Jan 25 2011 10:53 1/25/2611 11:39 8584146749 DEPR OGA PAGE State of Florida Department of Business and Professional Regulation Division of Hotels and Restaurants DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Petitioner, VS. GUANGDONG CHINESE RESTAURANT = ers eo _ Respondent. Case Number 2010012729 Ul 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 publi¢ 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 80 #148, LAKE CITY, FLORIDA 32055. The mailing address of record is GUANGDONG CHINESE RESTAURANT, at 2469 W US MWY $0 #148, LAKE CITY, FLORIDA 32055. 3. Inspection of this establishment conducted pursuant to Sec, 509.032, Florida Statutes, revealed violations of the provisions of Chapter 509, Florida Statutes, and for 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 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 nat to exceed $1,000 per offense, suspension, revocation, or fefusal 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 March 15, 2010 teven Yan Bodungen, District Manager By delegation of the Director, or designee Division of Hotels & Restaurants Department of Business & Professional Regulation COUNSEL FOR THE DEPARTMENT: Mare Drexler, Lead Attorney Florida Bar No. 0487058 Department of Business & Professional Regulation 1940 North Monroe Street Tallahassee, Florida 32399-2202 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 2010, hand served by me on this. day of : : Received by: Inspector's Signature Operator's Signature Title Title Cage Number: 2010012729 — File Number: 198081 District Number: 05 License Number: 2200217 20410 Form revised 10.15.09 GUANGDONG CHINESE RESTAURANT AS Jan 25 2011 10:53 1/25/2611 11:39 8584146749 DEPR OGA PAGE &d Exhibit A License Number: 2200217 License Type: 2010 PERMANENT FOOD SERVICE Gase Number: 2010012729 - - ——-—-F¢-as-citect herein-refarences-specific-provisions-of-the Food Gode; Recommendations-of the-United States——-— --—-----~ Public Health Service, Food and Drug Administration, incorporated by Chapter 61C, Florida Administrative Code. NEPA as cited herein references specific pravisions of the National Fire Protection Association Life Safely 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. {tig alleged that on May 21, 2009, July 20, 2009, February 22, 2010 the licensee was in violation of Florida Statute 509(FS) and/or the Rules of the Division of Hotels and Restaurants, Florida Administrative Code (FAG), in the following particulars. Copy(s) of the report(s) for the abave referenced inspection(s) are attached herate and incorporated by reference as Exhibit B. : : “ 4.03A-07-1 3-501.46(A) FC: (A) EXCEPT DURING PREPARATION, COOKING, OR COOLING, OR WHEN TIME IS USED AS THE PUBLIC HEALTH CONTROL AS SPECIFIED UNDER SECTION 3-501,19, AND EXCEPT AS SPECIFIED IN PARAGRAPH (B) OF THIS SECTION, POTENTIALLY HAZARDOUS FOOD SHALL BE MAINTAINED: (1} AT 135 DEGREES FAHRENHEIT OR ABOVE, EXCEFT THAT ROASTS COOKED TO A TEMPERATURE AND FOR A TIME SPECIFIED