Jun 4 2008 15:00 B6/a4/ 2888 16:88 8584146749 DEPR OGA PAGE 5/19 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION DIVISION OF HOTELS AND RESTAURANTS DEPARTMENT.OF BUSINESS AND PROFESSIONAL REGULATION Patitioner, vs. License No. 3912834 SUSHI NINJA JAPANESE License Type 2010 Respondent. , Case No, 2008011886 a ADMINISTRATIVE COMPLAINT wo The DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, DIVISION OF HOTELS AND RESTAURANTS, ("Petitioner’), files this Administrative Complaint againet SUSHI NINJA JAPANESE, (‘Respondent’), and says: 1. 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. Respondentis, 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 887 E BLOOMINGDALE AVE, BRANDON, FLORIDA 33514. The mailing address of record is SUSHI NINJA JAPANESE, at 887 E BLOOMINGDALE AVE, BRANDON, FLORIDA 33511. 3. Inspection of this establishment conducted pursuant to Sec, 609.032, 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 harein by reference. Inspection documents are attached as Exhibit "B”, incorporated herein by reference. . , 7 WHEREFORE, Petitioner respectfully requests entry of an Order imposing one or more of the following penalties: administrative fine nat to exceed $1,000 par 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 pursuant te this Chapter, and/or any other relief authorized by Chapter 509, Florida Statutes, or the Tules promulgated thereto. : _ Signed March 03, 2008 ; Joe Perez, 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, 0153831 Department of Businass & Professional Regulation 1940 North Monroe Street : he Tallahassee, Florida 32399-1007 CERTIFICATE OF SERVICE : BY CERTIFIED U.S. MAIL, ARTICLE NUMBER: RD cas | HEREBY CERTIFY that a true and correct copy of the foregoing ADMINISTRATIVE COMPLAINT has been 2008. hand served by me on this day of , Recelved by: Inspector's Signature : Operator's Signature i : Title Title Case Number: 2008011688 Fila Number. 123629 Distrlet Number: 03 Lloenea Number: 3812834 2010 Form ravised 07.07.07 SUSHI NINJA JAPANESE B6/a4/ 2888 16:88 8584146749 Jun DEPR OGA 4 2008 15:00 PAGE 6/19 Exhibit A License Number. 3912834 License Type: 2010 PERMANENT FOOD SERVICE Case Number: 2008011686 "EC" as citad 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. "NEPA" as cited herein references specific provisions of the National Fire Protection Association Life Safety Code, incorporated by reference at Chapter 44-3, “Fire Prevention, General Provisions”, Florida Administrative Code, and 61C-1.004(5), Florida Administrative Code. “* denates a critical violation. itis alleged that on June 20, 2007, November 7, 2007, February 14, 2008 the.licansee 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 raport(s) for the above referenced inspectlon(s) are attached hereto and Incorporated by reference as Exhibit B. : * 4,02-26-1 330212 FC: FOOD STORAGE CONTAINERS, IDENTIFIED WITH COMMON NAME OF FOOD, WORKING CONTAINERS HOLDING FOOD OR FOOD INGREDIENTS THAT ARE REMOVED FROM THEIR ORIGINAL PACKAGES FOR USE IN THE FOOD ESTABLISHMENT, SUCH AS COOKING OILS, FLOUR, HERBS, POTATO FLAKES, SALT, SPICES, AND SUGAR SHALL BE IDENTIFIED WITH THE COMMON NAME OF THE FOOD EXCEPT THAT GONTAINERS HOLDING FOOD THAT GAN BE READILY AND UNMISTAKABLY RECOGNIZED SUCH AS DRY PASTA NEED NOT BE IDENTIFIED. WORKING CONTAINERS OF FOOD REMOVED FROM ORIGINAL CONTAINER NOT IDENTIFIED BY COMMON NAME. % 2, 0BA26-1 3-302.11(A)1)FC: (A) FOOD SHALL BE PROTECTED FROM GROSS CONTAMINATION BY: (1) SEPARATING RAW ANIMAL HOLDING, AND DISPLAY FROM: (A) RAW READY-TO- FOODS DURING STORAGE, PREPARATION, EAT FOOD INCLUDING OTHER RAW ANIMAL FOOD SUCH AS FISH FOR SUSHI OR MOLLUSCAN SHELLFISH, OR OTHER RAW READY-TO-EAT FOOD SUCH AS VEGETABLES, AND (B) COOKED READY-TO-EAT FOOD; OBSERVED RAW ANIMAL FOOD STORED OVER READY-TO-EAT FOOD, * 3.09-05-1 3-301.11(D) FO:; PREVENTING CONTAMINATION FROM HANDS, .(2) FOOD , EMPLOYEES’ SHALL MINIMIZE BARE HAND AND ARM CONTACT WITH EXPOSED FOOD THAT I8 NOT IN A. READY-TO-EAT FORM. OBSERVED IMPROPER, USE OF BOWL/PLASTIG FOOD CONTAINER OR OTHER GONTAINER WITH NO HANDLE USED TO DISPENSE FOOD THAT IS NOT READY-TO-EAT. * 4. 