Critical Item History - ALL

Name of Est Nature Business Street City/Town Permit

Number
Critical Item Description Inspected By

Date C I Marked Follow-up Date LAG Time:

Designated Employee: Stephens
Albertville Nursing Home Food Service Establishment 750 AL Hwy 75 Nor Albertville 0150FS1773 Stephens

06 Failing to reheat foods adequately prior to hot holding. 10/4/2021 10/4/2021 0

16 Inaccurate food thermometer. 10/4/2021 10/4/2021 0

Bee Gee's Restaurant Food Service Establishment 1105 Baltimore Av Albertville 0150FS895 Stephens

16 Broken wires on fry baskets, flour sifter, vat skimmer. ########## ########## 0

06 Hamburger patties at 120, philly meat at 97 ########## ########## 0

Boaz Intermediate Cafeteria School Lunchroom - Public 11 Newt Parker Dri Boaz 0480009 Stephens

15 Dish machine failing to reach adequate temperature required for heat sanitizing. 10/6/2021 ########## 14

Burger King - Boaz Food Service Establishment 1752 US Hwy 431 Boaz 0350FS2676 Stephens

15 Sanitizer at 0ppm QT ########## ########## 0

16 Broken wires on fry basket. ########## ########## 0

Chico's Taqueria, LLC Food Service Establishment 203 W. McKinney Albertville 0150FS2934 Stephens

02 Employee health reporting agreements not complete. ##########

06 Soup at 109 degrees. ##########

07 Beef at 60 degrees, Tamales at 125. ##########

Dollar Tree #2551 - Boaz Limited Retail 2206 US Hwy 431 Boaz 0350LR2461 Stephens

27 No tissue in restroom. ########## ########## 0

Domino's Pizza - (Boaz) Limited Food 102 N McCleskey Boaz 0350LF570 Stephens

27 No soap at hand sink in women's restroom. 10/5/2021 10/5/2021 0

Double Bridges Grocery Food Service Establishment 13730 AL Hwy 168 Boaz 0350FS2962 Stephens

38 Cleaners stored on drain board with clean food containers. ########## ########## 0

02 No verifiable employee health reporting agreement. ########## ########## 4

25 Soda fountain drain plumbed onto ground outside of building. ########## ########## 4

Econo Lodge Hotel/Motel 761 US Hwy 431 Boaz 0350HT2722 Stephens

29 Residue in ice maker chute. ########## ########## 0

Food Basket Food Service Establishment 715 Sampson Circl Albertville 0150FS493 Stephens

07 TCS foods in grill side cooler at 50 degrees. ########## ########## 4

Wednesday, November 3, 2021 Page 1 of 7

Name of Est Nature Business Street City/Town Permit
Number
Critical Item Description Inspected By

Date C I Marked Follow-up Date LAG Time:

15 Dish machine final rinse at 0ppm CL. ########## ########## 0

Gordos Way, LLC Food Service Establishment 212 Main Street Albertville 0150FS3001 Stephens

06 Pinto beans at 91 degrees. 10/8/2021 10/8/2021 0

Guelaguetza Bakery Food Service Establishment 605 Baltimore Ave Albertville 0150FS2547 Stephens

08 Flan and cream cakes with inaccurate date marks. 10/4/2021 ########## 15

02 No verifiable employee health reporting agreement. 10/4/2021 ########## 15

JaMoka's Coffee Co. - Boaz Food Service Establishment 1851 US Hwy 431 Boaz 0350FS2092 Stephens

16 Inaccurate food thermometers. 10/5/2021 ########## 14

07 Salami at 47, corned beef at 46. 10/5/2021

06 Tomato soup hot holding at 118. 10/5/2021 ########## 14

05 Using TCS foods beyond 7 day maximum. 10/5/2021 ########## 14

02 No certified manager present. 10/5/2021

Krystal Kwik - (Boaz) Food Service Establishment 2115 US Hwy 431 Boaz 0350FS511 Stephens

38 Clean pans stored under chemical dispenser. 10/5/2021 10/5/2021 0

Legends Bar & Grill, Inc. Food Service Establishment 5850 US Hwy 431, Albertville 0150FS3147 Stephens

06 Wings at 119 degrees. ########## ########## 0

15 Residue on soda gun nozzle. ########## ########## 0

Little Caesar's Pizza - Boaz Limited Food 2044 US Hwy 431, Boaz 0350LF2060 Stephens

15 Residue on can opener blade. 10/5/2021 ########## 14

16 No sanitizer test kit. 10/5/2021 ########## 14

07 Inaccurate timers/no timers on staged pizzas at 70 degrees. 10/5/2021 ########## 14

Local Joe's at Albertville Food Service Establishment 102 E. Main Street Albertville 0150FS2796 Stephens

