STATE OF FLORIDA ge DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION DIVISION OF HOTELS AND RESTAURANTS DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION DS: Al(wv ay Petitioner, vs. License No. 1611321 BAGEL DREAM License Type 2010 Permanent Food Service Respondent. Case No. 2005034596 / ADMINISTRATIVE COMPLAINT The DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, DIVISION OF HOTELS AND RESTAURANTS, (‘Petitioner’), files this Administrative Complaint against BAGEL DREAM, ("Respondent’), and says: 4. Petitioner is the state agency charged with regulating the operation of public lodging establishments and public food service establishments, pursuant to Section 20.165 and Chapter 509, Florida Statutes. 2. Respondent is, and has been at all times material hereto, licensed by or subject to the jurisdiction of the Division of Hotels and Restaurants. The respondent's business address of record is 3483 W HILLSBORO BLVD, DEERFIELD BCH, FLORIDA 334429422.The mailing address of record is BAGEL DREAM, at 3483 W HILLSBORO BLVD, DEERFIELD BCH, FLORIDA 334429422. 3. Inspection of this establishment conducted pursuant to Sec. 509.032, Florida Statutes, revealed violations of the provisions of Chapter 509, Florida Statutes, and / or the rules promulgated thereto governing operation of the establishment. The violation(s) found and applicable law are described in Exhibit “A,” . attached hereto and incorporated herein by reference. Inspection documents are attached as Exhibit "B’, incorporated herein by reference. WHEREFORE, Petitioner respectfully requests entry of an Order imposing one or more of the following penalties: administrative fine not to exceed $1,000 per offense; mandatory attendance at Respondent's expense at an educational program sponsored by the Department's Hospitality Education Program, suspension, revocation, or refusal of a license issued pursuapt to t! is Chapter, and/or any other relief authorized by Chapter 509, Florida Statutes, or the qules prom Signed June 30, 2005 Ken Buck, District Manager By delegation of the Director, or designee Division of Hotels & Restaurants Department of Business & Professional Regulation COUNSEL FOR THE DEPARTMENT: Charles F. Tunnicliff, Lead Attorney Florida Bar No. 0153834 Department of Business & Professional Regulation 4940 North Monroe Street Tallahassee, Florida 32399-1007 CERTIFICATE OF SERVICE BY CERTIFIED U.S. MAIL, ARTICLE NUMBER: 7160 3901 9848 8548 2568 | HEREBY CERTIFY that a true and correct copy of the foregoing ADMINISTRATIVE COMPLAINT has been hand served by me on this day of , 2005 Received by: Inspector's Signature Operator's Signature Title Title Case Number: 2005034596 Form revised 05.20.05 License Type: 2010 Permanent Food Service District Number: 02 License Number: 1611321 BAGEL DREAM License Number. 