12A221 61C-4,010(1}(D) FAG AND 3-301.11(B) FO: NO BARE HAND CONTACT OF EXPOSED READY-TO-EAT FOOD. FOOD EMPLOYEES' MAY CONTACT READY-TO-EAT FOODS WITH THEIR BARE HANDS IMMEDIATELY PRIOR TO SERVICE IF THE OPERATOR OF THE PUBLIC FOOD SERVICE ESTABLISHMENT MAINTAINS A WRITTEN OPERATIONAL PROCEDURE. (B) EXCEPT WHEN WASHING FRUITS AND VEGETABLES AS SPECIFIED UNDER SECTION 3-302.15 OR WHEN OTHERWISE APPROVED, FOOD EMPLOYEES' MAY NOT CONTACT EXPOSED, READY-TO-EAT FOOD WITH THEIR BARE HANDS AND SHALL USE SUITABLE UTENSILS SUCH AS DELI TISSUE, SPATULAS, TONGS, -EAT FOOD WITH THEIR BARE HANDS AND THE ESTABLISHMENT HAS NO APPROVED ALTERNATIVE OPERATING PROCEDURE, OBSERVED SUSHI BEING PREPARED WITH BARE HAND AND NO APPROVED AOP IN PLACE. . SINGLE-USE GLOVES, OR DISPENSING EQUIPMENT. OBSERVED FOOD EMPLOYEE TOUCHING READY-TO 5, 3402-1 5-501.11 FG: OUTDOOR STORAGE SURFACE. AN OUTDOOR STORAGE SURFACE FOR REFUSE, RECYCLABLES, AND RETURNABLES SHALL BE CONSTRUCTED OF NONABSORBENT MATERIAL SUCH AS CONCRETE OR ASPHALT AND SHALL BE SMOOTH, DURABLE, AND SLOPED TO DRAIN. Case Number: 2008011888 File Number. 123629 Lcange Number: 3912834" 2010 SUSHI NINJA JAPANESE * Dlstriet Number: 03 Form revised 07,07,07 Jun 4 2008 15:00 B6/a4/ 2888 16:88 8584146749 DEPR OGA PAGE 7/19 DUMPSTER NOT ON PROPER PAD. 6.37-07-1 61C-1.004(8) FAC: (6) ALL BUILDING STRUCTURAL COMPONENTS, ATTACHMENTS AND FIXTURES SHALL BE KEPT IN GOOD REPAIR, CLEAN AND FREE OF OBSTRUCTIONS. A, OBSERVED WALL SOILED WITH ACCUMULATED DUST, KITCHEN. B. OBSERVED WALL SOILED WITH ACCUMULATED FOOD DEBRIS, KITCHEN. * 7.538-09-1 816-4,023(1) FAC: (1) WHEN FOUR OR MORE EMPLOYEES’, AT ONE TIME, ARE ENGAGED IN THE STORAGE, PREPARATION OR SERVING OF FOOD IN A LICENSED ESTABLISHMENT, THERE SHALL BE AT LEAST ONE CERTIFIED FOOD PROTECTION MANAGER PRESENT AT ALL TIMES WHEN SAID ACTIVITIES ARE TAKING PLACE, THE CERTIFIED FOOD PROTECTION MANAGER OR MANAGERS NEED NOT BE PRESENT IN THE ESTABLISHMENT DURING THOSE PERIODS OF OPERATION WHEN THERE ARE THREE FOR FEWER EMPLOYEES’ ENGAGED IN THE STORAGE, PREPARATION, OR SERVING OF FOODS. NO CURRENTLY CERTIFIED FOOD SERVICE MANAGER ON DUTY WITH FOUR OR MORE EMPLOYEES ENGAGED IN FOOD PREPARATION. District Number: 03 BBG Number: 123629 : Case Number, 2008011 File Numi Form revised 07.07.07 Licanse Number: 3912834 2010 SUSHI NINJA JAPANESE 66/@4/ 2888 16: 68 et “P6007 11:13 AM. Inspection Date and Time SUSHI NINJA ING 8584146749 Jun DEPR OGA STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION DIVISION OF HOTELS AND RESTAURANTS www. myflorida.com/dbpr FOOD SERVICE INSPECTION REFORT ao LEGAL NOTICE Fallura ta comply with thle Notice may Initlata an administrative complaint that may rasult In suspension of revocation of your {loanse and fines, Routine : Inspection Reason * [WARNING Owner Nama SUSHLNINJA JAPANESE Businass Name 50. Number of Unite 897 E BLOOMINGDALE AVE 3972834 4 2008 15:00 PAGE 88/19 SEAT Wcense Number vigthtloces in [he operation of youraaioblishment must ba comected by: Inapectlon Result 09/20/2007 08:00 AM Galibeck Date/Time Area Code/Talaphone Number z01/08 a Licanse Expiration BRANDON, 33511 Addrass / Clty / State / Zip / atc. Hem 08: Fad Temperatures lem 53a: Ger, Fand Managers ltarn 20: Warewashing Sanitization Sexfood, ranch In caotnr, 41 Oagriad F, Suahi, ragch In cooler, 41 Cegraes F. Bush, reach in cooler, 4? Dagrana F. Bush, reach In eockne, 41 Dagraue F. Seah, regeh In cooly, 4 Cagrean F. Manager Nema: Wooyang Keng Certlfeation Date; 12/11/02 Certified by: Thempson Prometrice Sanitizer Typa: Not Set Up found at concentration of O PPM. Sanitizer Type: Not Sat Up found at concentration of 0 PPM. ——— lem 45: Fira Extinguishers and Fire A Hood Supprengion typa Fira Bxilnguiaher, found in/at lichen hag w cartifieation date of 1/07 A Clegg K yp Find Extingulahar, found infet kitehan has a certification diate of 207 & Cleag ABS type Firs Gxtnputeher, founct infat Pasties, cook ling, 185 Dagrona F. dining ranm hae 6 conification data of 107 NOTE: Items Tharked above with en asterisk (*) Indicate a violation thepectors Comments a5 water located outside In lacked cabinet Provided Web Site: wow, tnyflorida.com/dipr lacknawledlge receipt of this Inspection form and comments. ge Go LLL EE” 06-20-07 Qate Signature of Recipient Inspector Signature Reolplent: Wooyong Kang For further Infermation please contact R, Dacker THe owner ‘ Senior Inspector 3725 W Grace St, 520 Tampa, FL 4 Phone: 862 3377 850 487 1396 STATUS SOURCE STATUS PHF TEMPERATURE