. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION DIVISION OF HOTELS AND RESTAURANTS OF DEPARTMENT OF BUSINESS AND , LE PROFESSIONAL REGULATION CD-3UAPL = es Petitioner, ° 4, vs. License No. 6602155 . PAPA JOHNS PIZZA. License Type 2010 Permanent Food Service Respondent. Case No. 2005028161 ADMINISTRATIVE COMPLAINT The DEPARTMENT.OF BUSINESS AND PROFESSIONAL REGULATION, DIVISION OF HOTELS AND RESTAURANTS, (“Petitioner”), files this Administrative Complaint against PAPA JOHNS PIZZA, (° Respondent’), and says: {. 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 fs 2506 S US 1, FT PIERCE, FLORIDA 34982.The mailing address of record is PAPA JOHNS PIZZA, at 2460 HARBOUR COVE DR, FT PIERCE, FLORIDA 329491561. 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 pursuant to this Chapter, and/or any other relief authorized by Chapter 509, Florida Statutes, or the rules promulgated thereto, Signed May 24, 2005 : . Vos ee Valerie Freeman, 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 Business & Professional 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 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: 2005028161 Form revised 05.20.05 License Type: 2010 Permanent Food Service District Number: 04 License Number: 6602155 PAPA JOHNS PIZZA License Number: 6602155 License Type: 2010 PERMANENT FOOD SERVICE Case Number: 2005028161 Exhibit A "FC" 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 64C-1.004(5), Florida Administrative Cade. tis alleged that on March 14, 2005 and April 12, 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 repori(s) for the above referenced inspection(s) are attached hereto and Incorporated by reference as Exhibit B. “ 1. 23-01 4-601.14(C) FC +NONFOOD-CONTACT SURFACES OF EQUIPMENT SHALL BE KEPT FREE OF AN ACCUMULATION OF DUST, DIRT, FOOD RESIDUE, AND OTHER DEBRIS. THERE WAS A DUST BUILD UP ON THE WALK IN COOLER CONDENSER COILS. * 2.30-04 5-203.14FC BACKFLOW PREVENTION DEVICE, WHEN REQUIRED. A PLUMBING SYSTEM SHALL BE INSTALLED TO PRECLUDE BACKFLOW OF A SOLID, LIQUID, OR GAS CONTAMINANT INTO THE WATER SUPPLY SYSTEM AT EACH POINT OF USE AT THE FOOD ESTABLISHMENT, INCLUDING ON A HOSE BIBB IF A HOSE IS ATTACHED OR ON A HOSE BIBB IF A HOSE IS NOT ATTACHED AND BACKFLOW PREVENTION IS REQUIRED BY LAW, BY: (A) PROVIDING AN AIR GAP AS SPECIFIED UNDER SECTION 5-202.13; OR (B) INSTALLING AN APPROVED BACKFLOW PREVENTION DEVICE AS SPECIFIED UNDER SECTION §-202.14. THERE WAS NO BACK FLOW PREVENTION DEVICE ON THE HOSE BIBB IN THE EMPLOYEE RESTROOM. 3. 34-09 5-501.116(B) FC SOILED RECEPTACLES AND WASTE HANDLING UNITS FOR REFUSE, RECYCLABLES, AND RETURNABLES SHALL BE CLEANED AT A FREQUENCY NECESSARY TO PREVENT THEM FROM DEVELOPING A BUILDUP OF SOIL OR BECOMING ATTRACTANTS FOR - INSECTS AND RODENTS. THERE WAS A HEAVY BUILD UP OF GARBAGE AROUND THE DUMPSTER. * 4.46-11,.3 61C-1,004(10) FAC EXITS SHALL BE CLEARLY MARKED WITH APPROVED ILLUMINATED EXIT SIGNS. THE EXIT SIGN ABOVE THE DRY STORAGE EXIT DOOR WAS NOT ILLUMINATED. * denotes critical violation _ “Exhibit A Case Number: 2005028164 Page 1 License Type: 2010 PERMANENT FOOD SERVICE License Number: 6602155 ' * §,35B-03 6-202.15FC OUTER OPENINGS, PROTEGTED.