1611321 License Type: 2010 PERMANENT FOOD SERVICE Case Number: 2005034596 Exhibit A “EC” as cited herein references specific provisions of the Food Code, Recommendations of the United States Public Health Service, Food and Drug Administration, incorporated by Chapter 61C, Florida Administrative Code. ‘NFPA’ as cited herein references specific provisions of the National Fire Protection Association Life Safety Code, incorporated by reference at Chapter 4A-3, “Fire Prevention, General Provisions”, Florida Administrative Code, and 61C-1.004(5), Florida Administrative Code. Itis alleged that on May 27 2005, May 28, 2005 and June 28. 2005 the licensee was in violation of Florida Statute 509(FS) and/or the Rules of the Division of Hotels and Restaurants, Florida Administrative Code (FAC), in the following particulars. Copy(s) of the report(s) for the above referenced inspection(s) are attached hereto and incorporated by reference as Exhibit B. * 4.42A-03 2-301.14FC WHEN TO WASH. FOOD EMPLOYEES SHALL CLEAN THEIR HANDS AND EXPOSED PORTIONS OF THEIR ARMS AS SPECIFIED UNDER SECTIONS 2-301.12 IMMEDIATELY BEFORE ENGAGING IN FOOD PREPARATION INCLUDING WORKING WITH EXPOSED FOOD, CLEAN EQUIPMENT AND UTENSILS, AND UNWRAPPED SINGLE-SERVICE AND SINGLE-USE ARTICLES AND: (A) AFTER TOUCHING BARE HUMAN BODY PARTS OTHER THAN CLEAN HANDS AND CLEAN, EXPOSED PORTIONS OF ARMS; (B) AFTER USING THE TOILET ROOM, (C) AFTER CARING FOR OR HANDLING SUPPORT ANIMALS OR AQUATIC ANIMALS AS SPECIFIED IN SECTION 2-403.11(B), (D) EXCEPT AS SPECIFIED IN PARAGRAPH 2-401.11(B), AFTER COUGHING, SNEEZING, USING A HANDKERCHIEF OR DISPOSABLE TISSUE, USING TOBACCO, EATING, OR DRINKING; (E) AFTER HANDLING SOILED EQUIPMENT OR UTENSILS; (F) DURING FOOD PREPARATION, AS OFTEN AS NECESSARY TO REMOVE SOIL AND CONTAMINATION AND TO PREVENT CROSS CONTAMINATION WHEN CHANGING TASKS; (G) WHEN SWITCHING BETWEEN WORKING WITH RAW FOOD AND WORKING WITH READY-TO-EAT FOOD; AND (H) AFTER ENGAGING IN OTHER ACTIVITIES THAT CONTAMINATE THE HANDS. OBSERVED FOOD EMPLOYEE ENGAGE IN FOOD PREPARATION, HANDLE CLEAN EQUIPMENT OR UTENSILS, OR TOUCH UNWRAPPED SINGLE-SERVICE ITEMS, WITHOUT WASHING HANDS. 2.14-02 4-202.11 FC FOOD-CONTACT SURFACES. (A) MULTIUSE FOOD-CONTACT SURFACES SHALL BE: (1) SMOOTH; (2) FREE OF BREAKS, OPEN SEAMS, CRACKS, CHIPS, PITS, AND SIMILAR IMPERFECTIONS; (3) FREE OF SHARP INTERNAL ANGLES, CORNERS, AND CREVICES,; (4) FINISHED TO HAVE SMOOTH WELDS AND JOINTS; AND (5) ACCESSIBLE FOR CLEANING AND INSPECTION BY ONE OF THE FOLLOWING METHODS: (A) WITHOUT BEING DISASSEMBLED, (B) BY DISASSEMBLING WITHOUT THE USE OF TOOLS, OR (C) BY EASY DISASSEMBLING WITH THE USE OF ONLY HANDHELD TOOLS COMMONLY AVAILABLE TO MAINTENANCE AND CLEANING PERSONNEL SUCH AS SCREWDRIVERS, PLIERS, OPEN-ENDED WRENCHES, AND ALLEN WRENCHES. OBSERVED CUTTING BOARD GROOVED AND NO LONGER CLEANABLE. 3, 22-14 4-904.12FC SOILED AND CLEAN TABLEWARE. SOILED TABLEWARE SHALL BE REMOVED FROM CONSUMER EATING AND DRINKING AREAS AND HANDLED SO THAT CLEAN TABLEWARE |S NOT CONTAMINATED. OBSERVED CROSS-CONTAMINATION CAUSED BY HANDLING DIRTY UTENSILS AND CLEAN UTENSILS, DISHWASHER. 4. 