Oct 22 2007 13:42 laf22/28e87 13:35 8584146749 DEPR OGA PAGE . STATEOF FLORIDA . DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION DIVISION OF HOTELS AND RESTAURANTS DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION . Petitioner, VS. ; \ License No. 4800550 MANATEE CAF! Sos ondent License Type 2010 one Gase No, 2007043215 ADMINISTRATIVE COMPLAINT The DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, DIVISION OF HOTELS AND RESTAURANTS, ("Petitioner’), flles this Administrative Complaint against MANATEE CAFE; (‘Respondent’), and says: . 4. Patifener is the state agancy charged with regulating the operation of public lodging establiahments and public foad services 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 Holels and Restaurants, The respondent's business address of racord is 11650 N W 115 ST, GHIEFLAND, FLORIDA 32626.Tha mailing addresa of record Is MANATEE CAFE, at 9050 N. W. 127 PL, CHIEFLAND, FLORIDA 32626. ‘ . 3. Inspection of thls establishment conducted pursuant to Sec. 509.092, Florida Statutes, revealed violations of tha provisions of Chapter 509, Florida Statutes, and / or the rules promulgated thereto governing operation of the establishment. Tha violation(s) found and applicable law are desorbed in Exhibit “A,” attachad herate and incorporated herein by refarence. Inspection documents are attached as Exhibit “B", incorporated herein by rafarence, WHEREFORE, Petitioner respactfully requests entry of an Order Imposing ona or more of the following penalties: administrative fine not to excaad $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 IIcanse issued pursuant to this Chapter, and/or any other relief authorized by Chapter 509, Florida Statutes, or the rules promulgated thereto, Signed August 01, 2007 Steven oo MEILE os Manager By delagation of the Director, or designee Division of Hotels & Restaurants Department of Business & Professional Regulation COUNSEL FOR THE DEPARTMENT: Chares F. Tunnictiff, Lead Attorney Florida Bar No. 0153831 . Department of Business & Professional Regulation 1940 North Monroe Street Tallahassee, Florida 32399-1007 CERTIFIGATE OF SERVICE ' BY CERTIFIED U.S. MAIL, ARTICLE NUMBER: 71803 9 1454 8726 (HEREBY CERTIFY that a true and correct copy of the foragoing ADMINISTRATIVE COMPLAINT haa been hand served by ma on this, day of Recaived by: Operator's Signature a Title Ingnector's Signatura Title Gage Number! 2007043216 File Number 160445 Disttet Number: 05 Licenea Nurnbsir: 480080 2010 Form revised 0977.07.07 MANATEE CAFE . a3/12 Oct 22 2007 la/22/2687 13:35 8584146749 DEPR OGA PAGE 4/12 Exhibit A License Number, 4800550 License Type: 2010 PERMANENT FOOD SERVICE Gase Number: 2007043215 FC as cited herain 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 herain references specific provisions of the National Fire Protection Association Life Safaty Code, Incorporated by reference at Chapter 44-3, Fire Prevention, General Provisions, Florida Administrative Coda, and 61C-1,004(5), Florida Administrative Code. * denates e critical violation, Itis alleged that on March 30, 2007, May 1, 2007 and July 2, 2007 tha licansea was in violation of Florida Statute 509(FS) and/or the Rulas of the. Division of Hotels and Restaurants, Florida Administrative Code (FAC), in the following particulars. Gopy(s) of tha report(s) for the above referenced inspection(s} are attached hereto and incorporated by reference as Exhibit 8. : + 41,0207 3S01.17(B) FC: (B}EXCERT AS SPECIFIED IN PARAGRAPHS (1) AND (B) OF THIS