-(A) EXCEPT-AS-SPECIFIED IN: "> PARAGRAPHS (B), (C), AND (E) AND UNDER PARAGRAPH (D) OF THIS SECTION, OUTER OPENINGS OF A FOOD ESTABLISHMENT SHALL BE PROTECTED AGAINST THE ENTRY OF INSECTS AND RODENTS BY: (1) FILLING OR CLOSING HOLES AND OTHER GAPS ALONG FLOORS, WALLS AND CEILINGS; (2) CLOSED, TIGHT-FITTING WINDOWS; AND (3) SOLID SELF-CLOSING, TIGHT-FITTING DOORS. (B) PARAGRAPH (A) OF THIS SECTION DOES NOT APPLY IF A FOOD ESTABLISHMENT OPENS INTO A LARGER STRUCTURE, SUCH AS A MALL, AIRPORT, OR OFFICE BUILDING, OR INTO AN ATTACHED STRUCTURE, SUCH AS A PORCH, AND THE OUTER OPENINGS FROM THE LARGER OR ATTACHED STRUCTURE ARE PROTECTED AGAINST THE ENTRY OF INSECTS AND RODENTS. (C) EXTERIOR DOORS USED AS EXITS NEED NOT BE SELF-CLOSING IF THEY'ARE: (1) SOLID AND TIGHT-FITTING; (2) DESIGNATED FOR USE ONLY WHEN AN EMERGENCY EXISTS, BY THE FIRE PROTECTION AUTHORITY THAT HAS JURISDICTION OVER THE FOOD ESTABLISHMENT; AND (3) RESTRICTED SO THEY ARE NOT USED FOR ENTRANCE OR EXIT FROM THE BUILDING FOR PURPOSES OTHER THAN THE DESIGNATED EMERGENCY EXIT USE. (D) EXCEPT AS SPECIFIED IN PARAGRAPHS (B) AND (E) OF THIS SECTION, IF THE WINDOWS OR DOORS OF A FOOD -ESTABLISHMENT, OR OF A LARGER STRUCTURE WITHIN WHICH-A FOOD ESTABLISHMENT IS LOCATED, ARE KEPT OPEN FOR VENTILATION OR OTHER PURPOSES OR A TEMPORARY FOOD ESTABLISHMENT IS NOT PROVIDED WITH WINDOWS AND DOORS AS SPECIFIED UNDER PARAGRAPH (A) OF THIS SECTION, THE OPENINGS SHALL BE PROTECTED AGAINST THE ENTRY OF INSECTS AND RODENTS BY: (1) ...(16 MESH TO 1 INCH) SCREENS; (2) PROPERLY DESIGNED AND INSTALLED AIR CURTAINS; OR (3) OTHER EFFECTIVE MEANS. (E) PARAGRAPH (D) OF THIS SECTION DOES NOT APPLY IF FLYING INSECTS AND OTHER PESTS ARE ABSENT DUE TO THE LOCATION OF THE ESTABLISHMENT, THE WEATHER, OR OTHER LIMITING CONDITION. THERE WAS NO SELF-CLOSING DEVICE ON EITHER REAR EXIT DOOR. 6. 36-13 6-201.13FC = FLOOR AND WALL JUNCTURES, COVED, AND ENCLOSED OR SEALED. (A) IN FOOD ESTABLISHMENTS IN WHICH CLEANING METHODS OTHER THAN WATER FLUSHING ARE USED FOR CLEANING FLOORS, THE FLOOR AND WALL JUNCTURES SHALL BE COVED AND CLOSED TO NO LARGER THAN 4 MILLIMETER (ONE THIRTY-SEGOND INCH). (B) THE FLOORS IN FOOD ESTABLISHMENTS IN WHICH WATER FLUSH CLEANING METHODS ARE USED SHALL BE PROVIDED WITH DRAINS AND BE GRADED TO DRAIN, AND THE FLOOR AND WALL JUNCTURES SHALL BE ‘COVED AND SEALED. . THE TILES USED AT THE FLOOR WALL JUNCTURES NEXT TO THE MOP SINK WERE IN DISREPAIR. 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. . AN ACCUMULATION OF DUST WAS FOUND ON THE CEILING ABOVE THE FOOD PREP AREA. 8, 38-02 6-202.11FC LIGHT BULBS, PROTECTIVE SHIELDING. (A) EXCEPT AS SPECIFIED IN PARAGRAPH (8) OF THIS SECTION, LIGHT BULBS SHALL BE SHIELDED, COATED, OR OTHERWISE SHATTER-RESISTANT IN AREAS WHERE THERE IS EXPOSED FOOD; CLEAN EQUIPMENT, UTENSILS, AND LINENS; OR UNWRAPPED SINGLE-SERVICE AND SINGLE-USE ARTICLES. (B) SHIELDED, . COATED, OR OTHERWISE SHATTER-RESISTANT BULBS NEED NOT BE USED IN AREAS USED ONLY FOR STORING FOOD IN UNOPENED PACKAGES, IF: (1) THE INTEGRITY OF THE PACKAGES CAN NOT BE AFFECTED BY BROKEN GLASS FALLING ONTO THEM; AND (2) THE PACKAGES ARE CAPABLE OF BEING CLEANED OF DEBRIS FROM BROKEN BULBS BEFORE THE PACKAGES ARE OPENED. (C) AN INFRARED OR OTHER HEAT LAMP SHALL BE PROTECTED AGAINST BREAKAGE BY A SHIELD SURROUNDING AND EXTENDING BEYOND THE BULB SO THAT ONLY THE FACE OF THE BULB IS EXPOSED. THE LIGHTS IN THE WALK IN GOOLER AND ABOVE THE PIZZA PREP AREA WERE MISSING THE PROPER SHIELDS. * denotes critical violation a Exhibit A Case Number: 20050281614 Page 2 License Type: 2010 PERMANENT FOOD SERVICE License Number: 6602155 9, 42-09.,.8-501.114 FC. MIAINTAINING PREMISES, UNNECESSARY-ITEMS AND-LITTER. THE. - ‘PREMISES SHALL. BE FREE GF: (A) ITEMS THAT ARE UNNECESSARY TO THE OPERATION OR MAINTENANCE OF THE ESTABLISHMENT SUCH AS EQUIPMENT THAT IS NONFUNCTIONAL OR NO LONGER USED; AND (B) LITTER. THERE WAS AN OLD CAR SEAT AND THERE WERE SHOPPING CARTS STORED OUTSIDE THE REAR EXIT. . 