STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Noy DIVISION OF HOTELS AND RESTAURANTS ~9 lies DEPARTMENT OF BUSINESSAND x — ues anel¥isioy 4. 2 PROFESSIONAL REGULATION (> ( >) ( Diners rR vs. , : HEAR ioe! VE SOUTHERN COMFORT GRILL INC ticense Toe ate Respondent. Case No, 200705630 ADMINISTRATIVE COMPLAINT The DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, DIVISION OF HOTELS AND RESTAURANTS, (‘Petitioner’), files this Administrative Complaint against SOUTHERN COMFORT GRILL INC, ("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, Respondent fs, and has been at all times material hereto, licensed by or subjact to the jurisdiction of the _ Division of Hotels and Restaurants. The respondent's business address of record is 4211 20TH. ST, ‘VERO BEACH, FLORIDA’ 32080 Tie Tidiling addraus of readrd Is SOUTHERN COMFORT GRICL ING, at” 2275 89TH CT, VERO BEACH, FLORIDA 32926, 3, Inspection of this establishment conducted pursyant 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 hereln by reference. Inspection documents are attached as Exhibit "8", ‘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 experise at an educational program sponsored by the Department's Hospitality Education Program; suspension, revocation, or refusal of a license issued pursuant ta this Chapter, and/or any other rellef authorlzed by Chapter 509, Florida Statutes, or the rules promulgated thereto. Signed October 11, 2007 on : . s ra Valerie Freeman, District Manager By delegation of the Director, ar designee Division of Hotets & 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 , 2007 ‘ Received by:__- Inspector's Signature : Operator's Signature Title ‘ Title Case Number; 2007056330 = File Number: 207698 . District Number: 04 Licensa Number: 4100113 2010 Form revised 07.07.07 SOUTHERN COMFORT GRILL ING Exhibit A yt License Number: 4100113 “gy ha License Type: 2010 PERMANENT FOOD SERVICE “TAI: Case Number: 2007056330 52 FC as cited herein references specific provisions of the Food Code, ceconmnatoil ji an i ah lates Public Health Service, Food and Drug Administration, incorporated by Chapter 61C, ne da emi ate Cade, NFPA as clted herein references specific pravisions-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,” * denotes a critical violation. It is alleged that on July 3, 2007, September 18, 2007 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 report(s) for the above.referenced inspection(s) are attached hereto and incorporated by reference as Exhibit B, " 4,28-14-1 61C-1.004(1)(D) FAC: (1)(D) SEWAGE SHALL BE DISPOSED OF IN A PUBLIC | SEWERAGE SYSTEM OR OTHER APPROVED SEWERAGE SYSTEM IN ACCORDANCE WITH THE * PROVISIONS OF CHAPTER 64E-6 OR 62-601, FAC, HEREIN ADOPTED BY REFERENCE, WHICHEVER IS APPLICABLE. THERE WAS MOP WASTE WATER OVERFLOWING ON THE GROUND IN THE BACK OUTSIDE AREA. 2. 29-05-1 6-306.10 FC:; AVAILABILITY, A SERVICE SINK OR CURBED CLEANING FACILITY SHALL BE PROVIDED AS SPECIFIED UNDER CHAPTER 5-203,13 FG; AND 5-203,13 FC: AT LEAST 1 SERVICE SINK OR 1 CURBED CLEANING FACILITY EQUIPPED WITH A FLOOR DRAIN SHALL BE PROVIDED AND CONVENIENTLY LOCATED FOR THE CLEANING OF MOPS OR SIMILAR WET FLOOR. CLEANING TOOLS AND FOR THE DISPOSAL OF MOP WATER AND SIMILAR LIQUID WASTE, THERE WAS NO MOP SINK FOR THE FACILITY. 3. 