W C) MSU LIBRARIES .—:—. RETURNING MATERIALS: P1ace in book drop to remove this checkout from your record. Elfl§§ wi11 be charged if book is returned after the date stamped be1ow. M ,M 1,.1 ‘ 7' wu‘l flh‘ cut” 9 u Rim}! #61 192 mg D 2 21 MAR 67wa :YGQC‘ AN ASSESSMENT OF QUALITY ASSURANCE NEEDS IN CONVENIENCE STORE FOODSERVICE SYSTEMS by Nancy Louise Burch A THESIS Submitted to Michi an State University in partial ful illment of the requirements for the degree of MASTER OF SCIENCE Department of Food Science and Human Nutrition 1987 ABSTRACT AN ASSESSMENT OF QUALITY ASSURANCE NEEDS IN CONVENIENCE STORE FOODSERVICE SYSTEMS BY NANCY L. BURCH Foodservice is relatively new in convenience stores, a segment of the grocery store industry. This study of their processing methods included an on—site hazard analysis of roast beef sandwich processing at 6 locations in Lansing, Michigan and collection of food samples. Managers (n=13) and employees (n=27) at 15 locations were surveyed on their knowledge of safe food handling practices. Critical control points were time-temperature and personnel sanitation. The log means for Total Plate Counts following processing were 6.04/g and 8.39/g after 3 days of refrigeration in the store. Presumptive S. aureus was isolated in 612 of the samples but never exceeded 4.00 logs/g. TPC increased as time and temperature of storage increased. Managers were more knowledgeable about handling food safely than employees but the temperature danger zone for bacterial growth in foods was identified by only 162 of all participants. DEDICATION in memory of CHARLES H. SIMON my silent partner in all educational pursuits ii ACKNONLEDGMENTS In the years that it can take to develop and complete a project of this kind, many people play a significant role. I would like to express my appreciation for the parts many have played in helping me see this project through to print. I especially want to thank Dr. Carol Sawyer, who directed this research, for making the project a stimulating and valuable learning experience. I also want to thank Jean McFadden, who served as chairman of my advisory committee through the writing of the thesis, for her patient quidance and continued encouragement. Thank you to the other members of my committee, Dr. Mary Zabik, Dr. James Pestka, and Dr. Steve Raudenbush, for their support and advice. My sincere gratitude to the Michigan Food Dealers Association for their interest and monetary support, the participating stores and their employees, my colleagues and friends for their willingness to listen and be critical, and to L.B. for helping me believe in myself. iii TABLE OF CONTENTS LIST OF TABLESOOOOOOO.O0.0.0.0000...0.0.0.000...OOCV11 LIST OF FIGURES.O...0..OOOOOOOOOOOOOOOOOO...OOOOOOViii INTRODUCTIONOOOOOOOOOOOOOOOOOOOOOOOOOO.0.0.00.00000001 LITERATURE REVIEWOOOOOOOOOOOOOOOOOOO0.0.0.000000000008 convenience Store...0O.O0.00....0.00.00.00.00000000011 DemographiCSOOOOOOOOOOOOOOOOOOO0.0.0.000000000011 ProduCt miXOOOOOOOO00......OOOOOOOOOOOOOOOOO0.013 CUStomerSooooooooo000000000oooooooooooooooooooola Processing.....................................14 Employee Training..............................15 Industry Concerns..............................15 Hazard Analysis and Critical Control Points.........15 Background.....................................16 Hazard Analysis................................16 Critical Control Points........................17 Implementation.................................18 MinObiOlogical StUdieSOOOOOOOOOOOOOOOOOOOOOO0.0.0.019 Foodservice Personnel...............................22 certificationol0..O0.00....0.0.0.0000000000000022 Employee Knowledge.............................23 METHODS AND MATERIALSOOOOOOOOO0.00000000000000000000ZS SamplingOOOOOOOOOOOOOOOO...OOOOOOOOOOOOOOOOOOIOZS survey InStrumentoooooo00.000000000000000....0026 on-Site In8trument80000O0......0.00.00.00.0000026 CHAPTER 1 HAZARD ANALYSIS OF FOODSERVICE SYSTEMS IN CONVENIENCE STORESOOOOOOOCOOOOOOOCOO0.0...0.0.0.000000000000000028 AbStrECtooooooooooooooooooooooooo000.000000000029 IntrOdUCtionooo O... O OOOOOOOOOOOOOOO 0.... .0 0.0.030 iv Materials Bud Methods....................o.....32 Sample seleCtionooooooooooooooooooooo0000.32 Time-temperature study....................33 HACCP StudYOOIOO0000.0000000000000000.000033 Microbiological analysis..................34 ReSUItSoooooocoo-cocooooooooococoa-00000000000035 Hazard analys18...........................35 Critical contrOI PaintSoooooooooooooooooooB7 Microbiological analysis..................4O DiSCUSSiOnoooooooooooooooooooooooooo000.00.000.40 conCIuSionSOOOOoooooo000000ooooooooooooooooooooaa ACkDOWledgmentooooooooooooooooooooooooooooooo0044 CHAPTER 2 SAFE FOOD HANDLING KNOWLEDGE OF CONVENIENCE STORES PERSONNELoooooooooooooooooooooooooooooooooooooooooooaa AbstraCtOOOOO0.00.00.00.00...0.00.00.00.000000046 IntrOdUCtionooooooooooooooooo00000000000000.00047 Materials and MethOdSOOOOOOO000.000.000.000.00048 sample selection..........................48 survey formS..............................49 Statistical analysis......................49 Results..............C.........................50 Store demograph1C8000000000000000000000.0050 Observat10n8000000000000ooooooooooooooooooso Profiles..................................51 Statistical aHBIYS18.ooooooooooooooooooo0052 DiSCUSSion..