5 40. 15-12 4-501.11(A)(B) FC GOOD REPAIR AND PROPER ADJUSTMENT. (A) EQUIPMENT SHALL BE MAINTAINED IN A STATE OF REPAIR AND CONDITION THAT MEETS THE REQUIREMENTS SPECIFIED IN PARTS 4-1 AND 4-2. (B) EQUIPMENT COMPONENTS SUCH AS DOORS, SEALS, HINGES, FASTENERS, AND KICK PLATES SHALL BE KEPT INTACT, TIGHT, AND ADJUSTED IN ACCORDANCE WITH MANUFACTURERS' SPECIFICATIONS, A. THE SHELVING ABOVE, THE THREE COMPARTMENT SINK WAS RUSTED. B. THE REACH IN COOLER GASKETS ‘AT THE PIZZA PREP AREA WERE IN POOR REPAIR. * denotes critical violation Exhibit A Case Number: 2005028161 Page 3 License Type: 2010 PERMANENT FOOD SERVICE , License Number: 6602155 STATE OF FLORIDA Pages 1 DEPARTMENT OF BUSINESS AND PROFESSIONAL hcGULATION DIVISION OF HOTELS AND RESTAURANTS _weew-myfiorida.comidbpr FOOD SERVICE INSPECTION REPORT EXHIBIT B - LEGAL NOTICE Fallure to comply with this Notice may Initiate an admintstrative complaint that may 3/11/05 11:28:20 AM Routine Tesult in suspension or revocation of your license and fines. 6602155 NOST Inspection Date and Time Inspection Reason License Number JAZZBONE ENTERPRISES: WARNING: Owner Name Violations In the operation of your PAPA JOHNS PIZZA establishment must be corrected by: Area Code/Telephone Number Business Name Inspection Result 04/11/2005 08:00 AM 04/01/05 Number of Units Callback Date/Time License Exptration 2506 S US 1 FT PIERCE FL 34982 Address / City / State / Zip / etc, _| tem 03: Food Temperatures Item 53a: Cert. Food Managers _| Item 20: Warewashing Sanitization {tem 45: Fire Extinguishers and . Fire Suppression Systems Dates |’ Sausage, wak In cooker, 41 Degrees F. Ham, cook line, 40 Degrees F, Pepperun| cock ine, 41 Degrees F. Chicken wings, reach In cooler, 41 Degrees F. Sausage, reach h cooler, 41 Degrees F. L__ Sanillzer Type: Not Set Up A Class ABC type Fire Extinguisher, land infat kitchen has # certificallon date of 04/04 NOTE: Items marked above with an asterisk (*) indicate a violation Inspector's Comments tensils in use, NBHC with RTE foods, Thermometer and test strips provided. Employees tralned by Serve Safe acknowledge receipt of this Inspection form and comments, es a Vyoure-Up eer 3/11/05 Date Signature of Recipient Inspector Signature . Reciplent: Schoonover, Scott For further Information please contact: Lauren P. Pamass Title Manager Santtallon and Sefety Specialist 400 West Rabinson Phone: 772.488.7772 Sresisuite B02 Orlarda, Fl 32801 STATUS SOURCE STATUS PHF TEMPERATURE CONTROL Yes *O1a Approved source Yes *03b Hot food at proper temperature Yes *O01b Wholesome, sound condition Yes *O3c Foods properly cooked/reheated Yes 02 Original container; properly labeled, date marking *03d Foods properly cooled STATUS PHF TEMPERATURE CONTROL "04 Facilities to maintain product temperature Yes “03a Cold food at proper temperatures during storage, *05 Thermometers provided and conspicuously placed display, service, transport, and cold holding Violations marked with an asterisk are critical violations, Items marked YES are In compliance. Items Marke *06 Potentially hazardous foods properly thawed ed NO are violations. Specific detaits of violation are fisted on subsequent pages. Items marked N/A are Not Applicable, Items Marked as N/O are Not Observed, and were not being conducted at the time of inspection. DPR Form HR 