15 Dish machine final rinse at 0 ppm CL. ########## ########## 5

38 Unlabeled chemical spray bottle and soap bottles. ########## ########## 5

Los Arcos - Boaz Food Service Establishment 1754 US Hwy 431 Boaz 0350FS2671 Stephens

16 Food thermometer not accurate. ########## ########## 0

02 Employee health reporting agreements not complete. ########## ########## 0

Mi Palmar Supermarket, LLC Food Service Establishment 102 Thomas Avenu Boaz 0350FS3087 Stephens

27 No paper towels at restroom hand sink. 10/6/2021 10/6/2021 0

Wednesday, November 3, 2021 Page 2 of 7

Name of Est Nature Business Street City/Town Permit
Number
Critical Item Description Inspected By

Date C I Marked Follow-up Date LAG Time:

Nico's LLC/DBA La Orquidea Food Service Establishment 803 Baltimore Ave Albertville 0150FS1636 Stephens

38 Unlabeled cleaner bottles. ########## ########## 0

Panaderia Mana Food Service Establishment 117 Sand Mountain Albertville 0150FS3205 Stephens

27 No paper towels at hand sink. ########## ########## 0

Pico de Gallo House Food Service Establishment 222 N. Carlisle Stre Albertville 0150FS2762 Stephens

02 Emoployee health reporting not complete. ##########

09 Soup at 109, inadequate cooling. ##########

Shiloh Farms Food Store Food Service Establishment 2780 Beulah Road Boaz 0350FS1765 Stephens

31 Evidence of mice in kitchen cabinet. ##########

38 Unlabeled cleaner bottle. ########## ########## 0

Snow Kone Factory Mobile Food Service 313 Sand Mtn Driv Albertville 0150MF3172 Stephens

38 Unlabeled cleaner bottle. ########## ########## 0

Taqueria Guanajuato Food Service Establishment 515 Baltimore Ave Albertville 0150FS1964 Stephens

02 Employee health reporting agreement incomplete. ##########

38 Cleaner bottle on shelf with foods and single service articles. ########## ########## 0

27 No tissue in restrooms, employees washing hands in utensil sink, no paper towels at grill area ##########
hand sink.

Village School of Albertville Daycare Food Service 904 Baltimore Ave Albertville 0150DC919 Stephens

08 Inaccurate date marking of TCS foods. 10/4/2021 10/4/2021 0

Designated Employee: Thompson

Arab Mt. Fuji Japanese Inc Food Service Establishment 1410 N Brindlee Mt Arab 0250FS2113 Thompson

7 Raw chicken 47F, shrimp 50F ########## ########## 4

Captain D's Seafood #3743 - (Ar Food Service Establishment 1125 N Brindlee Mt Arab 0250FS317 Webb

27 No paper towels at hand sink in men's restroom. 10/5/2021 10/5/2021 0

Dairy Queen Arab Food Service Establishment 1153 N Brindlee Mt Arab 0250FS2685 Webb

38 Unlabeled jug of pesticide. 10/5/2021 ########## 15

08 Hamburgers hot holding at 128 degrees. 10/5/2021 ########## 15

02 No certified manager present. 10/5/2021 ########## 15

No employee health reporting agreements provided

Dollar General #2602 - (Arab) Limited Retail 15 N Brindlee Mtn Arab 0250LR1581 Thompson

02 Must have signed food employee health reporting forms ##########

Kid City USA Daycare Food Service 655 Northgate Driv Arab 0250DC3161 Thompson

Wednesday, November 3, 2021 Page 3 of 7

Name of Est Nature Business Street City/Town Permit
Number
Critical Item Description Inspected By

Date C I Marked Follow-up Date LAG Time:

27 Must have soap and paper towels at every handsink. COS. ########## ########## 0

Little Caesars Pizza-Arab Limited Food 542 N Brindlee Mtn Arab 0250LF2517 Thompson

38 Bottle of cleaner stored over shredded cheese. COS. ########## ########## 0

27 Must have paper towels at every handsink. COS. ########## ########## 0

7 RIC at 58F, sausage 52F, cheese 50F ########## ########## 4

Midas Burger, Inc Food Service Establishment 221 N Brindlee Mtn Arab 0250FS338 Webb

26 Spray arm falls below floodrim, no vacuum breaker at rear faucet. 10/5/2021 ########## 15

Milner's Dairy Delight Food Service Establishment 1136 N Brindlee Mt Arab 0250FS464 Webb