SECTION, REFRIGERATED, READY-TO-EAT, POTENTIALLY HAZARDOUS FOOD PREPARED AND PACKAGED BY A FOOD PROCESSING PLANT SHALL BE CLEARLY MARKED, AT THE TIME THE ORIGINAL CONTAINER IS OPENED IN A FOOD ESTABLISHMENT AND IF THE FOOD 1S HELD FOR MORE THAN 24 HOURS, TO INDICATE THE DATE OR DAY BY WHICH THE FOOD SHALL BE CONSUMED ON THE PREMISES, SOLD, OR DISCARDED, BASED ON THE TEMPERATURE AND TIME COMBINATIONS SPECIFIED IN PARAGRAPH (A) OF THIS SECTION; AND: (1) THE BAY THE ORIGINAL CONTAINER IS OPENED IN THE FOOD ESTABLISHMENT SHALL BE COUNTED AS DAY 1; AND (2) THE DAY OR DATE MARKED BY THE FOOD ESTABLISHMENT MAY NOT EXCEED A MANUFACTURER'S USE-BY DATE IF THE MANUFACTURER DETERMINED THE USE-BY DATE BASED ON FOOD SAFETY. OBSERVED PROCESSED, READY-TO-EAT, POTENTIALLY HAZARDOUS FOOD HELD MORE THAN 24 HOURS NOT PROPERLY DATE MARKED AFTER OPENING - DELI MEAT. + 02-19-41 3.603,11 FC: CONSUMPTION OF ANIMAL FOODS THAT ARE RAW, UNDERCOOKED, OR | NOT OTHERWISE PROCESSED TO ELIMINATE PATHOGENS. (A) EXCEPT AS SPECIFIED IN PARAGRAPH 3-401.11(C) AND SUBPARAGRAPH 2-401.11(0X3) AND UNOER PARAGRAPH 9-801.14(C), IF AN ANIMAL FOOD SUCH AS BEEF, EGGS, FISH, LAMB, MILK, PORK, POULTRY, OR SHELLFISH IS SERVED OR SOLD RAW, UNDERCOOKED, OR WITHOUT OTHERWISE BEING PROGESSED TO ELIMINATE PATHOGENS, EITHER IN READY-TO-EAT FORM OR AS AN INGREDIENT IN ANOTHER READY-TO-EAT FOOD, THE PERMIT HOLDER SHALL INFORM CONSUMERS OF THE SIGNIFICANTLY INCREASED RISK OF CONSUMING SUCH FOODS BY WAY OF A DISCLOSURE AND REMINDER. AS USING BROCHURES, DELI CASE OR MENU ADVISORIES, LABEL STATEMENTS, TABLE TENTS, PLACARDS, OR OTHER EFFECTIVE WRITTEN MEANS. (8) DISCLOSURE SHALL INCLUDE: (1) 4 DESCRIPTION OF THE ANIMAL-DERIVED FOODS, SUCH AS “OYSTERS ON THE HALF SHELL (RAW OYSTERS)," “RAW-EGG CARSAR SALAD,” AND "HAMBURGERS (CAN BE COOKED TO ORDER);" OR (2) IDENTIFICA OF THE ANIMAL-DERIVED FOODS BY ASTERISKING THEM TO A FOOTNOTE THAT STATES THAT THE {TEMS ARE SERVED RAW OR UNDERCOOKED, OR CONTAIN (OR MAY CONTAIN) RAW OR UNDERCOOKED INGREDIENTS. (G) REMINDER SHALL INCLUDE ASTERISKING THE ANIMAL-DERIVED FOODS REQUIRING DISCLOSURE TQ A FOOTNOTE THAT STATES: (1) REGARDING THE SAFETY OF THESE ITEMS, WRITTEN INFORMATION |S AVAILABLE UPON REQUEST: (2) CONSUMING RAW OR UNDERCQOKED MEATS, POULTRY, SEAFOOD, SHELLFISH, OR EGGS MAY INCREASE YOUR RISK OF FOODBORNE ILLNESS; OR (3) CONSUMING RAW OR WNDERGOOKED MEATS, POULTRY, SEAFOOD, SHELLFISH, OR EGGS MAY INCREASE YOUR RISK OF FOODBORNE ILLNESS, ESPECIALLY (F YOU HAVE CERTAIN MEDICAL “CONDITIONS. OBSERVED CONSUMER ADVISORY ON RAWIUNDERCOOKED ANIMAL PRODUCTS NOT PROVIDED. * denotes critical vielation , District: 05 Gase Number: 2007043215 : Licanse Type: 2010 License Number: 4800550 File Nurnber: 180445 . MANATEE CAFE Oct 22 2007 13:43 laf22/28e87 13:35 8584146749 DEPR OGA PAGE 5/12 Exhibit A 2:25-04-4 4-903.14(C} AND (DJ) FC: (C) SINGLE-SERVICE AND SINGLE-USE ARTICLES SHALL BE . STORED AS SPECIFIED UNDER PARAGRAPH (A) OF THIS SECTION AND SHALL BE KEPT IN THE ORIGINAL PROTECTIVE PACKAGE OR STORED BY USING OTHER MEANS THAT AFFORD PROTECTION FROM CONTAMINATION UNTIL USED, (D} ITEMS THAT ARE KEPT IN CLOSED PACKAGES MAY BE STORED LESS THAN 6 INCHES ABOVE THE FLOOR ON DOLLIES, PALLETS, RACKS, AND SKIDS THAT ARE DESIGNED AS PROVIDED UNDER SECTION 4-204. 122. OBSERVED SINGLE-SERVICE ITEMS ON FILOOR. 4 4.49-154 6901.14 FG AND 610-1.004(2(C) FAG: HANDWASHING SIGNAGE. A SIGN OR POSTER THAT NOTIFIED FOOD EMPLOYEES’ TO WASH THEIR HANDS SHALL BE POSTED AT Al. HANDWASHING LAVATORIES USED BY FOOD EMPLOYEES’ AND SHALL BE CLEARLY VISIBLE TO FOOD EMPLOYEES’. OBSERVED NO HANDWASHING SIGN PROVIDED AT FRONT HANOSINK. + 4. 