CONTROL ~_] in “O1a Approved sourge In *09a Cald food at proper tomperaturas during storage, [in Pot Wholesome, sound condition display, service, Out "02 Original container; properly labeled, dete marking In *03h Hot food st proper temperature WA, *92.17 Consumer advispry on raw/undercooked aysters NiO Dac Fopds properly cooked/raheated In “92-13 Consumer advisory on rew/undercookad aniinal N/O “03d Foods properly cooled “04 Facilities ta maintain product temperature . *05 Thermomaters provided and conspicuously placed 0g Potentially hazardous foods properly thawed Vielettons marked with on aslartek are erltical viotmlons. Items marked IN are In complttanes, ler qubseaquent peyes. Items ratked NA are Not Applicable, hans Marked ag N/Q pre Not Observed, DEPR Form HR 6022-018 Marked OUT are vigintions, Specie detalls of violstion ara fisted on and Ware not balny conducted at the ima of Inspaction, Jun 4 2008 15:01 G6/a4/2008 16:88 a5a4146749 DEPR OGA PAGE 89/19 Page 2 STATE OF FLORIDA EAT mgo12834 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION DIVISION OF HOTELS AND RESTAURANTS wow. myflande.com/dbpr FOOD SERVICE INSPECTION REPORT Business Name SUSHI NINJA JAPANESE Inspection Date 06/20/07 11:13 AM > LEGAL NOTICE Eallura to comply with thie Notice may inltiite an administrative complaint that may rasult in suspansion of fevecation of your flcense and fines. - PHF TEMPERATURE CONTROL GARBAGE AND REFUSE DISFOSAL "07 Unwrapped or potentially hazardous food not regerved Moga Food protection during’storage, praparation, display, service, transportation ut 34 Cantainers covered, adequate number, Insect and rodent proof, etnptled at proper intervals, clean Out 84 Outside storage araa clean, enclosure properly 15 Nonfood contact surfaces designed, constructed, malntalned, installed, located . tn hOBb Grose-contaminetion, equipment, personnel, siorage constructed, h8c Potential for cross-contam{nation; storage practiaas, darhaged food sagragated . "a5 Presence of insecte/fodants. Animals prohibited Out - 09 Foods handled with minimum contact h35b Outer opanings pretected fram Ingects, rodent proof Out 10 In use food dispensing utensils properly stored STATUS FLOORS, VYALLS, CEILINGS STATUS PERSONNEL 36 Floors proparty constructed, clash, drained, coved tn 14 Personnel with Infections raatricted Out 37 Walls, cellings, and attached equipment, constructed, Out f+ 2a Hands washed end clean, good hyglenle practices clean {observad), alternative operating plan : 38 Lighting provided as required. Fixtures ahlaldad out 2b Proper hygienic practices, eating/drinking/smoxtng 89 Rooms and aquipment- vented ae required (evidence) STATUS OTHER AREAS . Out 13. Clean clothes, halr restraints ; 40 Employee lockers provided and used, clean STATUS FOOD EQUIPMENT AND UTENSILS In 41a Toxic ltams properly stored Out 14 Food contact surfaces designed, constructed, in t44b Toxic itams labeled and used praparl matntalned, installed, ecated Out 42 Premises maintalnect, free of Iitter, unnecessary articies, leaning and maintenance equipment properly stored, Kitchen raaticted to authorized personnel 416 Dishwashing faciiitias designed, constructed, operated 4. Wash 2, Rinse 3, Sanitize "17 ‘Thermometers, gauges, test kis provided 18 Pre-tlushed, &craped, soaked 43 Complete separation from jiving/sleeping area, laundry 44 Clean and sulted linen segregated and properly storad STATUS SAFETY : Out 45 Fire extinguishers - proper and sufficient Out P46 Exiting eystem - adequate, good repair 19 Wash, rinea water clean, proper temperature +47 Electrical wiring - adequate, dood repalr "20a Sanitizing concentration, ‘/20b Sanitizing temperature "48 Gas appllances - properly installed, maintained 21 Wiping cloths clesn, used properly, Btored Ih fh Food contact surfaces of equipment and utensiis clean | STATUS 49 Flammable/combustibie materlals’= properly stored GENERAL 23 Non-food contact surfeces clean 24 Storaqemandling of clean aguipment, Utensils 50 Current license propatly displayed 51 Other conditions sanilary and safe operation SINGLE SERVICE ARTICLES 25 Senice lems properly stored, handled dispensed STATUS +52 Falee/misieacing statements published of advertisad | 26 Single service articles not re-used relating to foad/beverage : "83a Food management cartification