23-02 4-602.13 FC NONFOOD-CONTACT SURFACES OF EQUIPMENT SHALL BE CLEANED AT AFREQUENCY NECESSARY TO PRECLUDE ACCUMULATION OF SOIL RESIDUES. OBSERVED APPROXIMATELY 400 DEAD ROACHES. * denotes critical violation Exhibit A Case Number: 2005034596 Page 1 License Type: 2010 PERMANENT FOOD SERVICE License Number: 1611321 5, 25-04 4-903.12(A)(B) FC (A) EXCEPT AS SPECIFIED IN PARAGRAPH (B) OF THIS SECTION, SINGLE-SERVICE AND SINGLE-USE ARTICLES MAY NOT BE STORED: (1) IN LOCKER ROOMS, (2) IN TOILET ROOMS; (3) IN GARBAGE ROOMS; (4) IN MECHANICAL ROOMS, (5) UNDER SEWER LINES THAT ARE NOT SHIELDED TO INTERCEPT POTENTIAL DRIPS; (6) UNDER LEAKING WATER LINES INCLUDING LEAKING AUTOMATIC FIRE SPRINKLER HEADS OR UNDER LINES ON WHICH WATER HAS CONDENSED; (7) UNDER OPEN STAIRWELLS; OR (8) UNDER OTHER SOURCES OF CONTAMINATION. (B) SINGLE-SERVICE AND SINGLE-USE ARTICLES THAT ARE PACKAGED OR IN A FACILITY SUCH AS A CABINET MAY BE STORED IN A LOCKER ROOM. OBSERVED SINGLE SERVICE ARTICLES STORED WITHOUT PROTECTION FROM CONTAMINATION. * 6,35A-01 6-501.111 FC CONTROLLING PESTS. THE PRESENCE OF INSECTS, RODENTS, AND OTHER PESTS SHALL BE CONTROLLED TO MINIMIZE THEIR PRESENCE ON THE PREMISES BY: (A) ROUTINELY INSPECTING INCOMING SHIPMENTS OF FOOD AND SUPPLIES; (B) ROUTINELY INSPECTING THE PREMISES FOR EVIDENCE OF PESTS; (C) USING METHODS, IF PESTS ARE FOUND, SUCH AS TRAPPING DEVICES OR OTHER MEANS OF PEST CONTROL AS SPECIFIED UNDER SECTIONS 7-202.12, 7-206.12, AND 7-206.13; AND (D) ELIMINATING HARBORAGE CONDITIONS. OBSERVED ROACH ACTIVITY AS EVIDENCED BY APPROXIMATELY 75+ LIVE ROACHES FOUND, IN KITCHEN AREA. 7. 37-02 61C-1.004(6) FAC ALL BUILDING STRUCTURAL COMPONENTS, ATTACHMENTS AND FIXTURES SHALL BE KEPT IN GOOD REPAIR, CLEAN AND FREE OF OBSTRUCTIONS. OBSERVED CEILING SOILED WITH ACCUMULATED GREASE, IN KITCHEN. * 845-30 4A-21.304 FAC INSTALLATION; SERVICE. (4) ALL PRE-ENGINEERED SYSTEMS ARE TO BE INSPECTED IN ACCORDANCE WITH THE STANDARDS ADOPTED IN 4A-21-302, F.A.C. (2) WHENEVER A PRE-ENGINEERED SYSTEM IS INSTALLED, INSPECTED, REPAIRED, MAINTAINED OR OTHERWISE SERVICED, THE PERMITTEE SHALL COMPLETE AN INSPECTION REPORT CONTAINING, AT AMINIMUM, THE INFORMATION IN PARAGRAPHS (A) THROUGH (0), IN THIS SUBSECTION. ONE COPY SHALL BE SIGNED BY AND DELIVERED TO THE OWNER, OR THE REPRESENTATIVE OF THE OWNER, OF THE FACILITY IN WHICH THE SYSTEM WAS INSTALLED. THE OTHER COPY SHALL BE RETAINED IN THE FIRE EQUIPMENT DEALER'S FILES. (A) LOCATION OF SYSTEM; BUSINESS NAME OF FACILITY, STREET ADDRESS, CITY , STATE, ZIP CODE, PHONE NUMBER, AND NAME OF THE OWNER OR MANAGER; (B) WHETHER THE REPORT IS FOR AN ANNUAL INSPECTION, SEMI-ANNUAL INSPECTION; A RECHARGE; A NEW INSTALLATION; OR A RENOVATION; (C) WHERE THE SYSTEM IS LOCATED IN THE FACILITY; (D) TYPE OF SYSTEM; NAME OF MANUFACTURER; MODEL NUMBER; SIZE OF BOTTLES, (E) METHOD AND DEGREE OF ACTUATION; (F) REFERENCE TO DRAWING NUMBER AND PAGE NUMBER IN THE MANUFACTURER'S MANUAL; (G) DATE OF LAST HYDROSTATIC TEST; (H) DATE OF LAST RECHARGE; (!) SERIAL NUMBER; (J) WHETHER FUEL SHUT OFF IS GAS OR ELECTRIC AND THE SIZE; (K) A DRAWING OF A NEW INSTALLATION; A FIRST INSPECTION; OR WHENEVER CHANGES ARE MADE (THE DRAWING SHALL INCLUDE THE SIZE OF THE HOOD AND THE SIZE OF THE DUCTS); AND THE SIZE, AND TYPE OF ALL APPLIANCES PROTECTED; (L) RESPONSES TO THE FOLLOWING QUESTIONS: 1. WERE THE INSPECTION AND MAINTENANCE PERFORMED IN ACCORDANCE WITH THE PRESENTLY ADOPTED EDITIONS OF NFPA [INDICATE