1/25/2611 11:37 8584146749 DEPR OGA Jan 25 2011 10:50 PAGE State af Flarida Department of Business and Professional Reguiation Division of Hotels and Restaurants DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Petitioner, ve. GUANGDONG CHINESE RESTAURANT ——_pivanse Numa 2200217 R dent License Type 2010 spon a Case Number 2010054384 et Administrative Complaint The DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, DIVISION OF HOTELS AND RESTAURANTS, ("Petitioner’), files this Administrative Complaint against GUANGDONG CHINESE RESTAURANT, (“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 2469 W US HWY 90 #148, LAKE CITY, FLORIDA 37055, The mailing address of record is GUANGDONG CHINESE RESTAURANT, at 2469 W US HWY 90 #148, LAKE CITY, FLORIDA 32055. 3. Inspection of this establishment conducted pursuant to Sec. 609:032, Florida Statutes, revealed vialations of the provisions of Chapter 509, Florida Statutes, and / ar the rules promulgated thereto governing operation of the establishment. The violation(s) found and applicable law is described in Exhibit “A,” attached hereto and incorporated herain by reference. Inspection documents are attached as Exhibit "B”, incorporated herein by reference. WHEREFORE, Petitioner respectfully requests entry of an Order imposing one ar more of the followirig penalties: administrative fine not to exceed $1,000 per offense, suspension, revocation, or refusal of a license issued pursuant to this Chapter, and/or any other relief authorized by Chapter 509, Florida Statutes, or the rules promulgated thereto. _ Signed November 01, 2010 Castrgr Jibs uf we Michelle Ha¥hes, District Manager By delegation of the Director, ar designes Division of Hotels & Restaurants Department of Business & Professional Reguiation COUNSEL FOR THE DEPARTMENT: Mart Drexler, Lead Attorney Florida Bar No. 0487058 Department of Business & Professional Regulation 4940 North Monroe Street Tallahassee, Florida 32399-2202 Gartificate of Service BY CERTIFIED U.S. MAIL, ARTICLE NUMBER: 7160 3901 9249 0947 08! | HEREBY CERTIFY that a true and corect copy of the foregoing ADMINISTRATIVE COMPLAINT has been hand served by me on this day of , 2010. Received by: Inspector's Signature Operator's Signature Title Title Case Number: 2010054354 File Number. 498084 District Number, 05 Licansa Number: 2200217 2010 Form revised 10.04.10 GUANGOONG GHINESE RESTAURANT AS Jan 25 2011 10:50 1/25/2811 11:37 85841467 : 49 DEPR OGA PAGE Exhibit A License Number: 2200217 License Type: 2010 PERMANENT FOOD SERVICE Case Number: 2010054354 FC as cited herein references Public Health Service, Food a Code, NFPA as cited herein references specific provisions of the National Fire Protection Assaciation Life Safety Code, Incorporated by reference at Chapter, 44-3, Fire Prevention, General Provisions, Florida Administrative Gode, and 61C-1 .004(5), Florida Administrative Cade. * denotes a critical violation. itis alleged that on October 26, 2010 the licensee was in violation of Florida Statute 509(FS) and/or the Rules of the Division of Hotels and Restaurants, Florida Administrativa 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. * 4.35A-05-1 6-501.947 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 LIVE ROACHES FOUND. THE INSPECTOR OBSERVED TWO LIVE ROACHES ON THE DISHMACHINE, TWO LIVE ROAGHES BY THE WATER HEATER, TWO LIVE ROACHES IN THE DRY STORAGE AREA, AND LIVE ROACHES TOO NUMEROUS 7O COUNT UNDER BULK FOOD CONTAINERS IN THE DRY STORAGE AREA. » denotes critical violation District: 05 Case Number: 2010054354 License Type: 2010 License Number 2200217 File Number: 198084 GUANGDONG CHINESE RESTAURANT Ad

Docket for Case No: 11-000434