valid _| STATUS WATER AND SEWAGE/PLUMBING '97 Water source safe, hot and cold under pressure +53b Employae training valldation 54 Florida Clean Indoor Air Act i 55 Automatic Gratuity Notles 28 Sewage and wasle water disposed propart 29 Plumbing installed and maintained 56 Copy of Chapter 509, Florida Statutes, avaliable properly, facility ciean, supplied with handacap, disposable towels or hand drying devices, tlesus, covered waste ar ———T 30 Crgas-connection, back siphonege, backflow STATUS GENERAL STATUS TOILET AND HANDWASHING FACILITIES 57 Hospitality Education Program, Information provided Out +34 Toilet and handwashing facilities, number, convenlent, ed, Inst . tesianed, etal Total Numbar of COS Violations: Out +92 Ftestrooms with self-closing doors, fixtures operate Total Number of Repeat Violations: t Violatlons marked with an asterlak are ¢1 subsequefil poges. lems marked N/A ara Nol Applicable, lleme Matked as N/O are Nol Qbserved, and were not being conducted al tha time of lnspaction. PBPR For HR e215 ical violaiions. Hams marked IN era In compliance. Iams Marked OUT ara violations. Specific dalails of violation are listed on 66/@4/2088 16:88 Jun 4 2008 15:01 s584146749 DEPR OGA Page 3 STATE OF FLORIDA apenas 2834 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION i DIVISION OF HOTELS AND RESTAURANTS =~ wainees Naima www. myflorida.conm/dbpr thepection Date ‘ LEGAL NOTICE FOOD SERVICE INSPECTION REPORT PAGE SUSHI NINJA JAPANESE 06/20/07 11:13 AM Fatlura to comply with thia Notice may Initiate an administrative complaint that may result itr suspension or revocation of your license and finns, ‘Wemlngtad: OS.0841-Cheaeved Improper uo of bowlplaatic iad container of other container with nd hands waed to disparse [ood (hal is nol rardy=to-nal. SHe19-TsHancwmah sink wot ancesaible for amplayas wee et ol) times. 32-15-1:No handwadhiig sign providnd ala handslak uaad by fond employane, O226-tWarking cantelnera of food removed from ortghal edhieinar nat identifid by common rare, ‘ 22.06—1:Oboarved build-up of [aud dabrie. dust or ditt an nonfoocenniact auriace, outeide of nil ktaher ogwipmant 12007-TeObgarved on ofan beverage contalnar an a food praparallon tabla or ovannaal to cleat aguipmenvulanalts. 4O407-1:Observed Ineuta rene stored fn sitinding water lass than 135 degraes Pahradhall O88-26-t:Ohgarvad tw animal food slored aver rendy-to-nat food, fishaver produce O8A-28-1:Obsorvad food slorad op floor, Hichan . 37.054:Obaerved wall sotlad wth seco food debrin kitchen. 37.07-¢@bervad wal ed wih nccursulted dus, Hiehen 45-10-1-Pull atstion for fire muppraation ayatam insccasetble/ visible. 14-35-1:CQbaaeved riopediwvom Un Foll used am shelf cover, 33-18-1:Obgerved open dumpmior Nid. 34-02.1:Durpeter nol on proper pad. 3RA.08-1:;Obeervnd (va fied in Miche, 35B-20-4:Cuter opahinga not pmiaciod with salfectosing doors, “A2-11-4yObaarved urvescemnery amie On ibe premiaa, 29 th, bog of Maew Mix ent food Bie11tiGarbon diostioMatiom ianies not adequately secured. DBPR Farm HR 5022-018 14/19 Jun 4 200% 15:02 B6/a4/ 2888 16:88 8584146749 DEPR OGA PAGE 11/19 ~~ — EXHIBIT B Page 4 License Numb . STATE OF FLORIDA ' SEAT 301 2894 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Business Name DIVISION OF HOTELS AND RESTAURANTS SUSHI NINJA JAPANESE Inspection Date FOOD SERVICE INSPECTION REPORT . LEGAL NOTICE 06/20/07 11:13 AM Fallure to comply with this Notice may Initiate an administrative compleint that may result iq suepension or revocation of your lieanss and fines, A8-09-1:Emt nigne nel praperty tlumnelad, SOAO8-4:Ne eurranily cenified food snrvico menage on duly with four oy more employRaT angaged in food praparation, 13-03-7;Obaarved employes with na halr restraint ‘ V2A22.4-Dbaarved food amployia iouehing ready-to-nal food wilh [helr bara hands ard Ihe eatebliahment hex no approved Altemnallva Cperating Procedure, sush! 1 fb-48-T:Dbanrynd IneuAldant Rumbar of axis for occupancy kad. Moilfled Fle AJ, Has 83 sumts and 1 all S7-01-1:Gailing ite migeing, Bacar Ors. SSE.00-1:No prnol ofrequired employes (raining provided, All public taod service eatsbllshmenta punt provide ha divislon with pool of amployee training upon réquesy Including, but not limited ta, at ihe tine of ony division inspection of tha astebliahmant Pet DAPR For HR 5022-015 B6/a4/ 2888 16:88 Jun 4 200% 15:02 8584146749 DEPR OGA PAGE 12/19 ‘EXHIBIT B age Tots STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION DIVISION OF HOTELS AND RESTAURANTS www, myflorida.com/dbpr CALL BACK INSFECTION REPORT LEGAL NOTICE Fallura to comply with this Natlca may Initlate ah adminietrative complalht that may resuft In suspenaion or ravocation of your Jleanse and fines. 