‘..................................58 COHClUSionSoooo00000000000000.ooooooooooooo0.0.63 ACkHOWIedgmentoooooooooooooooo00000000000000.0064 SUMMARY AND CONCLUSIONS.0..00......0.0.0.0000000000064 PROPOSALS FOR FURTHER RESEARCH......................66 APPENDICES LIST OF Telephone survey............................68 Manager's survey............................7O Employee's survey...........................7S University committee on research involving human subjects - letter of approval.........78 Project statement...........................79 Consent form................................80 On-site evaluation form to evaluate store conditions on initial visit.................81 Hazard analysis evaluation form.............82 Letter to participating stores on microbiological analysis....................83 REFERENCESOOOOOOOO0.000000000000000000000.0.85 vi LIST OF TABLES REVIEW OF LITERATURE l. 2. CHAPTER 1. CHAPTER 1. 2. Foodborne disease outbreaks classified by place of mishandling foods, United States, 1974 to 1978 0.0000000000000000000000.00.00.0009 The eleven most important factors contributing to the occurrence of outbreaks of foodborne disease during 1961 through 1976..............10 1 Temperatures, Total Plate Counts and Staphylococcus Aureus Counts for Beef Sandwiches at Selected Convenience Stores........................................38 Temperatures before/after heating of roast beef sandwiches by store employees using the microwave oven in 3 different c-stores....39 2 Frequencies and percentages for manager and employee answers to questions regarding cold holding temperatures..........................56 Frequencies and percentages for manager and employee answers to questions regarding hot holding temperatures..........................57 Analysis of variance and test of significance for knowledge score and level of food safety training of employees.........................S9 Analysis of variance and test of significance for store cleanliness score and level of food safety training of employees..................59 Analysis of variance and test of significance for score on the food safety quiz and level of food safety training of employees.............59 vii LIST OF FIGURES CHAPTER 1 1. Process flow diagram for pre-cooked beef sandwich production at convenience stores....36 CHAPTERIZ l. A comparison of the ratings given for perceived knowledge of safe food handling practices by managers and employees..........53 2. A comparison of the ratings given for store cleanliness by the store managers, employees, and the researcher acting as consumer........54 viii INTRODUCTION Consumer patterns for purchasing and consuming foods in the United States have changed dramatically in the last 20 years as more women entered the work force, family size diminished, more single households emerged, and fewer meals were eaten at home as a family unit due to family member's schedules. Hall (1984) referred to these new consumers as "grazers", a food industry term for impulse eaters rather than three meal a day eaters who wander from one establishment to another picking up nourishment. They choose food with a more healthful image that is ready for immediate consumption or offers the convenience of ready in minutes with microwave preparation. The National Food Review (1985) reported that 232 of food dollars are spent on food away from home based on 1977-1978 data. One would expect that more recent data would Only increase the percentage. According to Gravani (1986) consumers want a food supply that is "wholesome and safe, appetizing, tasty and appealing, packaged properly, labeled fairly and accurately, attractively merchandized and sold at a price they can afford". It is interesting to note that wholesome and safe are listed first by the consumer and not assumed. Retail food outlets, such as convenience stores, are cashing in on this market by entering the foodservice 1 2 field and retailing such items as prepared sandwiches, salads, soups, pizza and burritos. Those stores that are attempting to be the most creative with in-store preparation and customer service (ie. unwrapping and reheating for patrons) are the most likely to attract grazers. At the same time the potential for food poisoning incidents increases with more handling of these foods by employees. Convenience stores are the largest segment of the grocery store industry with over 61,000 outlets across the United States represented by national chains, local chains, and independents. According to Downing (1980) 