38-05-1 6-303,11(A) FO: INTENSITY. THE LIGHT INTENSITY SHALL BE: (A) AT LEAST 10 FOOT-CANDLES AT A DISTANCE OF 30 INCHES ABOVE THE FLOOR, IN WALK-IN REFRIGERATION UNITS AND DRY FOOD STORAGE AREAS AND IN OTHER AREAS AND ROOMS DURING PERIODS OF CLEANING; THERE WAS NO FUNCTIONING LIGHT IN THE DRY STORAGE AREA. * denotes critical violation District: 04 Case Number: 2007066330 License Type: 2010 License Number: 4100113 File Number: 207698 SOUTHERN COMFORT GRILL ING Exhibit A * 4,35B-03-1 6-202.15FC:: OUTER OPENINGS, PROTECTED, (A) EXCEPT AS SPECIFIED IN PARAGRAPHS (8), (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 ALARGER 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) LIMITED-USE 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 1S 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 TO CONTROL FLYING INSECTS; 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. THE BACK DOOR WAS NOT SELF CLOSING. §.51-16-1 61C-1.002(6)(C)(1) FAC:: (1) THE OPERATOR OF EACH PUBLIC FOOD SERVICE ESTABLISHMENT TO BE NEWLY CONSTRUCTED, REMODELED, CONVERTED, OR REOPENED SHALL SUBMIT PROPERLY PREPARED FACILITY PLANS AND SPECIFICATIONS TO THE DIVISION FOR REVIEW AND APPROVAL IN ACCORDANCE WITH THE PROVISIONS OF CHAPTER 509, FS, AND RULE CHAPTERS 61C-1 AND 61C-4, FAC. SUCH PLANS MUST BE APPROVED BY THE DIVISION PRIOR TO CON e ae Ot REMODELING, CONVERSION, SCHEDULING OF AN OPENING INSPECTION AND LICENSING THERE WERE NO PLANS SUBMITTED FOR THE MOP SINK. A DRAWING |S REQUIRED TO BE FILED SHOWING THE CHANGE. * denotes critica! violation District: 04 Case Number: 2007056330 . License Type: 2010 License Number: 4100113 File Number; 207698 SOUTHERN COMFORT GRILL INC ~ EON PAT DEPARTMENT OF BUBINESS AND PROFESSIONAL REGULATION . DBPR Division of Hotats and Restaurants tt LEGAL NOTICE i Food Service Inspe BB 2010 Permanent Food Servis ©) 2012 Theme Park Food Cant BavricerdbaAMIB|T p Cl Unscheduled (ROUT) . D1 Licanaing (Lic) (1 Complaint Full (COMP) 1 Complaint Partial (GPAR) 0) Disaster Responge (DSTR) (CJ Epidemiological (EPI) {2 Service Request (SERV) (2) Quelty Assurance (A) (CO Training (TRNG) 1 2018 Vending tobhitin 2” 1 2051 Unloonted Food... Tha cid fates tothe bf of bach Aam inceats that ems stats ole Une st eerie eee Mark"X’ i appropiate bax for COS endior Re IN ={n compllanca_OUT = nolin compliance NiO = notobserved NIA » not applicable COS = corrected on-site during Inapection A= repeat violation | st COMPLIANCE STATUS oe [cosy] R IN | OUT Ofa_| Food obtained from approved source {| Approved Source IN [OUT TO |” [“ Bib | Wholesome, saund condition | |. IN | OUT | "NiO |" NA | 62 | Origial contelner, properly labeled date marking, shell stack tags, L | LIN | OUT N/A _|_02-11_| Consumer advisory on rawlundercooked oysters | | Goneumer Advisory IN N/A_| 2-13 | Consumer advisory on raw/underconked animal products | | Pelentey ww] our wa | 03a Gold Yad al proper tamperatures during storage, display, service, frensparl, || Hazardous Food IN | ouT [N/O_ [NIA [035 | "Hot focd at proper tamparature Tima/Temperature IN| OUT | NiO [ WA Q3c_| Foods properly cooked/reheated IN| OUT | N/O | NIA 03d __| Foods properly coolad IN] our | Unwrapped ar potentially | Protection fram iN 08a __| Food protection during storag Contamination IN O8b__| Cross-contamination, equi , IN || 22 | Food contact surfaces claan and sanitized [I LN | OuT [NiO F 08" | Foods handled with minimum contact IN| OUT [| 11 [Personnel with infections restricted - 3 T Personnel IN| OUT | NiO | {2b