41A10-4 7-201.41 FC: SEPARATION, POISONOUS OR TOXIC MATERIALS SHALL BE STORED 50 THEY GAN NOT CONTAMINATE FOOD, EQUIPMENT, UTENSILS, LINENS, AND SINGLE-SERVICE AND SINGLE-USE ARTICLES BY; (A) SEPARATING THE POISONOUS OR TOXIG MATERIALS BY SPACING OR PARTITIONING; AND (B) LOCATING THE POISONOUS OR TOXIC MATERIALS IN AN AREA THAT IS NOT ABOVE FOOD, EQUIPMENT, UTENSILS, LINENS, AND SINGLE-SERVICE OR SINGLE-USE ARTICLES. THIS PARAGRAPH DOES NOT APPLY TO EQUIPMENT AND UTENSIL CLEANERS AND _ SANITIZERS THAT ARE STORED IN WAREWASHING AREAS FOR AVAILABILITY AND CONVENIENCE IF THE MATERIALS ARE STORED TO PREVENT CONTAMINATION OF FOOD, EQUIPMENT, UTENSILS, LINENS, AND SINGLE-SERVICE AND SINGLE-USE ARTICLES. OBSERVED ROACH SPRAY IMPROPERLY STORED - ON TOP OF REFRIGERATOR, 5. 4241-1 6-801.114 FC: MAINTAINING PREMISES, UNNECESSARY ITEMS AND LITTER. THE PREMISES SHALL BE FREE OF; (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. OBSERVED UNNECESSARY ITEMS ON THE PREMISE. * denotes critical violation ; District: 05 Case Number! 2007043215 Licanae Type: 2010 Licange Number, 4800550 Filo Number: 180445 MANATEE CAFE . Oct 22 2007 13:43 laf22/28e87 13:35 8584146749 DEPR OGA PAGE §6/12 ; State of Florida Department of Business and Professional Regulation Rivision of Hotels. and Restaurants www, hospitalityeducation. org - CALL BACK/RE-INSPECTION REPORT ‘a pave _o LD WARMING DF DIRECT MOTICE: Fathure to hain compliance with thls notice at any future inspection may reault in a direct Naticate Show Causa. You will be fesued « Natlea to thaw Cause why sanctions chonld not fe esceaged agalnet yourdicenes, A hearing will ba hold at = time and place to be dosipnated by the director. Oeraer wise tous Bosieess wo Heedsen cfe Buetness Address: [LSC N ey — Ry __. Besivess wna a-COnTRCANGA Co Prehaering (Jon Stipulation Ci6n fearing Orcer Ciother. FECIPIENT'S HAME(PLEABE PART) 2002 February 08 DBPR Form BR 5022-006 Oct 22 2007 13:43 laf22/28e87 13:35 8584146749 DEPR OGA State of Florida Department of Business and Professional Reguiation Division of Hotels and Restaurants wre hospitatyedueaton org | EXHIBIT B Show Causa, A WARMING OF WOTICE TO ind C]Hesring raquested DIRECT WOTICE: boat SHOW CAUSE Nr natal J aut hae Fallure to belneompliance | j You will he teaued a Notice ta : with thiz nptice ot any Show Cause why senctione ‘ [10n Stiqularion mo futera Inupectlon iney ehould not be assessed apainet (Dn Hearing Order Rl Tine axtandad == dara. u Boo) result $n a direct Notice to your fitanse. A hearing will be q San ‘ held at a time and place te be C0ther: Ai) ATES Business Lity: C. 2 puner Wanw: aT Oat A Rete M Fr ee Business Nemes: Bueinass Address: i le 5.2 Nw { cher Mens, 04 on Lowe Cre, LOMAS ES x ale Ane AES - NOSE e406 Ls 5- AVIS MANS ot Hy NiO We Tae o nated aah Ic’ = « A % pase on ra i . ls. 4 Wolahen Y ia NO a wer bara {ie 4S j (eri CY AY est pyAg J Wek -_ ABPR Porm HR 8022-008 ott deaignetad by the director, FE gG :2| Hd] €-tle PAGE @7/12 2002 February 08 Oct 22 2007 13:44 laf22/28e87 13:35 8584146749 DEPR OGA PAGE 8/12 STATE OF FLORIDA rane PER Neon OP NOTASANG RESTALRANTE ar as . _ FOOD SERVICE INSPECTION REPORT. LEGAL NOTICE Failure te comply wih this Notica maty Intiate an adminierative somplairt thet may reault in suspension or reicdaition of your license and finoe, OMAOFARISPM Reutine 400950 EAT. Inepaction Date and Time Inspection Renson ' Udange Number SPI RAMA ING. ‘ : Owner Nama 357-499-9797, MANATEE CARE, musth . Aree Coda/Talaphane Number Buitiness Name Inapaction Result . 