1107/07 10:48 AM Warring 9912834 SAT Callhack Inspection Date and Time Inspection Reason : License Number SUSHI NINJA ING. ADNINISYRATIVE COMPLAINT reeommanded, 6623577.00 Owner Name . : Aras Code/Telaphone Number SUSHI NINJA JAPANESE Business Name Ingpection Result 50 06/20/2007 Number of Units Requested Callback Date/Time Jaltial Warning Date . B87 & BLOOMINGDALE AVE BRANDON, 33511 Address / Clty / State / Zip / dt. Comments fwooyong Kang 12/17/2002 Miotallon: S3A-09-7 Piotetion: 51-1 1-1 Piolation: 45*10-1 | Rtetion far Ire euppremelon nyatery Tne feltowing Hom(a} have Daan rocarnmendad for AdmInletraie Comptatnt: a currently certified food sence monger an dury wih four or more eraployana engaged tn food preperation. Porbon dloxklevhaflum ionka Aol edaquololy ReCUred, Inpecesathte! visible. 4114-07-07 Date Signature of Reelplant Inspactor Signature ' Recipient: Wooyeng Kang For further Information please contact: . . H Erle Singletary , Tits owner Sanitation & Safely Specialist 3725 W Grace St, &2 ; Phone: 662-3277 B50H487-1396 OBPR Form HA B022-005 Jun 4 200% 15:02 B6/a4/ 2888 16:88 8584146749 DEPR OGA PAGE 13/19 Page 2 ofd STATE OF FLORIDA anse Numba! SEA 21288 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION T ae 12884 DIVISION OF HOTELS AND RESTAURANTS Busnes Nera www myllorida, com/dbpr BUSH! NINJA JAPANESE ee as ae CALL BACK INSPECTION REPORT Inspection Date LEGAL NOTICE 11/07/07 10:46 AM Fellure to comply with this Notics may initlate an administrative complaint that may result In suspension or ravecation of your license and fines. Craton aR Poserved unnntastary Iteme on the primis. 2206, bag of Menw Mik ont feed folnllon: TF07-1 Dbaorved wall aelled with eccurtutatad duet kitchen jolenienn: 37-05-41 Bbrervad wall eoltad with accumulated food dnbris kitchen . (“ art Feiing tite minding, aarver aree, (“ 28004 tar gpaninge hol protactad with aolfetioning coor. platon: 34-02-1 Bumpster not on proper path jotalion: 23-1 8+t served open dumpster lid. folplion: 32-15-41 fo handwashing ign provided ot e hardaink weed byfood employes. lolation; 31-DB-1 Linch atiitriot seqnaalbta for amptsyen cam at al ties, (ee 23.064 baarved build-up of feed debris, dunt of drl on nonfood=contacd aurfoce, ovinida of all kiehen aquipmanit Polalion: 1435-4 heerved Hppadtwern tin fol yaad aR Abolf cover, . en $BRAfT=1 bsarved an opan bavarage coflsinar en 8 food nrtnaration table er ovarinext ta Clann ‘aquipmantutenaita. notation: 120224 DEPR Forth HR 5022-005 Jun 4 200% 15:02 B6/a4/ 2888 16:88 8584146749 DEPR OGA PAGE 14/1g ExrlBIT B Page 3 of 3 Hcense Number STATE OF FLORIDA ‘ SEAT So12834 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Business Name DIVISION OF HOTELS AND RESTAURANTS " vaww.myflortds.com/dbpt SUSHI NINJA JAPANESE owe A ' Inspection Date CALL BAGK INSPECTION REPORT 1007/07 10:46 AM LEGAL NOTIGE Fellure to comply with thie Notloe may Inlet an administrative complaintthat may result in suspension or revocation of your lleanse and fines. Hbserved food amplayne touching reedy-Inennt fond wilh their bara hrnda ond ihe aslablishment hin na opprovnd Afloraliey Qpereting Procaduro, such Molalton; 09:05-1 Bboarved Inipropernies of bowl/plaetie food container or other container’ with na honda wood to dlspanee {ood thot tarot reedy-4o-nat, Mininilan: OBA-2B-* Dbserved (eed slored an floor, kilehan . [fetetion: 8-261 Hibrerved raw animal food atorad aver reedy-io-ral food, fiah over produce on O22] king eontainara of fond ramevad fram orlginal contalner nol Identified by common ARMA. [Tha following Norh(a) are Ir eomptlmece: Hotton: S3B-O8-4 Ja proof of required amployad waining provided. All pubtie food servic aptablishments must provide tye division with proof of amiployee Lsining upon requanl, Inéluding, but notlimltad to, at tha time of ny division Inapection of the aatedtishment. Pro . yiatatian: 46-45-41 Dbaaived inauffictent number ef alts