5022-015 STATE OF FLORIDA Page 2 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION License Number DIVISION OF HOTELS AND RESTAURANTS IBIT BR NOST 6602155 ~ - www. myflorida.com/dbpr_- EXH . FOOD SERVICE INSPECTION REPORT pection Date + 8/41/05 11:28:20 AM LEGAL NOTICE Fallure to comply with thls Notice may Initiate an administrative complaint that may result In suspension or revocation of your license and fines. STATUS PHF TEMPERATURE CONTROL STATUS GARBAGE AND REFUSE DISPOSAL Yes "07 Unwrapped or potentially hazardous food not re-served |Yes 33 Containers covered, adequate number, Insect and rodent! Yes "08a Food protection during storage, preparation, display, proof, emptied at proper Intervals, clean service, transportation INO 134 Outside storage area clean, enclosure properly « constructed Yes '08b Cross-contamination, equipment, personnel, storage Yes *08c Potential for cross-contamination; storage practices; STATUS INSECT AND RODENT CONTROL damaged food segregated No "35a Presence of Insects/rodents, Animals prohibited Yes *09 Foods handled with minimum contact No /35b Outer openings protected fram Insects, rodent proof Yes 40 In use food dispensing utensils properly stored STATUS FLOORS, WALLS, CEILINGS : STATUS PERSONNEL Yes 36 Floors properly constructed, clean, drained, coved ‘e441 Personnel with Infections restricted No 37 Walls, ceilings, and attached equipment, constricted, Yes (2a Hands washed and clean, good hyglanic practices clean (observed), altamative operating plan No 38 Lighting provided as required. Fixtures shlelded Yes *{2b Proper hyglenic practices, eating/drinking/smaking Yes 39 Rooms and equipment - vented as required (evidence) STATUS OTHER AREAS Yes 13 Clean clothes, hair restraints Yes 40 Employee lockers provided and used, clean | STATUS FOOD EQUIPMENT AND UTENSILS No "41a Toxic Items properly stored No 14 Food contact surfaces designed, constructed, Yes *41b Toxic Items labeled and used properly" maintained, installed, located : No 42 Premises maintained, free of litter, unnecessary articles. Cleaning and maintenance equipment properly. stored. Yes 15 Non-food contact surfaces designed, constructed, a maintained, installed, located Hatchen restrictad lo authorized personne! ; *16 Dishwashing facilities designed, constructed, operated |Yes 43 Complete separation from Ilving/sleeping area, laund : 1. Wash 2, Rinse 3. Sanitize Yes ‘44 Clean and soiled linen segregated and properly stored "17 Thermometers, gauges, tesi kits provided 18 Pre-flushed, scraped, soaked guishers - proper and sufficient Yes 19 Wash, rinse water clean "46 Exiting system - adequate, good repair Yes *20a Sanitizing concentration "47 Electrical wiring - adequate, good repair Yes *20b Sanitizing temperature Yes "48 Gas appliances - oroperly installed, maintained Yes 21 Wiping cloths clean, used properly, stored Yes "49 Flammable/combustible-materials - properly storad Yes 22 Food contact surfaces of equipment and utensils clean STATUS GENERAL - No .J23 Non-food contact surfaces clean . Yes .. [*50 Current license p Yes 24 Storaga/handling of clean equipment, utensils No S14 Other conditions sanitary and safe operation SINGLE SERVICE ARTICLES Yes 52 False/misleading statements published or advertised relating to foad/beverage No 25 Service items properly stored, handled, dispensed es 26 Single service articles not re-used No "53a Food management certification valld WATER AND SEWAGE/PLUMBING Yes *"53b Employee training validation Ye