90% of all convenience stores were selling take-out food as early as 1979. This means the creation of a new foodservice system that is preparing potentially hazardous foods for a consumer with a large geographical scatter making epidemiological data rare should a food poisoning incident occur (Christian, 1980). This influx of foodservice sites is a tremendous burden on a governmental inspection program including both the Department of Public Health and the Department of Agriculture. These agencies have experienced budget cuts over the years resulting in too few inspectors in relationship to the work load. Grocery stores fall under the jurisdiction of the Department of Agriculture but foodservice is the domain of the Department of Public Health. Therefore many retail 3 stores are encumbered with dual inspections. Despite that overlap, regulatory agencies cannot assure safe food on a day to day basis in each establishment. Efforts to educate this group of food retailers in safe food handling practices is necessary since they carry the burden of responsibility for the safety of the food they sell (Davis, 1977). Effective self—inspection, on the part of the retailers could save the time and energy of governmental inspectors since visits could be less frequent (Chichy, 1983). This study assessed safe food handling knowledge of convenience store personnel and the relationship of that knowledge to any food safety training they had received in order to critique their ability to carry out a self-inspection program. There are eighty-two convenience stores in the Lansing, Michigan area. Many of these outlets sell take- out foods prepared by corporate commissaries or food processing chains rather than preparing these foods on— site. My interest was in outlets that prepare their own take-out foods, those that contract with small local commissaries for their take-out foods, and local outlets that also function as commissaries. These outlets were selected because they work directly with potentially hazardous foods and could be observed. They were believed to typify outlets elsewhere using similar types of equipment. There are three commissary convenience stores 4 and eleven in-house convenience stores in the Lansing area. One standard that has been used to judge the sanitary conditions under which foods have been prepared in foodservice systems is the microbiological evaluation of products. Research studies (Christiansen and King, 1971; Oblinger and Kennedy, 1980; 0ckerman and Stec 1980) have looked at the microbiological content of take-out foods in fast food and retail outlets. Those studies and the work of Bobeng and David (1977) that developed a Hazard Analysis Critical Control Point (HACCP) model for quality control of food processing procedures in foodservice operation could be used as a standard to evaluate convenience store foodservice systems. Bobeng and David state that, "HACCP is a preventive approach to quality control emphasizing microbiological control and identifying process stages where loss of control could present a food safety risk". Time-temperature, equipment and personnel sanitation are the critical control points that they monitored. Bryan et a1. (1978), Bryan and Lyon (1984), Bryan et a1. (1981), and Bryan and Bartleson (1985) have applied the HACCP approach to evaluating foodservice systems in many different settings. HACCP has not been applied directly to the processing of foods in convenience stores. Therefore my objectives were: 5 1) to observe the foodservice system in place at convenience stores used to prepare take-out sandwiches in an effort to find any hazardous conditions during processing and identify the critical control points that should be internally monitored in order to assist convenience stores in producing the highest quality product under the safest conditions. 2) to compare the processing methods used to prepare take-out sandwiches in convenience stores involved with in-house production to local convenience store commissaries contracted to supply other convenience store outlets with sandwiches. 3) to monitor total bacterial and presumptive S; aureus counts associated with sandwiches currently prepared in selected convenience stores as a measure of sanitation during preparation. 