02 Incomplete employee health reporting agreements. 10/5/2021 ########## 15

26 Spray arm not retractable at upstairs 2 compartment sink. 10/5/2021 ########## 15

07 Sliced cheese at 47 degrees. 10/5/2021 ########## 15

08 Failing to date mark opened TCS foods (hot dogs). 10/5/2021 ########## 15

Panda III Food Service Establishment 1070 N Brindlee Mt Arab 0250FS1786 Webb

08 Failing to date mark cooked shrimp. 10/5/2021 10/5/2021 0

Quality Inn-Arab Limited Food 706 N Brindlee Mtn Arab 0250LF1258 Thompson

27 Must have paper towels/drying device at every handsink (up front & RR) ########## ########## 0

26 Must have backflow preventer at mopsink for hose ##########

NOIS issued 10/28/21

Sierra's Mexicanisimo LLC Food Service Establishment 1092 N Brindlee M Arab 0250FS989 Webb

07 Pico de gallo at 50 degrees. 10/5/2021 10/5/2021 0

16 Inaccurate food thermometer. 10/5/2021 10/5/2021 0

The Funky Feather Food Service Establishment 2423 Old Huntsville Arab 0250FS2669 Thompson

2 Must have PIC present with approved during all hours of operation ##########

The Vineyard Food Service Establishment 1152 Shoal Creek Arab 0250FS2337 Thompson

15 DW not sanitizing ########## 11/2/2021 5

Designated Employee: Webb

Aqua Restaurant Food Service Establishment 2140 Gunter Avenu Guntersville 0650FS2031 Webb

02 No certified food safety manager present ##########

Barnes BBQ (Commissary) Food Service Establishment 3760 Hwy 69 N Guntersville 0650MC2678 Webb

38 Windex? (in restroom) Not labeled ########## ########## 8

Wednesday, November 3, 2021 Page 4 of 7

Name of Est Nature Business Street City/Town Permit
Number
Critical Item Description Inspected By

Date C I Marked Follow-up Date LAG Time:

16 Thermometer not accurate-off by 10 degrees ########## 11/2/2021 13

07 Failure to comply with approved plan-3 critical items marked on mobile unit ########## 11/2/2021 13

Barnes BBQ MF 1 Mobile Food Service 3760 AL Hwy 69 N Guntersville 1050MF2262 Webb

15 Must sanitize utensils before air drying ########## ########## 8

16 Thermometer not calibrated-20 degrees off ########## 11/2/2021 13

02 No certified food safety manager present ########## 11/2/2021 13

Chow King Food Service Establishment 501 N Carlisle Stre Albertville 0150FS1427 Webb

10 No consumer advisory ##########

16 Severely dented pan ##########

Deep grooves in cutting board
06 Zucchini=124 degrees ########## ########## 0

02 No employee health reporting agreement signed on new employee ########## ########## 0

Dunkin Baskin 43 Albert LLC Limited Food 8171 US Hwy 431 Albertville 0150LF3121 Webb

27 Hot water = 70 degree in women's restroom ##########

El Camino Real Food Service Establishment 14232 US Hwy 431 Guntersville 0650FS387 Webb

38 Cleaner not labeled ########## ########## 3

05 Raw chicken touching raw beef ########## ########## 3

Firehouse Subs(D&J Restaurant Food Service Establishment 8171 US Hwy 431 Albertville 0150FS3133 Webb

15 0 ppm Quat in 3 compartment sink ########## ########## 5

Food City #501 - Meat/Seafood/ Food Service Establishment 7200 US Hwy 431, Albertville 0150FS3127 Webb

27 No paper towels at Sushi hand sink ########## ########## 6

08 Date mark crab/shrimp ########## ########## 6

07 Shrimp=44 degrees ########## ########## 6

Foodland (Guntersville)-Deli/Ba Food Service Establishment 14214 US Hwy 431 Guntersville 0650FS2204 Webb

27 Hot water =77-78 degrees ########## ########## 4

06 Gravy=123 degrees ########## ########## 0

Foodland (Guntersville)-Seafoo Retail Food Store 14214 US Hwy 431 Guntersville 0650RF2202 Webb

26 Hot water=77-78 degrees in both restrooms ########## ########## 4

Jack's Family Restaurants #253 Food Service Establishment 14431 US Hwy 431 Guntersville 0650FS2572 Webb

07 Sliced cheese=55 degrees ########## ########## 3

Wednesday, November 3, 2021 Page 5 of 7

Name of Est Nature Business Street City/Town Permit
Number
Critical Item Description Inspected By

Date C I Marked Follow-up Date LAG Time:

16 Quat sanitizer test strips damaged ########## ########## 3

06 Green beans (warmer)=80 degrees, white gravy (warmer)=88 degrees, white gravy (counter)=98 ########## ########## 3
degrees, fried chicken (counter)=112 degrees
02 No employee health reporting agreements provided ########## ########## 3

27 Hot water in women's restroom=88 degrees ########## ########## 3

Handsink inaccessible-bucket in hand sink at warewash

Jefferson's Restaurant Food Service Establishment 8146 US Hwy 431 Albertville 0150FS2135 Webb