STATUS Yes *27 Water source safe, hot and cold under pressure S 84 Florida Clean Indoor Air Act Yes "28 Sewage and waste water disposed properly Yes 55 Automatic Gratuity Notice Yes 29 Plumbing installed and maintained No S56 Copy of Chapter 509, Florida Statutes, available No *30 Cross-connectlon, back slphonage, backflow “_STATUS GENERAL Yes STATUS TOILET AND HANDWASHING FACILITIES 57 Hospitality Education Program Information provided No *31 Toilet and handwashing facilities, number, convenient, |Yes 58 Smoke Frea designed, Installed : Yes 32 Restrooms with self-closing doors, fixlures operate properly, facility clean, supplied with handsoap, disposable towels or hand Total Number of COS Violations: 0 drylng devices, tlssue, covered waste receptacles Total Number of Repeat Violations:’ 1 Lo Hy Violations marked with an asterisk are critical violations. tems marked YES are in compliance. ems Marked NO are violations, Specific detalis of violation are Isted on subsequent pages, jlems marked N/A are Not Applicable. Items Marked as N/O are Not Observed, and were not being conducted at the time of inspection. DBPR Form HR 5022-015 ' STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONA. ULATION — License Number DIVISION OF HOTELS AND RESTAURANTS OST 6802155 www. myfiorida.com/dbpr - EXH | B Ie ion Data 11/05 11:28:20AM . FOOD SERVICE 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. Warning(s): 14-30 - Observed equipmant In poor repair, shelving abave 3 bay sink where clean food storage containers ara stored fs rusted, 14-30 - Observed gaskets In poor repalr, reach In cooler, plzza prep. 18-01 - Observed ald labels stuck to food contalners after cleaning. 23401 - Observed build-up of food debris, dust or dirt on nonfood-contact surface, condenser colls Inside walk in cooler, 23-01 - Observed bulld-up of greasy dust on nonfood-contact surface, hood filters. 25-03 - Observed single service items stored on fivor, pizza boxes. 30-04 - Observed missing vacuum breaker at hose bibb, employee restroom. 31-12 - Observed handwash sink used for purposes other than handwashing. Observed fond dabris, Pepperoni in drain, and paper towels Inside basin. 34-09 - Observed heavy garbage on ground around dumpster, 354-01 - Observed the presence of Insects, small black ants, on floor under 3 bay sink. 35B-03 - Observed outer openings nat protected with self-closing doors, rear exit. 37-02 - Observed celling solled wilh accumulated dust, above food prep area, 37-02 - Observed wall in disrapalr, cove molding tiles have come off the wall next to the mop sink. 38-02 - Observed lights missing the proper shield, sléave coatings or covers, near eng OF plaza prep area, 38-02 - Observed lights missing the proper shield, sleeve coatings or covers, walk In cooler. . 41A-01 - Observed toxle tam stored by uitonsis, Spray bottle of oven cleaner stored on top of plzza boxes, 42-09 - Observed unnecessary itams on the premise, old car seats and shopping carts stored outside rear exit. ‘ 48-11 - Observed exit lights not properly illumtnated,all 3 exit signs at both front and rear exits. 51-04.- Observed no Heimtich maneuver sign posted. Repeat Violation. 51-05 - Observed no copy of Jalest Inspection report. REFERENCE TEXT: 51-5 509,101(1) FS and 61C-1 .002(8){c} FAG: Any operatar-of-a pubic. food service establishment shall maintain the latest food service Inspection-- --- »- report or @ duplicate copy on premises and shall make tt avallable to the public upon request. The Operator af aach public food service establishment shall malntain the latest Inspection report on premises and shall make It available to any consumer who asks to saa It. 5QA-01 - Observed manager lacking proof of Food Manager Certification. 