not allowed in a food facility unless, food employees with service animals may handle or care for their service animal if they wash their hands as required or persons who are licensed pursuant to Chapter 11.5 of Division 3 of the Business and Professions Code. (114259.4, 114259.5) 33. NONFOOD-CONTACT SURFACES CLEAN POINTS 1 Not In Compliance Inspector Comments: 1) Observed the interior shelves, gaskets, and wall and exterior of the upright 3-door refrigeration unit to have an accumulation of debris and residue. Violation Reference - HSC 114115 (c) 2) Observed the interior of the 3 door reach in beer cooler to have an accumulation of debris and food residue. Compliance date not specified 3) Observed the contact surfaces of the 3-compartment bar sink to have an accumulation of dust, debris, and residue. 4) Observed the contact surfaces of the 3-compartment kitchen sink to have an accumulation of dust, dirt, debris, and residue. Clean and sanitize all areas. Maintain all non food contact surfaces and food contact surfaces in a clean and sanitary manner free from an accumulation of dust, dirt, food residue, rubbish, and other debris. Violation Description: All nonfood contact surfaces of utensils and equipment shall be clean. (114115 (c)) 5191 - CAL CODE OIR - v17.07.21 DAKYACSRQ 1/25/2019 2:46 PM Page 3 of 6 385 N Arrowhead Ave, San Bernardino, CA 92415 Phone: 800.442.2283 Fax: 909.387.4323 www.SBCounty.gov www.SBCounty.gov/dph/dehs Public Health Environmental Health Services CAL CODE OFFICIAL INSPECTION REPORT FACILITY NAME DATE LOCATION INSPECTOR LA NUEVA COPA CABANA 1/24/2019 1241 W 5TH ST, SAN BERNARDINO, CA 92411 Tamara King 35. EQUIPMENT/UTENSILS - APPROVED; INSTALLED; CLEAN; GOOD REPAIR, CAPACITY POINTS 1 Compliance date not specified Not In Compliance Violation Reference - HSC 114130, 114130.1, 114130 Inspector Comments: Observed numerous pieces of equipment in the kitchen area to be unused, inoperable, and in disrepair including: - The exhaust hood - The grill below the exhaust hood missing parts and visibly rusted. - The steam table to the left of the grill, - The fryer to the right of the 3-door upright refrigeration unit - The single burner cook top stored to the right and below the right integral drainboard of the 3-compartment sink in the kitchen. - Ice machine in the bar area. - 2-door Beer cooler in the bar area Repair, replace, or remove the inoperable/ unused equipment from the facility. All utensils and equipment shall be fully operative and in good repair. All utensils and equipment shall be approved, installed properly, and meet applicable standards. Violation Description: All utensils and equipment shall be fully operative and in good repair. (114175). All utensils and equipment shall be approved, installed properly, and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114177, 114180, 114182) 36. EQUIPMENT, UTENSILS AND LINENS: STORAGE AND USE POINTS 1 Compliance date not specified Not In Compliance Violation Reference - HSC 114074, 114081, 114119 Inspector Comments: Observed pressurized cylinders unsecured to a rigid surface in the following areas: - By the front door behind the mirrored wall - In the kitchen near the steam table - In the dry storage area to the right of the ice machine. Secure the pressurized CO2 tanks to a rigid surface. Violation Description: All clean and soiled linen shall be properly stored; non-food items shall be stored and displayed separate from food and food-contact surfaces. (114185.3 - 114185.4)Utensils and equipment shall be handled and stored so as to be protected from contamination. (114074 - 114075, 114081, 114119, 114121, 114161, 114178, 114179, 114083, 114185, 114185.2, 114185.5) Pressurized cylinders must be securely fastened to a rigid structure. (114172) 44. PREMISES; PERSONAL/CLEANING ITEMS; VERMIN-PROOFING POINTS 1 Not In Compliance Inspector Comments: Observed gaps greater than 1/4 inch around the two (2) front doors to the facility and the rear door to the facility. Violation Reference - HSC 114067 (j), 114123 Seal the gaps around the doors to prevent potential entrance and harborage of vermin in the facility. Compliance date not specified Violation Description: The premises of each food facility shall be kept clean and free of litter and rubbish; all clean and soiled linen shall be properly stored; non-food items shall be stored and displayed separate from food and food-contact surfaces; the facility shall be kept vermin proof. (114067 (j), 114123, 114143 (a) & (b), 114256, 114256.1, 114256.2, 114256.4, 114257, 114257.1, 114259, 114259.2, 114259.3, 114279, 114281, 114282) Food preparation sinks, handwashing sinks and warewashing equipment shall not be used for the cleaning of maintenance tools, the holding of maintenance materials, or the disposal of liquid wastes. (114123) Open-air barbecue and/or outdoor wood burning oven must operate on the same premises, in conjunction with a permanent food facility and not in an area that may pose as a fire hazard. (114143(a) (b)) Janitorial sink or approved curbed cleaning facility (exemption for restricted food service facilities Section 114279 (b)) shall be provided. (114279(a)) First aid supplies must have a legible manufacturer's label and stored in a kit or container that is located to prevent contamination. (114256.4) Insect electrocution devices are not allowed in food or utensil handling areas. (114259.3) 5191 - CAL CODE OIR - v17.07.21 DAKYACSRQ 1/25/2019 2:46 PM Page 4 of 6 385 N Arrowhead Ave, San Bernardino, CA 92415 Phone: 800.442.2283 Fax: 909.387.4323 www.SBCounty.gov www.SBCounty.gov/dph/dehs Public Health Environmental Health Services CAL CODE OFFICIAL INSPECTION REPORT FACILITY NAME DATE LOCATION INSPECTOR LA NUEVA COPA CABANA 1/24/2019 1241 W 5TH ST, SAN BERNARDINO, CA 92411 Tamara King 45. FLOORS, WALLS AND CEILINGS: BUILT, MAINTAINED, AND CLEAN POINTS 1 Not In Compliance Inspector Comments: 1) Observed the walls throughout the kitchen to be in disrepair, heavily soiled, and no longer smooth, durable, and easily cleanable. Violation Reference - HSC 114143 (d), 114266 Thoroughly clean the walls throughout the facility and maintain the facility in a clean and sanitary manner. Compliance date not specified 2) Observed the floors behind the bar area to have an accumulation of food residue, debris, and rubbish below the refrigeration units. 