for acoupaney load, ‘Novlfied Fira AK, Haq 62 meat ond 1 oxi lolation: 46-0541 Bull pigns nat property tiluminated. Miclotion: 254-081 heervad ve flag in kitchen, Notation: 1203-4 Disened amplayae wilh ac hnlr raztesinl, lointlon: 1007-1 bpsanved in-use utandil alored in alanding waterione than 130 dagreea Falronbatt, DBPR Form HR 5022-005 Jun 4 200% 15:02 B6/a4/ 2888 16:88 8584146749 DEPR OGA PAGE 15/19 oo _ EXt ITB STATE OF FLORIDA Page 1 of2 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION [= * DIVISION OF HOTELS AND RESTAURANT! FOLLOW-UP INSPECTION REQUIRED Ingpactor determined violations raquire www. MyPlotida.com/dbpr/hr : . further review, but are not an immediate threat to the public, CALL BAGK INSPECTION REPORT LEGAL NOTICE ; Failure to comply with this Notice may initiate an administrative complaint that may reeultIn suspension or revocation of your license and tines, Dar 408 02:15 PM Werning ; gaizas4 SEAT Callback Inspectian Date and Time ‘ Inspection Reasch Licanse Number Owner Name - Aree Code/Telaphone Number SUSHI NINJA JAPANESE. . Businass.Neme Inspection Result : 50 OtH7/2008 Number of Units Requested Callback Date/Time Intthal Warning Date 887 E BLOOMINGDALE AVE. BRANDON, 33511 Addrabe / Gilly / State / Zip / alc. Comments 3-1 = Ne currently certified food manager on duty with four or more employees engaged In food preparation. - This violation also on stlp callbarck - ] age number 2007061994. - Not cempliad - expited 12-11-2007 —_ Itern{s) have been recommended for Administrative Complaint; 2-26-1 « Working containers of food remaved from original contalner riot identifiad by common name. haa-28et - Obsarvad food storad on fidor kitchen, - b8e-26-1 - Observed raw animal food stored over ready to eat food, 3-05-01 - Observed Improper use of bawl/plastic food container or other contalner with no handia weed to dispense food thatls net raedy ta eat. : [2022 - Obsorved food emp, touching raady to eat food with thelr bare hainds and the establishment has no AQP, Observed sushi preparation with are hands, : 02-14-08 Dats Signature af Racipteant Inspector Signature Recipient: Woayong Kang For further Information please contact Erle Singletary . THe Owner Sanitation & Safety Specialist 3728 W Grace st, 52 Phone: 813-862-3377 650-487-1395 DBPR Forme HA 6022-006 Jun 4 2008 15:03 B6/a4/ 2888 16:88 8584146749 DEPR OGA PAGE 16/19 ~ EXHIBIT B Page 2 of 2 STATE OF FLORIDA , License Number . SEAT rf DEPARTMENT OF BUSINESS AND PROFESSICINAL REGULATION oT aR . DIVISION OF HOTELS AND RESTAURANTS = Business Name ww myflaride.convdbpr . SUSHI NINJA JAPANESE CALL BACK INSPECTION REPORT (nepaction Date LEGAL NOTICE 02/74/08 02:15 PM Fallure to comply with this Notica may Initiate an acminletrative complaint that may result in auapension or ravogatlon of your {leange and fines. ha.og-1 - Dumpster not on proper pad. 7-071 «A, ~ Observed wall solled with accumulated dust, klichen, B. - Observed well sallad with accumulated foad debris, kitchen, ©, - Cefling tie Isalng, Server area. The foflowlng itarn(s) are In compliance: 2h-07-1 - Observed an opan baveraga container on food preparation table er over/next fo clean equipment and utensils. 1 dn35-01 . Observed Hpped 1 worn tin foll used a6 shelving cover. ba-06-01 - Observed build-up of food debris, dust or dirt on nonfood contact surface; outside of kitchen equipment. hi-0@1 « Observed handwash sink not accessible for employees use Bt all times. 62.184 = No hendwaehing sign Inteted at a handsink used by faod employees. B3-16-1 - Observed apan dumpster lid. . bSb-03-1 - Outer openings not protected by salf closing doors. hoa » Observed unnecessary ftems on pramises, 22 pound bag of meow mix cat food, ; p5-10-1 + Pull station for hood suppression system Inaccesslble, Bi-11-1 - Carben dioxide / hellurn tanks not edequataly sacured, DBPR Form HR 5022-005 Jun 4 2008 15:03 B6/a4/ 2888 16:88 8584146749 DEPR OGA PAGE 17/19 STATE OF FLORIDA poe of 3. DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION = | FOLLOW-UP INSPECTION REQUIRED PIVISION OF HOTELS AND RESTAURANTS: N REG winw. MyFlorida. com/dbprar Inspector determined violations require further review, but are not an immediate FOOD SERVICE INSPECTION REPoRT |tiiteat to the public, . LEGAL NOTICE Fallurs to comply with this Noties may