Food Service

Find it before the health inspector does.

The health inspector shows up unannounced, and by then it's too late to fix the rice pilaf sitting at 128°F. A self-inspection catches violations while they're still fixable — and the timestamped record proves you were watching, not guessing. Walk the line the way an inspector would: temps, storage, hygiene, sanitizing. Log the fails, note the corrective action, sign it. When the real inspection comes, the file is already built.

28 Questions
~10 min To complete
6 Sections
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1

Facility & Inspection Information

5 questions
Establishment name and address Required Text
Harbor & Vine Kitchen — 118 Cannery Row, Monterey, CA 93940
Person completing self-inspection Required Text
Dana Ruiz, Kitchen Manager
Inspection date Required Date
2026-07-13
Shift inspected Required Select
Opening
Health permit / license number Required Text
MC-2024-0417
2

Temperature Control

6 questions
Cold holding units at 41°F or below? Required Pass / Fail
✓ Pass FDA Food Code: cold TCS foods held at 41°F or below.
Coldest walk-in / reach-in reading (°F) Required Number
39
Hot holding units at 135°F or above? Required Pass / Fail
✗ Fail Steam-table pan of rice pilaf read 128°F at 11:40 AM — below the 135°F minimum. Reheated to 165°F and moved to a hotter well; logged in corrective actions.
Lowest hot-holding reading (°F) Required Number
128 FDA Food Code: hot TCS foods held at 135°F or above.
Probe thermometer calibrated (32°F ice-point check)? Required Pass / Fail
✓ Pass Ice-point calibrated at start of shift; read 32°F.
Photo of temperature display or probe reading Photo
📷 Photo attached
3

Food Storage & Labeling

4 questions
FIFO stock rotation followed; no expired product in service? Required Pass / Fail
✓ Pass
Opened / prepped TCS foods date-marked with use-by (≤7 days at 41°F)? Required Pass / Fail
✓ Pass FDA Food Code 3-501.17.
Raw animal foods stored below and separate from ready-to-eat foods? Required Pass / Fail
✓ Pass
Toxic chemicals and cleaners stored below and away from food, utensils, and linens? Required Pass / Fail
✓ Pass
4

Hygiene & Handwashing

4 questions
Handwashing stations stocked (soap, paper towels, hot water) and accessible? Required Pass / Fail
✓ Pass
No bare-hand contact with ready-to-eat food; gloves or utensils used? Required Pass / Fail
✓ Pass
Hair restraints and clean outer garments worn by food handlers? Required Pass / Fail
✓ Pass
Employee health / illness reporting policy in place and followed? Required Pass / Fail
✓ Pass Staff know to report symptoms per FDA Food Code 2-201.11.
5

Cleaning & Sanitizing

5 questions
Sanitizer concentration in spec (e.g., 200–400 ppm quat or 50–100 ppm chlorine)? Required Pass / Fail
✓ Pass Quat test strip read ~300 ppm at the three-compartment sink.
Dish machine final rinse temperature / chemical sanitizer adequate? Required Pass / Fail
✓ Pass
Food-contact surfaces cleaned and sanitized on schedule? Required Pass / Fail
✓ Pass
Any evidence of pests (droppings, gnaw marks, live insects)? Required Yes / No
Yes Two mouse droppings found behind dry-storage shelving. Area cleaned and sanitized, wall gap sealed, pest-control notified for next-day service.
Photo of sanitizer test strip or dish machine gauge Photo
📷 Photo attached
6

Corrective Actions & Sign-Off

4 questions
Were any violations found during this self-inspection? Required Yes / No
Yes Rice pilaf below 135°F on the hot line, and mouse droppings in dry storage.
Corrective actions taken (describe) Text
Rice pilaf reheated to 165°F and moved to a hotter well (11:50 AM). Dry-storage shelving cleaned and sanitized, wall gap sealed, pest-control service scheduled for 07/14.
All critical violations corrected before continuing service? Required Yes / No
Yes Hot-holding rechecked at 141°F; dry storage cleared and sealed.
Manager signature (type name and time) Required Text
Dana Ruiz — 2026-07-13 12:05

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