STANDARD(S)] USED - (NO' ANSWERS REQUIRE AN EXPLANATION); 2. WAS THE SYSTEM TAGGED IN ACCORDANCE WITH RULE 4A-21.303, F.A.C.? (‘NO’ ANSWERS REQUIRE AN EXPLANATION) 3. WERE THE INSPECTION AND MAINTENANCE PERFORMED IN ACCORDANCE WITH THE MANUFACTURER'S MANUAL AND THE MANUFACTURER'S SPECIFICATIONS? (‘NO' ANSWERS REQUIRE AN AND FOUND THE CONDITIONS TO BE AS INDICATED ON THE REPORT; (O) THE PERMITTEE'S NAME, SIGNATURE AND PERMIT NUMBER; THE DATE; AND THE CUSTOMER'S SIGNATURE. OBSERVED LACK OF INSPECTION REPORT FROM LICENSED EQUIPMENT DEALER ON PREMISE. * denotes critical violation Exhibit A Case Number: 2005034596 Page 2 License Type: 2010 PERMANENT FOOD SERVICE License Number: 1611321 Page 1 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION DIVISION OF HOTELS AND RESTAURANTS wew. myllorida.com/dopr fe , bet ‘ CALLBACK INSPECTION REPORT 6 blk LEGAL NOTICE 7005 un Failure to comply with this Notice may initiate an administrative complaint that may result in suspension or revocation of your tien’ ahd nes. 3 | A 1, 6/28/05 9:25:47 AM Warning Seaieiig2i_ SEAT Callback inspection Date and Time Inspection Reason License Number MADDOR ADMINISTRATIVE COMPLAINT (954)427-9920 3 Owner Name recommended. Area Code/Telephone Number rerceien BAGEL DREAM Business Name inspection Result 94 05/27/2005 Number of Units Requested Callback Date/Time initial Warning Date 03483 W_ HILLSBORO BLVD DEERFIELD BCH FL 334429422 Qoeto ‘Address / City / State / Zip / etc. Comments __ __ ‘observed hood report list violations, micro Switch not connected to retum alr supply. observed employee training for rose pierre 4-6-05.observed 4 live roaches in kitchen and jlive roach in service area.license fees paid check #2156. he following item(s) have been recommended for Administrative Complaint: i 124-03 Pbserved food employee engage in food preparation, handle clean equipment or utensils, or touch unwrapped single-service items, without washing hands. jolation: 14-02 bbserved cutting board grooved and no longer cleanabie 10 AA woes ml? wat i ieee) 6/28/05 Date Signature of Recipient Inspector Signature Recipient: michael campion For further information please contact: . D AUDAIN Title ' chef INSPECTOR Phone: 954-427-9920 4-850-487-1395 DBPR Form HR 5022-005 Page 2 STATE OF FLORIDA License Number DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION SEAT SEA1611321 DIVISION OF HOTELS AND RESTAURANTS Business Name www. myflorida.com/dbpr BAGEL DREAM Inspection Date 6/28/05 9:25:47 AM CALLBACK INSPECTION REPORT LEGAL NOTICE Failure to comply with this Notice may initiate an administrative complaint that may result in suspension or revocation of your license and fines. iolatior Poserved cross-contamination caused by handling dirty utensils ard clean utensils, dishwasher. iolation: 23-02 Pbservedapproximately 100 dead roaches. iolation: 25-04 Dbserved single service articles stored without protection from contamination. iolation: 33-14 bpserved missing drain plug at dumpster. * iotation: 35A-01 . OQ bbserved roach activity as evidenced byapproximately 75+ live roaches found, in kitchen area - This violation must