25 Septic tank lid not secured ########## ########## 6

27 Handsink not accessible x 2 ########## ########## 6

Jessy Tacos & Tortas Food Service Establishment 12383 US Hwy 431 Guntersville 0650FS3022 Webb

02 No certified food safety manager ##########

27 No paper towels at kitchen hand sink ########## ########## 0

08 Chicken fajita, cooked chicken not date marked ########## ########## 3

07 Chicken=60 degrees ########## ########## 3

06 Rice=109 degrees ########## ########## 3

Rice=80 degrees

Lakeside Super Stop Limited Food 21850 Hwy 431 N Guntersville 0650LF1045 Webb

08 Steak sandwich=106 degrees, BBQ sandwich=117 degrees, chicken sandwich=107 degrees, egg ########## ########## 0
roll=125 degrees

Los Arcos - Albertville Food Service Establishment 8606 US Hwy 431 Albertville 0150FS1646 Webb

02 No certified food safety manager present ########## ########## 6

38 Bleach/acid in garden sprayer and hand sprayer not labeled ########## ########## 6
Bleach storred over wash compartment of 3 compartment sink
27 No paper towels at kitchen hand sink ########## ########## 6

07 Salsa=64 degrees on counter, cut tomato=46 degrees at make unit at grill ########## ########## 6

06 Cooked shrimp holding on grill at 94 degrees ########## ########## 6

Marco's Pizza, Biren Urvi 3, LL Limited Food 7360 US Hwy 431 Albertville 0150LF3151 Webb

15 Less than 150 ppm in 3 compartment sink ##########

08 No time on sauce on counter ##########

Marshall Baptist Retreat Center Camp 271 Baptist Camp Guntersville 0650CA956 Webb

01 Spray arm falls below flood rim of sink ########## 11/1/2021 3

McDonald's - Albertville Food Service Establishment 7375 US Hwy 431 Albertville 0150FS3097 Webb

38 Disinfectant with food and single service straws ########## ########## 0

Wednesday, November 3, 2021 Page 6 of 7

Name of Est Nature Business Street City/Town Permit
Number
Critical Item Description Inspected By

Date C I Marked Follow-up Date LAG Time:

New China Restaurant Food Service Establishment 11521 US Hwy 431 Guntersville 0650FS2107 Webb

05 3 Dented cans 10/4/2021 10/4/2021 0

PDCK LLC, (Papa Dubi's) Food Service Establishment 3931 Brashers Cha Guntersville 0650FS1754 Webb

38 Cleaners x 2 in bar not labeled ##########

River Food Mart Limited Food 1038 Blount Avenu Guntersville 0650LF2453 Webb

27 No paper towels in restroom-hand dryer not working 10/1/2021 10/1/2021 0

Ruby's Mexican Grill & Cantin Food Service Establishment 7530 US Hwy 431 Albertville 0150FS1804 Webb

38 Label floor cleaner in Roundup garden sprayer ########## ########## 0

07 Raw sausage = 53 degrees, salsa = 58 degrees ########## ########## 0

08 Poblanos not date marked ########## ########## 0

Sakura Japanese Steakhouse Food Service Establishment 11888 US Hwy 431 Guntersville 0650FS2485 Webb

07 Fish eggs=49 degrees ########## ########## 0

Stan's Food Mart Limited Food 2930 Rose Road Albertville 0150LF1616 Webb

38 Cleaners and insecticide over cokes ########## ########## 0

Cleaners over single service items

The Tip Top Bar & Grill Food Service Establishment 12361 US Hwy 431 Guntersville 0650FS3043 Webb

02 No certified food safety manager present ##########

26 Hose connected to faucet without vacuum breaker ########## ########## 0

The Wildcat Café Food Service Establishment 14164 US Hwy 431 Guntersville 0650FS2947 Webb

05 2 dented cans on can rack ########## ########## 3

31 Live roaches at hand sink area in kitchen ########## 11/2/2021 14

Three Way Grocery Food Service Establishment 5270 Martling Road Albertville 0150FS2275 Webb

06 Okra=126 degrees, pizza x 2=122-124 degrees, corndogs=125 degrees ########## ########## 0

07 Sliced cheese=45-48 degrees ########## ########## 0

Wendy's - (Albertville) Food Service Establishment 7921 US Hwy 431 Albertville 0150FS320 Webb

02 No employee health reporting agreement signed on new employee ##########

06 Chicken nuggets=119 degrees ##########

Wintzell's Oyster House Food Service Establishment 14455 US Hwy 431 Guntersville 0650FS2029 Webb

07 raw oysters=50 degrees, raw fish sticks=50 degrees, raw catfish=56 degrees, raw scallops=59 ########## ########## 3
degrees, raw shrimp=46 degrees

Wednesday, November 3, 2021 Page 7 of 7