4) to establish a profile of convenience store personnel and assess their knowledge of established safe food handling practices for the foodservice industry. The following terms and definitions are of importance to this study; FOODSERVICE SYSTEM: (Kiehl, 1977) A facility where large quantities of food intended for individual service and consumption are routinely provided, completely prepared. The term includes any such 6 place regardless of whether consumption is on or off the premises and regardless of whether or not there is a charge for the food. TAKE-OUT FOODS: (National Restaurant Association, 1986) Ready-to-eat foods and beverages prepared at a full service restaurant, fast food place, convenience store, grocery store, supermarket or some other type of eating establishment and purchased to consume somewhere other than the place where it was bought. CONVENIENCE STORE (C-store): A small (1,000 to 3,200 squarefeet), higher-margin grocery store that offers an edited selection of staple groceries, non-foods, and take—out foods along with various services and/or gasoline. COMMISSARY FOODSERVICE SYSTEM: (Unklesbay et.al., 1977) This system has centralized food procurement and production functions with distribution of prepared menu items to several remote areas for final preparation and service. IN-HOUSE CONVENIENCE STORE: Defined for this study as a convenience store processing sandwiches within their store for on-site service. COMMISSARY CONVENIENCE STORE: Defined for this study as a convenience store processing sandwiches within their store for on-sight service and transporting 7 sandwiches to other contracted convenience store outlets. HAZARD ANALYSIS (HA): (Bauman, 1974) The identification of sensitive ingredients, critical process points, and relevant human factors as they affect product safety. CRITICAL CONTROL POINTS (CCP): (Bauman, 1974) Key processing determinants whose loss of control would result in an unacceptable food safety risk. LITERATURE REVIEW The National Research Council Food Protection Committee (1985) emphasized that there is no greater need for control over microbiological hazards than in foodservice and the home. Ninety—seven percent of foodborne disease outbreaks can be attributed to these two sources (TABLE 1). With only about 1% of foodborne disease outbreaks reported to the Center for Disease Control in Atlanta, Georgia this information is not sensitive enough to show any significant involvement of retail food stores in these outbreaks. But, the most important factors contributing to the occurrence of outbreaks of foodborne disease are factors which apply to food production in any setting including retail food store production of take-out foods. TABLE 2 lists the eleven factors that contributed to foodborne disease outbreaks in order of frequency for the years 1961 to 1976 (Klien, 1984). Economic losses associated with foodborne disease outbreaks have been enumerated by Todd (1985). Costs for the 17 incidents of foodborne disease in Canada and the United States that he studied ranged from $16,690 to over $1 million with a median of the average costs per case of $788. Costs included lost revenue due to bad publicity as well as TABLEZL. Foodborne disease outbreaks classified by place of mishandling foods, United States, 1974 to 1978. Place Number of Percent of Outbreaks Known Places Foodservice establishment 1,285 77 Homes 327 20 Food processing plants 52 3 Other/unknown/unspecified 615 -~ TOTAL 2 ,279 100 Source:.Adapted from Bryan, 1981. lO .uaooo ow ommomwc masonvoom no mxdoanpso you hummmmom: haaddm: was maOposu mHmeHSS omsmoon ucooamm ooa cane uses 0» mews seafloon .uouomm apouspanpcoo hands onp u H .msnp «monogamooo mo hozmSGoam mo nacho CH ooxcamw .cOwth hash ma map mzwuzc dude mocaaawm>udm no opzpmumuwa spasm: swansm :fi copuoama moocoowocfi mmH.H vozmfi>oh ho>asm 039 ”0902 .Awhmav spasm scam cmpmmwd Aammav .Hm pm cowax "mousom : HH mum>oumma magma m oa woos:0m summed Scum mecca mcwcwmuno h m pcosmwsuo mo mcwcdoao mumsvocwcH p w :ovaefiEupcooummouo HH w acmwcmamcw so @009 3a» umumcwempcoo mzfiumowcH NH 0 wcwuwonou passwocasH ma m mwmAOpm won mumsvmvwcH ma : mcfixoou no .wcficcmo .mcfimmmooag Anahosu mpmzdmcwcH om m mnemumm uopommcH Hm m mew>umm cam COwumamamaa .oozaon once so hue m we mmeg w: H meoom mo wswaooo mumsvmcmcH npcoohom mxcmm Loves: newpsnwaucoo .wwma nmzounp Hmma wcwaso mmmmmfiv onuonvoou no mxmmanpso mo mocoaasooo on» 0» mswpsnwuacoo mEOpowm essences“ umos cm>mHm use .m mamcoo cmuuoamm um mmzufizccmm moon new muesou mamusm .m can muzaoo cumam dmsoe .mmazsmaoasay .~ cho m>d30aoHE map mafia: mmzoamsm macaw an monoH30GMm moon pmmon mo mcfipmmn umpmm 0cm phonon mmszpmamgsoe .m mqm< (Specify) 5. Please mark an X at the location on the line below that indicates how you would rate yourself on your knowledge of safe food handling practices. Poor Below Average Average Above Average Excellent 1 1 1 1 L 2lease_aasssr_1hs_f9llcsiss.suesiicns_hz_fillins_in_the.blsaks- 6. Bot food must be kept at ______ F or above. ' 7. Cold food must be kept at ______ F or below. ar w‘ s ov ed. 8. _________Food containers must be stored off the floor. 9. _________Generally. frozen foods can be safely defrosted at room temperature. 10. _________Food handlers must wash their hands after taking breaks. 11. _________Food handlers may eat while preparing foods. 12. _________Knives must be cleaned and sanitized when switching from cutting one kind of food to another. 13. ________*Kitchen utensils can not be cleaned in hand wash sinks. 14. 15. 