25 04/30/2007 06:00 AM Behe Number of Unite Callemck Date/Time Lieenae Expiration | T1650 N W145 ST. CHIEFLAND, 32628 Address / Clty / Stow / Zip / atc. Item 02: Food Temperatures Sexpt-PHF, Wichan, 140 Degesed F. Manager Nama! chits brown et et eon 43 Co Corfication Date: 10-04 Certified | concentration of n PPM, j fest deg, much In cvoder, #0 Degman F, by: National Regestry of Food Safety | . Profangianaie A Hood Superinalee iypa Pre Gxtinguieher, eure lv Michon ba a contests dinie of | baad AX H20 TEMP: 150 AX BTW OCATION; Kishan L acknowledye sooaipt of this inapection form and comments, SR hn BP 09-30-07 : Signature x Recipient Inapactor Signatre oT Date ig ; Racipiont: chris brown for tartar noma pee conte: . . Jufanne Browning, 5, . Tie ownee 7980 Arlington Expy Ste 610 ueckaonvila, FL 32211 Phone: 400-0797 ; §50-487-1385/Fax 004-727-5668 PHF TEMPERATURE CONTROL “03a Gold food at proper kamparatures during stomge, display, eervico, . . lin ___ [Ohh Wholesome, sound condita fou __|*02 Original container: proper labaled, date marking [roi Hat} aT propor toriparature. . in” Se a ee cn mwnreroomedannal in —_[rouaFoode sper ssled__—__-—__J nd [ po Vielailona marked «Rh on materigk ere orion! volallons, ti = BPR Form HR BOI2-018 - Oct 22 2007 13:44 laf22/28e87 13:35 8584146749 DEPR OGA PAGE 9/12 EXHBI & ; Page 2 STATE GF FLORIDA ener 4800550 DEPARTMENT OF BUSINES AND PROFESSIONAL REGULATION —usinens Nama DIMISION Kelas) shane tial MANATEE CAFE Inapection Dats FOOD SERVICE INSPECTION REPORT 03/30/07 12:15 PM Pale to comply with tha Note may Intlate nt achat cornet that rimy raaulth stapenlon or revocation of your lowe ad Foe PHF TEMPERATURE CONTROL GARBAGE AND REFUGE DISPOSAL 07 Unwrapped or potentially hmzardous foe nat re-sarved a: Containers covered, adequate number, insect and rodent proof, emptied at proper intarvals, clogr ~ Food protection during slorage, preperatian, diaptay, lpervice, vaneporievion 34 Qutside storage ared dlaan, anciosure properly ae |_| andi ' |_sTaTus _| ; Hote Polantal far crmcontarninetion; storage practous; STATUS ATUS 3 , : 2 soy lin __ "11 Personnel with Infections restrictad 37 Walls, cellings, and atiached equipment, constructed, | Mtn Handa washed and clean, good hyglenic practices clean : foun ___ {38 Lighting provided as required. Fldures ahialciad (obeerved), altamnative operating plan : ee | (evidence) STATUS OTHER AREAS: 13 Clem elathes, halt restraints : — 0 Employes jnckers provided and vead, clesn diva Towle Rene properly stored! lout | 14 Food contact eurfeces designed, constructad, . 41b Toxic items labeled end used prone mainteined, (natalied, looted e | 42 Pramisas malntained, free of jitter, unnecessary articies, 75 Norwood eamtact autaces designed, constricted, Jearing end maintenance equipment properly stored, maintained, installed, fowmtec iitchen restricted to authorized personnel ieDishwoening Tasilvee dacigned, constructed, oparaind |__| 1. Weah 2, Rinee 3. Sanitize jou ag L_-—___ 18 Pre-tushed, scraped, somlcnd 19 Wash, zines water. clabn, proper temperature ri Hehe Sanitizing coheaniration! : livingtslegping ares, Inund Total Number of COS Violations: Total Number of Repwet Violations: P32 Rentrooine with aal-tloging doore, fooures Cparate property, facility clean, supplied with handsosp, disposable howols or hand drying devices, tasue, covered wkital fatty Mamed OUT ure violations, Specie dutalis af vain af Usted on Violations marked with an extorigh are effin Violations. (lem marked IAL ore In rormpllance. pnd ware ne! being conduciadt ot the me of Taspecion, subsequent pages. Tloma mated N/A ara Nat Applicable. Item Marked m8 NIC are Mal Observed, OBPR Form HA 6027-015 J Oct 22 2007 13:44 laf22/28e87 13:35 8584146749 DEPR OGA PAGE EXHIBIT Berti . STATE OF FLORIGA, DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION guy anneal BIVISION OF ‘La AND RESTAURANTS oe wit FOOD SERVICE INSPECTION REPORT a0? 