86-01 - Observed copy of Florida Statute 509 not avaliable In the establishment. Avaliable on website or 1.800.704.1076, DBPR Form HR 5022-015 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION DIVISION OF HOTELS AND RESTAURANTS www.myflorida.com/dbpr ; EXHI B IT B CALLBACK INSPECTION REPORT LEGAL NOTICE Failure to comply with this Notice may inftiate an administrative complaint that may result in suspension or revocation of Your Hons and fines. 4/12/05 11:07:57 AM Waring NOS6602155 NOST Callback Inspection Date and Time Inspection Reason Ucense Number JAZZBONE ENTERPRISES st ADMINISTRATIVE COMPLAINT recommended. (772)468-7772 Owner Name mo Area Code/Telephone Number PAPA JOHNS PIZZA Business Name Inspection Result 0 . ; 03/11/2005 Number of Units Requested Callback Date/Time Initial Warming Date 02506S US 1 . FT PIERCE A. 34982 Address / City / State / Zip / etc, . Comments L [The following ibem(s) have been recommended | for Administrative Complaint: jolation: 14-30 bserved equipment in poor repair, shelving above 3 bay sink where clean food storage contalners are stored is rusted, lolation: 14-30 Observed gaskets in poor repatr, reach in cooler, pizza prep. lolation: 23-01 Date Signature of Recipient Recipient: Jeannetta O'Connell For further inforvetion Sieoe co contact Tt Lauren P. Parnass e Person in charge Sanitation and Safety Speéialist 400 West Phone: 772.468.7772 Robinson Street,Suite 802 Odando, A. 32804 850.487.1395 DBPR Form HR 5022-005. eee STATE OF FLORIDA License Number DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ; DIVISION OF HOTELS AND RESTAURANTS = NosT —_ Nos660215: wvew. myflorida.com/dbpr Business Name cree EXHIBIT PAPA JOHNS PIZZA CALLBACK INSPECTION REPORT LEGAL NOTICE Inspection Date 4/12/05 11:07:57 AM Failure to comply with this Notice may initiate an administrative complaint that may result in suspension or revocation of your license and fines. . [Observed build-up of food debris, dust or dirt on nonfood-contact surface, condenser colls Inside walk in cooler. jolation: 30-04 bserved missing vacuum breaker at hose bbb, employee restroam. Molation: 3409 bserved heavy garbage on ground around dumpster. Uren 358-03 Observed outer openings not protected with self-closing doors, both rear exit's. jolation: 37-02 ne wall.in disrepalr, cove molding tiles have come off the wall next to the mop sink. jolation: 37-02 , bserved celling solled with accumulated dust, above food prep area. Miolation: 38-02 bserved lights missing the proper shield, sleeve coatings or covers, walk In cooler. i 38-02 ‘ Observed lights missing the proper shield, sleave coatings or covers, near end of pizza prep area. jolation: 42-09 bserved unnecessary items on the premise, old car seats and shopping carts stored outside rear exit. flolation: 46-11 Observed exit lights not properly liluminated,all 3 exit signs at both front and rear éxits. Observed on 04/12/05 , exit light at dry store exit door Is not Mlumuinate @ fallowihg Item(s) are in coinpliance: jolation: 18-01 : bserved old labels stuck to food containers after cleaning. lofation: 23-01 bserved bullld-up of greasy dust on nonfood-contact surface, hood filters. DBPR Form HR 5022-005 . sess it in

Docket for Case No: 05-003961