be corrected by « 5-28-05. folation: 37-02 bserved ceiling soiled with accumulated grease, in kitchen . Violation: 45-30 boserved {ack of inspection report from ficensed equipment dealer on premise. This violation must be corrected by : 6-28-05. tation: 51-04 Dbserved no Heimlich maneuver sign posted. Irhe following item(s) are in compliance: Violation: 12B-01 bbserved evidence of employee smoking in food preparation or other non-designated area. ialation: 128-01 bserved employee eating while serving food, without washing hands. iolation; 22-02 bserved encrusted material on can opener. proven: 22-05 DBPR Form H= 5022-005 EXHIBIT B Page 3 STATE OF FLORIDA License Number DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION SEAT SEA1611321 DIVISION OF HOTELS AND RESTAURANTS Business Name www.myflorida.com/dbpr BAGEL DREAM CALLBACK INSPECTION REPORT Inspection Date LEGAL NOTICE 6/28/05 9:25:47 AM Failure to comply with this Notice may initiate an administrative complaint that may result in suspension or revocation of your license and fines. Dpsened called teachin cooler gaskets. Senna | bserved soiled reach-in cooler gaskets. fiolation: 22-15 Pbserved presetting of unwrapped silverware. Viotation: 32-02 bpserved lack of handwashing sign at a handsink used by food employees. iolation: 32-17 boserved uncovered receptacle in women’s bathroom. iolation: 36-03 served food debris accumulated on kitchen floor, in kitchen . iolation: 37-02 Poserved attached equipment soiled with accumulated grease, hood fitters. Violation: 37-02 serves wall soiled with accumulated dust, in dishwashing area polation: 37-02 bserved hole in wall, in dishwashing area. ls 42-02 bbserved wet mop not hung to dry. Violation: 45-07 bserved portable fire extinguisher blocked/nat easily accessible, be iolation: 45-07 served portable fire extinguisher blocked/not easily accessible, abc. fiolation: 45-17 served hood suppression system tag out-of-date, 5-04. This violation must be corrected by : 6-28-05. fiolation: 45-30 bpserved fire suppression system without current inspection. This violation must be corrected by : 6-28-05. DBPR Form H= 5022-005 Page 4 STATE OF FLORIDA License Number DEPARTMENT OF BUSINESS AND PROFESSIONA REGULATION SEAT. SEA1611321 DIVISION OF HOTELS AND RESTAURANTS Business Name www. myflorida.com/dbpr BAGEL DREAM CALLBACK INSPECTION REPORT Inspection Date tet NOTICE 6/28/05 9:25:47 AM istrative complaint that may result In suspension or revocation of your license and fines. Failure to comply with this Notice may initiate an admini __ jiolation: 43-11 bserved exit lights not properly illuminated,at front'door jiolation: 50-04 bserved an expired license. jiotation: 51-05 Poserved no copy of latest inspection report. jiolation: 53B-01 boserved no proof of required employee training,for ann rose pierre, employed 8-04. This violation must be corrected by + 6-28-05. | a DBPR Form HR 5022-005 DEPARTMEN?1 _F BUSINESS AND PROFESSIONA REGULATION Division of Hotels and Restaurants CA CALL BACK/RE-INSPECTION REPORT io NOTICE TO SHOW CAUSE You will be issued a Notice to Show Cause why sanctions should notbe