eating/drinking/amoking (avidence) Restrooms with self-closing doors, fixtures operate praperly, faciity clean, ~ IN | OUT 32” | supplied with hand soap, disposable towels or hand drying davices, tissue, covered waste receptacles ; LIN | [| | 41a_| Toxic substances properly stored Ghemeat Ci Lour yt [-4ib | Toxic substances properly labeled used Demonstrationof — - |_IN-}-OUT-| 53a-- Food management certification vaikt” <==" ~- pana cae Knowlsdga | IN | ouT 53b | Employee Treining verification | "OS™ Ce a i ____temfocsion p Dele AEG Haig CPM Cin |aa tennessee sen Bygdl futz ae "re dscn FA ge Se RT > 6 cl Er Wm Cote 9 ed (EOC! mM . Callback = Admin, Complaint Recommended Administrative Complaint Callback = Time Emorgancy Order Calback— Tine ssn (a8 ofan) Ca Rem LE a 0 einige i Adminis! ompiaint = Not Order Caliaack = C1 Chesed = Out of 5 (COFB) Oo Fe earner Rectranded o# ata t ‘i a Saba fo o ne PEELE UIBH gel Welarbare. CBee , Reet Mle ed ast] Vad let S50: S§T-LTIE - Peeaon | a Bagnntiy Inspectors Teképhons: DBPR Form HR $022-015 www, MyFlorida.canvbpr 2008 May 2 i t Food Service CSL “= GOMPLIANCE STATUS 7] "04 Facilities to mantain product temperature Division of Hotels and Reetaura DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION g/d / “7 nts LEGAL NOTICE us ; Page 2 of = Inspection Repo SOMPI 8 [1 34 Outside storage area clean, enclosure ly constructed 05 _ Thermometers providad and conspicuously placed. [_] "36a Presence on Ingecte/todents, Animals prohibited [1 '35b Outer openings protected from insects, rodent proof fol G5 Themomeler rovided and eonstuouely laced OG Potentially hazardous foods properly thawed “6c Potenilal for crosé-contarnination, storage practices; damaged LI 36 Physical facillies-ftoors properly constructed, clean, drained, food segrenated 0_In. use food dispanaing utensils property slored 13_Cleen clothes, halr restraints a. im 14 Food contact surfaces designed, constructed, maintained, installed, located cand LL] 15 Non-ood contact surfaces designed, constructed, maintained, {nalelled, located (1 16 Cishwashing facities designed, constructed, operated 1. Wash 2. Ringe 4, Saniiize C137 Physical factilies-walls, celings and allached aquipment, a Constructed, lean . Li! 38 Lighting provided as required. Fixiures shielded a (128 Rooms and equipment ~ vented as reauited 40 Employee lockers provided and used, clean [CJ] 42 Promises maintained, no Unnecessary anlicles, Cleaning & __Mmalntenance aquipment properly stored. Kitchen restricted, 143 Complote separation from livin 3 Civ Thermometers, gauges, test kits provided 18 _Précfluehed, sorapéd, soaked L}.44_ Clean and soled linen segregaled and |) 45 Fire extinguishers — propes and sufficient FIRE EXTINGUISHERG: Datofs) SUPPRESSION SYSTEMS: Datafa) aoe ahrenhelt 23 Non-food contact sufaces clean |_T "40 Exiting system — adequale, qood renar 1] *47 Electrical wiring = adequate, good repair {_."48_Gas appliances — properly Installed, maintained 24 Storagevhandling of clean equipment, utensils 25 _ Service items properly stored, handled dispensed 26 Single service articles not reused td “49_Flammable/combustible materials ~ properly slored L.