initiate an administrative complaint that may resuit in suepaneian or revocatior! of your |lcanse and fines, 2/14/08 03:89 PM. Boutine 3912834 SEAT Inspection Dete and Time _ Inspection Reason License Nurnber SUSHI NINJA INC NISTRATI ANT Owner Name ADM VE COMPLY recomme 813-662-3977 SUSHI NINJA JAPANESE, Area Code/Telaphone Number Business Name Inspection Result ee Number of Units Caliback Date/Time License Expiration 887 E. BLOOMINGDALE AVE BRANDON, 33571 Address / City / State / Zip / ete, 1 hem 03: Food Tempersturse Item 53a: Cert, Fond Managers Item 20: Werewashing Sanitization | Item 45: Fire Extingulshers and Fite A Clase ABC type Fira Extingutsher, found invet kiteban hee # cartiicatton deta of N/A, A Claage K ye Fire Extinguisher, found Inet Kitehan tee 8 cartfiention data of N/A, A Hood Guppregetan type Flra Exilnquiaher. found invat Klichan heap contfestion date of NA Manager Name: Wooyong Kang Certifleation Date: 1211 112002 Certified by: National Registry of Food Safety Profassionals NOTE: Items marked above with an asterisk (*) Indicata a vielation Inspector's Comments Inspection done as fattow-up for Stipulation Callback-» Case # 2007061994 --Violations noted whhtk were not complied with the Stipulation Callback at me of Inspaction. Water Source: Municipsl/Wttty. Sewage Municipal/Utlity, Employees tralned by National Registry of Food Safety Professionals Io Boller On Sie. (acknowledge receipt of this Inspection form and comments. 02-14-08 Signature of Recipiant . — taspector Signature Dale Reciplent: wwooyeng Keng ® Forfurther Information please contact: Erie Singletary Tith we Owner Santation & Safety Specialist 3725 W Grace St, 620 Phone; 819-662-3977 850-487-1985 STATUS SOURCE STATUS: PHF TEMPERATURE CONTROL In "Ola Approved source AVA *03a Cold foad st proper temperatures during storage, In "01h Wholasome, sound condition display, service, Out 92 Original container; properly labeled, date marking NiO. “035 Hol food at proper temperature In 02-14 Consumer advisory on raw/underanoked oystey NiO. “fac Foods properly eooked/raheated lin . *02-13 Coneumer advlaory on raw/undercogked animal NIG *03d Foods properly caolad i “Od Facilities to maintaln product tamporature *05 Thormomaters provided and conspicuously placed og Potentially hazertous toods properly thawed Violailong marked with an asterisk are critical violations, Items marked IN are in compliance. ltama Marked OUT are viglatons, Specific detalls of vietation are listed on eubsequent pages. ltertié marked N/A ata Not Applicabls, tems Marked a6 N/Q] are Not Observad, and ware nol belig conducted at the tima of inspection. DBPR Far HR 022-018 Jun 4 2008 15:03 B6/a4/ 2888 16:88 8584146749 DEPR OGA PAGE 18/19 EXHIBIT B snes STATE OF FLORIDA : eeAT aot 234 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION 5. ato cs Nama fa) IN OF HOT! ESTAURANT! VISIO ‘aytori SAO ber 3 SUSHI NINJA JAPANESE . Inspection Date Foon BEAVICE INSPECTION REPORT 02/14/08 03:38 PM Fallure to comply with this Notles may Initiate an administrative complaint that may result in suspension of revocation of your llcenge and fines. STATUS PHE TEMPERATURE CONTROL, STATUS GARBAGE AND REFUSE DISPOSAL In "07 Unwrapped or potentially hazardous food not reserved 43 Contalners covered, adequate number, Insect and rodent] Out 08a Food protection during storage, praparation, dlaplay, proof, emptied at proper intervals, clean —_ service, tangportatian ; . Dut 44 Outside storage area clean, enclosure properly (in *O8b Cross-contamination, aquipment, personnel, storage constructed *“O8e Potential for cross-contamination; storage practicas; is) damaged food segragatad *'$ha Presenide of insants/rodents, Animals prohibited Dut Os Foods handiad with minimum contact : : *35b Cuter openings protected from Insects, rodent proof : 10 Inuse food dispensing utensils properly stored : STATUS FLOORS, WALLS, CEILINGS STATUS ; PERSONNEL 36 Floors properly constructed, clean, dratnad, coved lin M4] Cergonnel wilh Infections restrictad Out 37 Walls, ceilings, and attached equipment, constructed, Out +122 Hands washed and clean, good hyplonic practicaa elaan : . (observed), altamativa operating plen 138 Lighting provicied ee required, Fixtures shisided In +425 Proper hydienle practizes, eating/tirinking/emaking 39 Rooms and