assessed against your license. Ahearing will be held at a time and place to be designated by the director. WARNING OF DIRECT NOTICE: Failure to bein compliance with this notice at any future inspection may result in a direct Notice to Show Cause. [complied CyHearing requested C\Not complied )Out of business PSTime extended date. Gi A708 p LPC CPre-conference CPre-hearing (On Stipulation (10n Hearing Order FAother: E, Owner Name: _fradtea Business Name: Basel i) Me, 3483 W, Yi bile a Kbvd,__ruinstiv Dialed be TT BOMIMENTS: dional Comments on Addemiom Db fiach. on Ded, time. 0 ¢ Business Address: OS ra BPR 22-005 IN Revised 5/15/88 aul wer er eu Bchibe A STATE OF FLO! RIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION . ~ DIVISION OF HOTELS AND RESTAURANTS mk SYST SEo7 reve UL Page 1 ‘www mryforida.com /dbpr F A FOOD SERVICE INSPECTION REPORT . LEGAL NOTICE ature to comply with this Notice may nidete an ndininiatrative complaint that may result in scapansion or revocation of your license 5/27105 9:21:06 AM Routine 1611323 SEAT Inspection Date and Time Trapection Reason License Number MADDOR INTETRATIVE COMPLA am pene ADMINISTRATIVE COMPLAINT recommended. @ 4)427-9820 BAGEL DREAM Area Code/Telephona Number Business Name inspection Resul 05/28/2005 08:00 AM Number of Units Talbbock Date/Time License Expiration 03483 W HILLSBORO BLYD DEERFIELD BCH FL 334429422 Kedrest 7 np | ee __—_—___—~ Then 53a: Cert. Food Managers Jtem 03: Food Temperatures << Ttern 45: Fire Extinguishers and Fire ° Suppresston Systems Dates tem ‘20: Warewarbing Sentization Manager Name: michael campion Certification Date: 10-18-04 Certified by: National Registry of Food Safety Professionals ‘comed bee! hash, reach in coaler, SO Degrees f ‘Turkey, reach In cpoler, 41 Degrees f corned beef, reach In cooler, 41 Degrees F. ‘A Cape BC type Fire Extinguisher, found Infat kitchen hes a certification date of 504 A Clase ABC type Firm Oxtinguisher, found in/at dining room has » certification date of $-O4 ee ee ind NOTE: Teams merieed above with an ssteriek (*) indicate © vieiation Inspector's Comments __—__——__—_— 7 peated have exterminating service but dots pan betty and lan seaulan 48-05 Employees trained not have documents present. establishment open for business atthjs frie. by Florida Restaurant Association ~ acknowledge cacaipt of this Inspection form and comments. om AN dbo 5/27/0S Date Inspector Same Recipient: michael campion For further information contact: D AUDAIN THe chef INSPECTOR Phone: 954-427-9920 1-850-487-1395 SOURCE "Ola Approved source Sa ee? Bz Original container; properly Tnbeled, date marking PHF TEMPERATURE =Oga Cold food at proper temperatures duting service, transport, and cold holding = Yinletions martad with an asterisk are crftical Vitions. tem marked YES ara in compliance, *03¢ Foodr pmparly cocked *03d Foods property cocled 06 Potentially hazardous foods properly thawed NO are viobtons, Specific demic of violktion nre listed on aubeequertt pages. . Teme Marked Yet a rh ore Not Azotikabie, ema Marbed as N/D are Nat Obxerved, avr were mat belng conducted st che time of Mapectin, DBPR