} "60 Currant license, properly displayed “27_Walet souitts safe, hol and cold under pressure "28 Sewage and wasts water disposed properly 2a Plumbing installed and maintained : Crosa-connection, back siphonage, backfow at T ea hand washing faciiitias, number, convenient, designed, tall In 1733 Garbage conlainers covered, adequate number, tnsact and redant proof, emptied at proper intervals, clean ojations ced in this report must be comected within th ifn item No, LJ f1_Other canditfons sanitary and sata operallon . LD 82 Falst/mistedding stataments publ ished or adverilaed relating food/bave : C164 Florida Clean doy A Ae Gains _ a LJ 65 Automatic Gratuity Notice | |_TT 68 “Copy of Chapter 809, Florida Slalules avallabia £7, Hospltally Educallon Program information provided vmeeeus 8 frames below, or as slated on HO TOA NAWG 4 Ath det Aud A ARH PAM, Cdn he By aL cae ° SEE Hag C wnafattirt wh gfecidete cited beak PM Ln ded KE a . a Fa Pd a sake Chl ELL tek CM AD AO Ee. TO SE) ty » raat yb hirige. okie - Ahr "thes eG Kite k fr et, Pitan Yb) pittmans sete. Dia-ringdlae: 7 “eM Cueds él CHIL SLNAM CAEL. Pragiitel (jen Pres \ = ez “UMM Gt ch 42 Ati ihutla lt ph gitrdiey J lia Za ‘ . \ Me g i, CG Gf wate - red thle 2 UU arlY Or" Borat) Clore Pig Se Bh AS)| AAO, OR Orn C-Onrk certinde. 5 AW, r Giytn gid L! Additional Comnmwnits on Attached Shdet) y S A s/ ary Ctirp Parson in Charge syneuny CA] ot Z, Dvd : ETL, v4 Date UEKI : Inspector (Signatrey Whe-2 tig WAY Tao pats ALSO 7 , DBPR Form HR 6022-015 www.MyPlorida,convdbpr 2006 May 2 EXHIBIT B . DBPR State of Florida . Control : Department of Business and Professional Regulation : : Ae Division of Hotels and Restaurants “/ - JOE 3B _ www-hospitalityeducation.ong , $qauifne°7 ae lieth ; d// OF Page _ Dor = + ro COMMENTS SHEET = Addendum fo DEPR Fore FIR 8022-006, 6022-014, 5029-015, G000-080, or 6020-083, For canmnents To We Lodging Food Service, or HACCP Inspection; Call Back/Reinspection Report, or HACCP Plan Verification. Whe Oy ae ; At. Aas , OBPR Form HR 5022-042 ida, 2004 December C6 Ploridtais farfeats DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION DBPR Division of Hotels and Restaurants EXHI Sis 5 Rybt LEGAL NOTICE , . Food Service Inspection Report F012 Theme ParkFood Gan CIRSPESTRONTERE: | “Gwner None: . ‘C2013 catering a e/) Laky tA rite Li 12014 Mobile Food Dispensing Vehicle Fiusiness (DBA) Ni (21.2015 Vending Machine (2) Compan Ful (COMP) eee 11.2054 Unieensed Food (J Complaint Partial (GPAR) C7 Disaster Respones (DSTR) : ul (2) Epidemiological (EPI) Gly, Stata, Zi ta ata dd “4, 7 “oD Or 7 = 1 Service Request (SERV) thepeetor Area Visit Dale Viel Tire REMINDER: Your fcanse expires “1 (AFC? gk 1 Quality Asauranca (QA) [Month "[ Ba Stat C1] Training (TANG) ae hipeaue ae oS ae — ‘ie aided eer o ae ite aaah ee that lems siaive al a ime Tian =— “Hi COS = coreoted on-site during | IN = In compliance OUT = notin compliance NiO =nol observed NIA = nal a Ota} Foad obtained from approved source 4. Hb f Wholesome, , sound condition : aC {Consumer advieory on Tawlundercooked oysters 00-48 1" Gonsumer ecviso on rawlundercooked animal products.” : 03a ; Gold food al proper temparatures during storage, display, service, ® anspor, H 1 and cold holding _ ; Potentlally LN a Hazardous Food Our”: i Wh 2 086? Hot food at proper temperature © , Time/Temperature Pour uN WA | 030 ; Foods property cooked!rehested __? Unwra mk or sient hazardous food not ele Protection from Contamination _ 1 .