3) Observed the floors in the kitchen, dry storage area, and customer area to have an accumulation of food residue, dust, dirt, and/ or other debris throughout and under equipment. Clean and sanitize the floors. Maintain the floors in a clean and sanitary manner free from an accumulation of dust, dirt, food residue, and other debris. 4) Observed the ciling in the dry storage area to show evidence of a leak with a black mold like substance growing on the ceiling above the dry storage area. 5) Observed the dry wall tape hanging form the ceiling near the back door in the dry storage area. 6) Observed the ceiling above the 3-door upright refrigeration unit to be in disrepair and temporarily patched. Properly repair or replace the damaged ceilings and ensure the ceilings in all food preparation areas and storage areas are maintained in good repair, free of mold/ mildew, and are clean, durable, smooth, nonabsorbent, and easily cleanable. Violation Description: The walls / ceilings shall have durable, smooth, nonabsorbent, and washable surfaces. All floor surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily cleanable. Approved base coving shall be provided in all areas, except customer service areas and where food is stored in original unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143 (d), 114257, 114266, 114268, 114268.1, 114271, 114272) Cleaning must be an approved dustless method. (114268.1) Mats and duckboards, if used, must be removable and easily cleanable. (114272) Open-air barbecues or wood-burning ovens floor surfaces must extend a minimum of five feet and be impervious or easily cleanable. (114143(d)) IMPORTANT: Risk Based Inspection Frequency Food facilities that pose a higher risk level for causing foodborne illness will be subject to an additional inspection, to be billed at the hourly rate as provided in the San Bernardino County Code Schedule of Fees. Facilities that received one or more of the following will be elevated to a high risk tier: · · · · · A score letter of “C” or lower on one of the last two graded inspections, A score letter of “B” on two of the last three graded inspections, Repeated “four (4) point violation Risk Factor” (critical violation codes 1-23) on the last two inspections, or Four (4) or more critical violations (codes 1-23) noted during an inspection, or A permit suspension (closure) on your last graded inspection. Overall Inspection Comments 5191 - CAL CODE OIR - v17.07.21 DAKYACSRQ 1/25/2019 2:46 PM Page 5 of 6 385 N Arrowhead Ave, San Bernardino, CA 92415 Phone: 800.442.2283 Fax: 909.387.4323 www.SBCounty.gov www.SBCounty.gov/dph/dehs Public Health Environmental Health Services CAL CODE OFFICIAL INSPECTION REPORT FACILITY NAME DATE LOCATION INSPECTOR LA NUEVA COPA CABANA 1/24/2019 1241 W 5TH ST, SAN BERNARDINO, CA 92411 Tamara King You are hereby notified that your health permit is temporarily suspended due to a lack of hot water above 100 F throughout the facility. Prior to a re-opening inspection being conducted, the facility shall correct the observed violations, and request a non-graded reinspection. Hot water shall be restored to the facility at a minimum temperature of 100F at the hand wash sinks and ware wash sinks and a minimum 120 degrees F within the facility measurable at the faucet prior to requesting a reopening inspection. A “Notice of Closure” sign was posted. A PEP talk was provided on this date. The following handouts were provided at the time of this inspection: Top 5 CDC Risk Factors handout, Active Managerial Control Handout, Request for Rescore form, Food temperature stickers. Notes: Ware washing sink not observed set up. All cold holding temperatures observed below 41F. No hot holding was observed. The facility does not actively prepare food at this time. The facility serves drinks at the bar only at this time. ***For a B grade (score of 80 to 89) ** * A re-score inspection may be requested by a food facility who receives a “B” grade after the completion of an official routine inspection. This request is optional on the part of the facility which may wish to try to improve their score or letter grade. The Health Official will complete the re-score inspection within ten (10) County business days of the food facility submitting a request for a re-score inspection. The inspection rate is $245.00 per hour. A minimum of $122.50 will be charged for the first 30 minutes of inspection time. A Letter Grade Card shall remain valid until the Health Official completes the next routine inspection or re-score inspection of the food facility. A re-score inspection is a new, unscheduled, complete routine inspection that a) may be required by County Ordinance #33.1403; or b) may be requested by the food facility. Signature(s) of Acknowledgement NAME: E. Quintero TITLE: Owner 5191 - CAL CODE OIR - v17.07.21 DAKYACSRQ 1/25/2019 2:46 PM Page 6 of 6