equipment - vented as required j L {evidence) STATUS : OTHER AREAS ‘ 13 Clean clothes, halr restraints 40 Employse lockers provided snd used, clean STATUS "__ FOOD EQUIPMENT AND UTENSILS In 412 Towle items properly stored : 44 Food contact surfaces decigned, constructed, in *4.1b Toxic items labeled and used propark * maintained, installed, located 42 Premises malntalned, free of litter, unnecessary articles. Cteaning and malntanance equipment properly stored, j Kitchen restricted to authorized personnel malntalned, installed, located "16 Dishwashing facilities designed, constructed, operated 4a Complete separation from fiving/sleeping area, faundry 1, Wash 2, Rinse 3, Senitize 4¢-CHean and solled tinen segregated and properly stored “17 Thermometers, gauges, test kite provided STATUS SAFETY L 45 Non-foodl contact surfaces designed, constructed, 418 Preflushed, scraped, soaked "45 Fire extinguishers - proper and sufficient 19 Wash, rinse water clean, proper temperature *46 Exiting system - adequate, good rapsir _~ +20 Sanitizing concentration +47 Electrical wirlng - adequate, good repait 20 Sanitizing temparqture H48 Ges appliances - properly installed, malntainad { [21 Wiping clothe clean, used properly, stored "49 Flammable/combustibla materials ~ properly stored tr "29 Food contact surfaces of aquipment and utensils clean STATUS GENERAL 23 Non-fond contact surfaces clean "50 Currant teense properly displayed. 24 Storage/hendiing of clan equipment, ulenslls 51 Other conditions. sanitary and safe operation STATUS SINGLE SERVICE ARTICLES : _ (52 Fslse/misteading statements published or advertised [os Semviee tems properly stored, handled, disnensad relating ta food/beverane 26 Single servis articles not re-used Out *S8a Food management certification valld STATUS WATER AND SEWAGE/PLUMBING. In *S3b Employee tralning validatlon #27 Watar source safe, hot and eold under pracsure 64 Florida Clean Indoor Alr Act +28 Sewage end waste water disposed praparly 55 Automatle Gratuity Notice : —| 29 Plumbing installad and Maintained 56 Copy of Chapter $09, Florida Statutes, avaliable | _}30 Crogs-connsctlon, back siphonage, backflow STATUS |’ GENERAL, | status TOILET AND HANDWASHING FACILITIES 57 Hospitality Education Program Information provided 34 Tollat and handwashing facilities, number, eonventant, ' designed, Installed Total Number of COS Violations: (n 33 Restrooms with self-closing doors, fixtures operate propery, feallity clean, supplied with handecap, disposable ‘Total Number of Repeat Violations: rowals or hand drying devicas, tissue, covered waste Violations marked with an asterisk ate critical violations, terns iarked IM are In compliance, hems Marked OUT ena violations, Specific detalls of vielation are fisted ort subsequent pages, tema marked NVA ate Not Applicable, tems Marked 25 WO ara Nol Observed, and wera not belng conductad at the thma of Inspection. DEPR Form HR 5022-015 Jun 4 2008 15:04 B6/a4/ 2888 16:88 8584146749 DEPR OGA PAGE 19/19 EXHIBIT B License Number Page 3 ofa STATE OF FLORIDA SEAT 9912894 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION a... cee name DIVISION OF eiieonée SUSHI NINJA JAPANESE : Inepection Date FOOD SERVICE INSPEDTION REPORT 214/08 08:39 PM Fatlura to comply withthia Notices may Initiate an administrative complaint thet may raauit In suepension or ravocation of your license and fines. Violnttan(s}: 02.20-4:Working contelners of feed ramovad from oilginal container not Identifiad by common name. OBA-25-1:Observed raw animal food stored over ready-lo-aet food, 09-05-1-Observed improper use of howl/plaetie food conlalner or other container wilh ny endie used to dlspenge food (hat Is nel randy-to-eet. . 42A-22-1:Observad food employee tauching teady-te-net food with thal bare hands And the establishment hes no approved Allarnative Operating Procedure, Obsarvadt sushl belng prepared with bara hand and noapproved AOP Ih place, 5@4-00-1;Ne currently carlifiad food servina manager on duty with four ar more employaes engaged In food preparation. Santi Observed explted Food Manager Certification, 34-02-T:Dumpster not on proper pad. 37-07-1:Dbserved wall soled with aecurusted dust, kitchen. 37-081:0bserved wall soled with accumuleled foes dabr/s, klichan, DBPR Form HA 5022-015

Docket for Case No: 08-002649