Stata of Flori Departmant of Business and Pri Division of Hotels and DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Petitioner, vs. LAS VEGAS RESTAURANT #5 Respondent / License Num Adminigtrative Co The DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATIO laint agains RESTAURANTS, (“Petitioner”), files this Administrative Compl (‘Respondent’), and says 1 public food service establishments, purs License Type 2010 Case Number 2009033906 Petitioner 1s the state agency charged with regulating the pperation of uant to Section 20.165 and C qressipnal Regulation estaurants ber, 1616869 aint _ DIVISION OF HOTELS AND LAS VEGAS RESTAURANT #5, public lodging establishments and hapter 509, Florida Statutes 2 Respondents, and has been at all times material herato, Division of Hotels and Restaurants The respondent's business addres PARK BLVD, FT LAUDERDALE, FLORIDA 333061813 The mailing RESTAURANT #5, at 6015 GARFIELD ST, HOLLYWOOD, Inspection of this establishment conducted pursuant to Si of the provisions of Chapter 509, Florida Statutes, operation of the establishment The violation(s) found an attached hereto and incorporated herein by reference Ins incorporated herein by reference WHEREFORE, Petitioner respactfully requests entry of an Order imposing penalties admunistrative fine not to excead $1,000 per offens expense at an educational program sponsored by the Depa suspension, revocation, or refusal of a license issued pursu authorized by Chapter 509, Flonda Statutes, or the rules pro Signed June 25, 2009 and / oy the rules qd applicable becticn daclments are attached as Exhibit "B’, art fm or subjact to the jurisdiction of the ss of record 1s 2807 E OAKLAND ddress of record is LAS VEGAS 33024. Floncda Statutes, revealed violations romulgated thereto governing law are described in Exhibit “A,” licensed by) , FLORID. ic 509.032, one or more of the follawing , mandatory attendance at Respondent's ent'siHospitality Education Program, to this Chapter, and/or any other rebef ated thereto Ken Buck, District Manager By delegation of the Director, or designee Division of H tels & Restaurants Depariment of Business & Professional Regulation COUNSEL FOR THE DEPARTMENT Mare Drexler, Lead Attorney Flonda Bar No 0487058 Department of Business & Professianal Regulation 1940 North Monroe Street Tallahassee, Florida 32399-1007 Certificate of Service BY CERTIFIED U.S, MAIL, ARTICLE NUMBER: —___} } HEREBY CERTIFY that a true and correct copy of the feregaing ADMINI hand served by me on this day of Received by’ Inspectors Signature Title Gage Number 2000033908 File Number 104477 STRATIVE COMPLAINT has been |, 2009 Operator's Signature Title Distinct Number 02 License Number 1616899 2010 Form ravsed 05 20 09 LAS VEGAS RESTAURANT #5 SafEa Fotd FOO add 6P49P Tress EG‘6A Tee /ET/aT Se:PT Ode PT 450 Exhibit A License Number. 1616869 License Type 2010 PERMANENT FOOD SERVICE Case Number 2009033906 “FC" as cited herein references specific provisions of the Fo Public Health Service, Food and Drug Administration, incorporated by Ch, Code “NFPA” as cited herem references specific provisions of the Nation: Safety Code, incorporated by referance at Chapter 44-3, "Fire Prevention Admurustrative Code, and 61C-1 004(5), Flonda Administrative Code *" denotes a critical violation Wi dministrativ inspeation(s It is alleged that on April G, 2009, June &, 2009 the licensee the Rulas of the Division of Hotels and Restaurants, Flonda Ai particulars. Copy(s) of the report(s) for the above referenced incorporated by referance as Exhibit B. * 4 OBA20-1 3-02.14(A)(4) FC: (A) FOOD SHALL BE CONTAMINATION BY (4) STORING THE FOOD IN PACKA WRAPPINGS; A) OBSERVED UNCOVERED FOOD IN BUCKET OF SAUCE, CUT BANANAS, AND STUFFED PASTRIES. as In violatio id Gode, Recommendations of the United States pter 61C, Flonda Administrative | Fire Protection Association Life , General Provisions’, Florida n of Florida Statute 509(FS) and/or Code (FAC), in the following ) are attached hereto and PROTECTED FROM GROSS GES, COVERED CONTAINERS, OR HOLDING UNITIDRY STORAGE AREA - IN WALK-IN COOLER - B) OBSERVED FOOD STORED ON FLOOR OF WALK-IN GOOLER: BANANAS, VEGETABLES, AND SAUCES. C) OBSERVED TORN PACKAGES/BAGS OF FOOD EXFo SUGAR IN DRY STORAGE AREA. * 2909-0541 3-30111(D) FC" PREVENTING CONTAMINATION F EMPLOYEES’ SHALL MINIMIZE BARE HAND AND ARM CONTACT WI IN A READY-TO-EAT FORM. OBSERVED IMPROPER USE OF BOWL/PLASTIG FOOD CONTAINER HANDLE USED TO DISPENSE FOOD THAT IS NOT READY-TO-EAT - HANDWASHING CLEANSER, AVAILAB * 3 3247-1 630111 FC SING-CONTENTS TQ CONTAMINATION - OM HANDS (D) FOOD H EXPOSED FOOD THAT IS NOT OR OTHER CONTAINER WITH NO SUGAR/SALT CONTAINER. LITY, EAGH HANDWASHING LAVATORY OR GROUP OF 2 ADJACENT LAVATORIES SHALL BE PROVIDED WITH A SUPPLY OF HAND CLEANING LIQUID, POWDER, OR BAR SOAP OBSERVED HANDWASH SINK BY THE 3-COMPARTMENT SINK LAG CLEANSER. * 4.63A-19-1 610-4 023(1) FAC’ STORAGE, PREPARATION, DISPLAY, AND SERVING OF FOODS TO A CERTIFICATION TEST APPROVED BY THE DIVISION DEMONSTRA| FOOD PROTECTION PRACTICES 4S ADOPTED IN THIS CHAPTER SUCCESSFULLY PASS AN APPROVED CERTIFICATION EXAMINATI CERTIFICATE BY THE CERTIFYING ORGANIZATION, WHICH IS VALT FROM THE DATE OF ISSUANCE. OBSERVED EXPIRED FOOD MANAGER CERTIFICATION. Case Number 2008083906 File Number 104477 Licanse Number 1616369 2010 LAS VEGAS RESTAURANT #5 (1) ALL MANAGERS WHO ARE IR KING HANDWASHING ESPONSIBLE FOR THE HE PUBLIC SHALL HAVE PASSED TING A BASIC KNOWLEDGE OF THOSE MANAGERS WHO N SHALL BE ISSUED A FOR A PERIOD OF FIVE YEARS District Number 02 Form revised 05 20 08 SA/Pa SSK YOO sddd 92:7T O10 FT 450 Bp29P Tress ER+6A TAZ /ET/ET

Docket for Case No: 10-009671