IN PARAGRAPH 3-401.11(B) OR REHEATED AS SPECIFIED IN PARAGRAPH 3-403.11(E) MAY BE HELD AT A TEMPERATURE OF 130 DEGREES FAHRENHEIT OR ABOVE; OR (2) ATA TEMPERATURE SPECIFIED IN THE FOLLOWING: (A) 4{ DEGREES FAHRENHEIT OR LESS; OBSERVED POTENTIALLY HAZARDOUS FOOD COLD HELD AT GREATER THAN 41°F. CHICKEN AND FISH BATTER IN TWO DIFFERENT AREAS BY SUSHI PREP, AT 55°F/62°F, SUSH! AT BUFFET BAR AT 59°F /64°F. REPEAT VIGLATION. * 3A OBAO4-1 3-302.11(A)(8) FG: (A) FOOD SHALL BE PROTECTED FROM CROSS CONTAMINATION BY: (8) SEPARATING FRUITS AND VEGETABLES, BEFORE THEY ARE WASHED AS SPECIFIED UNDER SECTION 3-302.15 FROM READY-TO-EAT FOOD. OBSERVED UNWASHED BUT PREPARED VEGETABLES STORED IN A CARDBOARD BOX THAT HAD CONTAINED RAW CHICKEN AND/OR BEEF. REPEAT VIOLATION. INSPECTIONS DATED 07/20/09 AND o2/22/10. + 2B. O8A-29-1 3-302.11(A)'4) FC: (A) FOOD SHALL BE PROTECTED FROM CROSS CONTAMINATION BY: (4) STORING THE FOQD IN PACKAGES, COVERED CONTAINERS, OR WRAPPINGS, . OBSERVED UNCOVERED FOOD IN WALK-IN COOLER AND FREEZER. REPEAT VIOLATION. 3.10-04-1 3-304.12(E) FC: IN-USE UTENSILS, BETWEEN-USE STORAGE. DURING PAUSES IN FOOD PREPARATION OR DISPENSING, FOOD PREPARATION AND DISPENSING UTENSILS SHALL BE STORED: (€) INA CLEAN, PROTECTED LOCATION IF THE UTENSILS, SUCH AS ICE SCOOPS, ARE USED ONLY WITH A FOOD THAT IS NOT POTENTIALLY HAZARDOUS, OBSERVED IN USE UTENSILS FOR NON-POTENTIALLY HAZARDOUS FOOD NOT STORED IN A CLEAN, PROTECTED LOGATION. BETWEEN REACH-IN COOLER AND PREP TABLE, REPEAT VIOLATION, © 4.20A40-1 4-501.114(A) FC:: MANUAL AND MEGHANICAL WAREWASHING EQUIPMENT, CHEMICAL SANITIZATION - TEMPERATURE, PH, CONCENTRATION, AND HARDNESS. A CHEMICAL SANITIZER USED IN A SANITIZING SOLUTION FOR & MANUAL OR MECHANICAL OPERATION AT EXPOSURE TIMES SPECIFIED UNDER PARAGRAPH 4-703.11(C) SHALL BE LISTED IN 21 CFR 178.1010 SANITIZING SOLUTIONS, SHALL BE USED IN ACCORDANCE WITH THE EPA-APPROVED * denotes critical violation District: 05 Case Number: 2010012729 License Type: 2010 License Number: 2200217 ; File Number: 198084 GUANGDONG CHINESE RESTAURANT Jan 25 2011 10:53 @l/25/2811 11:39 8584146749 DEPR OGA PAGE &5 Exhibit A MANUFACTURER'S LABEL USE INSTRUCTIONS, AND SHALL BE USED AS FOLLOWS: (A) A CHLORINE SOLUTION SHALL HAVE A MINIMUM TEMPERATURE BASED ON THE CONCENTRATION AND PH OF THE SOLUTION AS LISTED IN THE FOLLOWING CHART [SUMMARIZED AS FOLLOWS. MINIMUM CONCENTRATION 25 MG/L AT 120 DEGREES FAHRENHEIT WATER TEMPERATURE, PH 10 OR LESS; 50 MG/L AT 100 DEGREES FAHRENHEIT WATER TEMPERATURE (PH 10 OR LESS) OR 75 DEGREES on PAH RENHEIT-(PH-8-@R41ESS);100-MG/L-AT-55-DEGREES-FAHRENHEI-WATE R-FEMPERATURE;-PH -1.—--—-——nenen sons OR LESS.) OBSERVED DISH MACHINE CHLORINE SANITIZER NOT AT PROPER MINIMUM STRENGTH. REPEAT VIOLATION. INSPECTIONS DATED 07/20/09 AND 02/22/10. * denotes critical violation District: 05 License Type: 2010 Case Number: 2010012729 i License Number: 2200217 File Number: 198081 GUANGDONG CHINESE RESTAU RANT . :

Docket for Case No: 11-000435