12:18 PM LEGAL NOTICE : Fodture to comply with thle Notlos may initiate an admintatrative compising that may Teauit in suepension or nevocatlon of your canes ancl free. warn teh 34-07-1:Observed potantlally Haxardows food cold held et greater than 41 dagnies Fehranhal. chonse 48 02-13:Consumiar advisory on rewhandetrmoked animal prodtncte eaaet :Obeerved prionased reacly-to-eat, polentialy hazardous food held more then 24 Roure not proparty dale marked afer opening. doll mante : 4a-00-1:No currently cortified dood service Manager an duly wih four or mone tinphveee engaged In (ood preparation. BUEOS TING proaf ef mquirad en ployor training provided, All public food service estebliahments must prvide Ihe division with pmat of amployae traning upon request, Jncludiirg, but not Ienliad to, a tha tine Of any division inapaction al the establtshment, ‘A504 f:Obeervedt sngieecnrviea lame wiornd on floor, ‘ 44-02-(2ollad cloths, linen, aprons, costs, or other uniform append not kept ina sukeDio eoatainer prior we hundering. 21-13: Wet wing eth not murod in spitizing aohrtion fetwaen Uses, : 20.27-1:Obonved lood-tonisel surfaces encrusted with gnaisse Andre wl dapoaite, dipper wel - 41B-03-1:Obyerend Lmispaled acy patties. . 348.054; Guine Qpoinga ned protneted with galf-closing doors. many lsavesineka S-00-1:-Hand eli missing fn food pvepamation mam Of ovoa. Cooking ome ye 16-1;Obaerved od dabrle accumutsted on Kiichan oor, basic woter bara SL07-1Lightsmissna th proper shel, slawwe enalings or covers DRA-ZE-T:Obsorved caw animal food sloned cwar nhiatly-tO-edi foox, cooking neachin 51-121:No Helmich manauvnr ely poate, 49-1 141:Observed LP-gas cfindent with graster than on pound LPagas capacity Inside @ butdim, Gt-11-1:Carben dlactde/nalian tanks not adequatialy secured, : : 47.61:Cbenrved ssdension cord in use far nondemparery partod, 47-1661; Olrmervad an uncovered electrical bo.” ; . ’ * ADA 1:Opserved uinecaueary Rana 60 ihe promise. ‘ : z-oeetrOhmarved ipekdue bulkjamp on somfoed-esinaet aura, tap ati A1ARH041 :Obmerwed tarde Ram Improperly sored, top of rifiigarmlae 22-15et:No handwashing aign provided al.» handink weed by feed amaloynet. 124-03-1 On nerved food amphoyes {anck, dishwaohar, walt elaff, etc.) washing baride hn & si other than an apotowed hand vents sink heTde1; mopicanning venue water dumped foto triple sink, Bae Tf :Loek of baller @eaue at each ioTet, lect rat DAFA Farm HA 5022016 1a/12 Oct 22 2007 13:45 laf22/28e87 13:35 8584146749 DEPR OGA PAGE 11/12 Ext B veges License Nurniber STATE OF FLORIDA SEAT 4800550 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION autnene Nati DIVISION OF HOTELS AND RESTAURANTS MANATEE CAFE ven miyfionida.comdbor Inspection Date FOOD SERVICE INSPECTION REPORT OY/30/07 12:15 PM ‘ LEGAL NOTICE Fafluna to comply witt thle Natica maty Infilete en administrative complaint that may rogutt In suspension or revocation of your Koenwe pnd fines. * gieteabNo copy of tnaet knapedtton report, DBPR Form HR so72016

Docket for Case No: 07-004819