Form HR 5022-015 rer Ut Le pa A - a STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Leense Number DIVISION OF HOTELS AND RESTAURANTS SEAT ‘1683324 www. myflorida.com/dbpr . Inspection Date FOOD SERVICE INSPECTION REPORT 5/27/05 9:21:06 AM LEGAL NOTICE Fallure to comply wih this Netice may initiete ac administrative complaint thet may result In sumpansion ot revocation of your leensa STATUS SHE TEMPERATURE CONTROL STATUS GARBAGE AND REFUSE DISPOSAL Jeg 07 Unwrapped or potentiatly hazardous food not recerved No pacar covered, adequate number, ineect and rodent | —_—_—- roof, emptied at proper intervals, claan Yes ‘05a Food protection during storage, praparetion, display, service, transportation es 194 Outelde storage area clean, enclosure properly constructed Yes 0Bb Croce 33-14 - Observed missing drain plug & dumpster. te a 36-03 - Observed food debris accumulated on Kitchen floor, In kitchen . 3 37-02 + Observed wail solled with accumuated dust, in dishwashing area. 37-02 - Observed hate in weil, in dishwashing aree. 37-02 + Observed attached equipment soiled with accumulated grease, hood filters. 37-02 + Observed calling soled with accumulated grease, In Kitchen . 42-02 « Observed wett mop net hung to dry. 45-07 - Observed portabie fing extinguisher blocked /net easily accessible, be . 45-07 - Observed portable fire extinguisher blocked/net eneily acceselbia, abc, DBPR Form HA 5022-015 wer ere eu AU Shee et EXHI rab ud Joey aust cB A - STATE OF FLORIDA OEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Ucensa Number DIVISION OF HOTELS AND RESTAURANTS SEAT 1611324, www, myfloride.com/dbpr Inspection Date FOOD SERVICE INSPECTION REPORT 228 4 LEGAL NOTICE 5/27/05 9:23:06 AM Fatlure to comply with thle Notice may initivte an administrative complaint that may result In suspension or revocation of your floense and fines. 46-11 - Observed extt lights not properly Huminated,at front door. 50-04 - Obsarved an expired license. 51-05 - Observed no copy of latest Inspection report. 51-04 - Observed no Heimlich maneuver sign posted. DBPR Form HR 5022-015

Docket for Case No: 05-003162

Issue Date	Proceedings
Jan. 05, 2006	Order Closing File. CASE CLOSED.
Jan. 05, 2006	Petitioner`s Notice of Voluntary Dismissal filed.
Dec. 05, 2005	Order Re-scheduling Hearing (hearing set for January 11, 2006, 2006; 11:15 a.m.; Lauderdale Lakes, FL).
Nov. 29, 2005	Petitioner`s Notice of Re-hearing Dates filed.
Oct. 24, 2005	Order Granting Continuance (parties to advise status by November 28, 2005).
Oct. 21, 2005	Petitioner`s Motion for Continuance filed.
Oct. 13, 2005	Petitioner`s Witness List filed.
Sep. 13, 2005	Order of Pre-hearing Instructions.
Sep. 13, 2005	Notice of Hearing (hearing set for October 25, 2005; 2:30 p.m.; Fort Lauderdale, FL).
Sep. 02, 2005	Response to Initial Order filed.
Aug. 31, 2005	Order of Emergency Suspension of License and Closure filed.
Aug. 31, 2005	Order vacating Order of Emergency Suspension of License and Closure filed.
Aug. 31, 2005	Administrative Complaint filed.
Aug. 31, 2005	Election of Rights filed.
Aug. 31, 2005	Agency referral filed.
Aug. 31, 2005	Initial Order.