£90ds handled with minimum contact Personnel with infections Testricted “Hands washed and clean, good hygienic — (observed), arene dpyedimves emertreernuereie * operating plan cc. Personnel : ol Our a NO; ; ‘2b F Proper hyglena pradlces, eating/drinking/smoking (evidence) {= : i | : Restrooms with self-closing doors, fixtures operate properly, facility clan,” : Cour) : 1 32 i { supplied with hand soap, disposable towels or hand drying devices, tsaue, : t | : t | covered waste receplaclas t : * Chemical eee OUT ia Yoxicabstanes propery stored TE i 1" 4b’ "Toxic substances properly labeled, used co Demonstration of O88 §3a__} Food management certification valid Knowledge . i 83b “T Erployee Tring verification | CE ay AS fies a: eT = sel _TINSPECTION:DIBPOSITIONS £704 = 1 Inspection Complated ~ No Further Action (ISAT) | J Gatlnack - Complled (CACM) a. monn [5 Waring Gen (WARN) (C1) Callback ~Extonston Given (GBEX) oO — Caliback ~ Admin, Gomplain| Recommended Aiminiskabve Complent Celbed k= Time Ne caiaa Time 1 Seasons (SEAS) OQ iceno ™ O Exteneion (At Extension (E0EX) C1 Closed — Out of Businoss (COFB) oO Adiieiaivg Detain Retonmended oO aaa > Not oO Emergency Order Calback ~ Not Pachnowedgé reco af these pacton| k66 Copy.of Chapler 509, Florida Statutes available _lct_57 Hospitality Education Program Information provided . f cl Boy fd] 20 Plumbing installed and maintained {_|30_Cross-conneslion, back siphonage, hackiiow LY*at Tollel and hand washing faoililles, number, conve convenient, designed, Installed 33 Garbage conlainers covered, adequate number, Insect and rodent Leh emptied at proper Intervals, clean ne “tem NO. Vooioecied inhi repor mus y, au sale ons das 0, Q OF code. . ; _. et ao Sauna Ge SE 7 0 |b Hal Shull “Sa CL ae Ln] LI h ay {’) {i 2, ) QA (Pa, —, aed an Sa p oa yoked win Son Pay Ora) bod Ae q WO Buk Musee ol Orr - ashlee Lida: rd el 28) Simic Oreo i Ceuarok): nea nae “bynes f MY was SG LON Quote SNE - or Cmar - ol ON YW CAA] = AR Was’ : ET Addhfonal Commahts on Attachéd Bhoet ae CJ CS Person in Charge (Signature), ' Date /- 3. 7 inspector (Signature) \ Prin tbne.dCli AEH Ly Date nF -O DBPR Form HR 5022-015 ; . JZ, se dotde cot 2008 May 2 Reovicist adicrts State of Florida DBPR Department of Business and Professional Regulation eel i, Division of Hotels and Restaurants h. >On www, hospitalityeducation.org Sooothern Comrburt GAL COMMENTS SHEET cont MBIT B ML - oc . Page 2 of? Addendum to DBPR Forms HR 5022-006, 5022-014, 5022-015, 5022-082, or 5022-083. Far comments to the Lodging, Food Service, or HACCP Inspection; Call Back/Reinspection Report, or HACCP Plan Verification. Ae ROY Oxy f uty SAO CONA Cy BARE 7 oe ¥- ta rts Pays aan sh st ~ £3) Sh ae ——_ semnenceannns ean ~ (5) Vy YVR VAD VS, VL ay ou Lad ~\o +: baywes0 ~ h ' om oat dhe . ; ba i Bic = On Ou ~Y) } rath eee sa ee . - AY das WoacB\ Ss. ya Yi BAO = pass “sYS.Q0 ALLY LAV} Y OW pour, hg NYU AL ay Mikro | ke tJ yet CAIAQ se gabe) ost SES. Spader Faas Te DBPR Form HR 6022-142 Prose Spavile : 2004 December 06

Docket for Case No: 07-005128

Issue Date	Proceedings
Jan. 18, 2008	Order Closing File. CASE CLOSED.
Jan. 14, 2008	Notice of Voluntary Dismissal filed.
Jan. 02, 2008	Order of Pre-hearing Instructions.
Jan. 02, 2008	Notice of Hearing (hearing set for January 24, 2008; 1:30 p.m.; Vero Beach, FL).
Nov. 19, 2007	Response to Initial Order filed.
Nov. 09, 2007	Election of Rights filed.
Nov. 09, 2007	Administrative Complaint filed.
Nov. 09, 2007	Agency referral filed.
Nov. 09, 2007	Initial Order.