77 Please mark an X at the location on the line below that indicates how you would rate this store in terms of overall cleanliness as compared to other stores you have worked in or visited. Poor Below Average Average Above Average Excellent L l l L I Has a customer every complained to you of having become ill after eating a product from this store? Yes _ No PROFILE: 16. 17. 18. 19. 20. Please state your age. Please check one of the following categories as it describes you. male female Please place an X in front of the most advanced educational degree you have obtained as listed below. Less than high school ____High school diploma Completed vocational program after receiving high school diploma ____Attended a college but did not receive a diploma Received 2 year college diploma (AA) Received 4 year college diploma (BA or BS) Received post graduate degree (Masters, PhD. etc.) How long have you worked in convenience stores such as this one? 0 to 6 months 8 months to 1 year 1 year to 2 years 2 years to 5 years 5 years to 10 years more than 10 years How many hours per week do you work at this store? (hours/week) Thank you for your cooperation in filling out this survey and contributing to my study. j/Jué‘m. 6.41:.L- ' Nancy LJ’Burch APPENDIX 4. UNIVERSITY COMMITTEE ON RESEARCH INVOLVING HUMAN SUBJECTS - LETTER OF APPROVAL 78 APPENDIX u UNIVERSITY COMMITTEE ON RESEARCH INVOLVING HUMAN SUBJECTS - LETTER OF APPROVAL MICHIGAN STATE UNIVERSITY umcoewnmowmonmm MWWOWOMI“ "DIM Slim! (m 1!. WWW scam ”I” DIS-8|“ July 10. I986 Dr. Carol A. Sawyer Food Science & Human Nutrition Campus Dear Dr. Sawyer: Subject: Proposal Entitled "Hicrobial Quality Control Factors of Foodservice Operations in Convenience Stores." DCRIRS' review of the above referenced project has now been completed. I am pleased to advise that the rights and welfare of the human subjects appear to be adequately protected and the Committee. therefore. approved this project at its meeting on July 1. 1986. You are reminded that DCRIRS approval is valid for one calendar year. If you plan to continue this project beyond one year. please make provisions for obtaining appropriate DCRIRS approval prior to July 7. 1967. Any changes in procedures involving human subjects must be reviewed by the DCIIRS prior to initiation of the change. DCRIRS must also be notified promptly of any problems (unexpected side effects. complaints. etc.) involving human subjects during the course of the work. - Thank you for bringing this project to our attention. If we can be of any future help. please do not hesitate to let us know. Sincerely. Wt. leery E. Dredeck Chairman. DCRIRS BED/mjt cc: Nancy L. lurch’I' laveamflfinufinnubmflgnflfipuunQyhuflube APPENDIX 5. PROJECT STATEMENT 79 APPENDIX 5 PROJECT STATEMENT August 1986 PROJECT STATEMENT As a graduate student. I as seeking permission froe.you to conduct a study using information gathered at your convenience store. This research is a project of the Department of Food Science and Human Nutrition at Michigan State University and is endorsed by the Michigan Food Dealers Association. My interest is in the innovative trend of many convenience stores to enter the take—out food business as a true convenience to their shoppers. ln qy many travels to and from Lansing for classes. I have grown dependent on convenience stores for meals as l tired of fast food outlets and their offerings. The objectives of my study are to identify procedures in the handling and preparation of 'take out' foods sold in your store that influence their bacterial safety; to describe for the grocery industry who the convenience store employees and customers are; and to gather information on dual inspection by the Michigan Department of Agriculture and the local health departments for the use of the Michigan Food Dealers Association in support of a call for a unified inspection code. To gather data of this kind. I will need to have elployees and managers at your store fill out a brief questionnaire. ‘Pre-studies. using these forms. have shown that it takes approximately 5 minutes for the employees and about 15 minutes maximum for the managers to fill out these forms. Also. I would observe food preparation and handling practices at your facility as well as purchase food items for further study. Swabs of counter surfaces. enployee hands. and equipment would be taken. All data collected in this study will be treated confidentially when summarized and shared with the grocery industry through scientific and trade Journals. Information would be coded to protect your identity and the identity of your euployees. It is hoped that the findings of this study will assist you or the convenience store industry in doing the best Job possible. After all. as good food handling procedures for take-out foods are practiced. shelf life is increased meaning happier customers. and increased profits. “7. vi .fiethu/ Mancya L. rch. Graduate Student Michigan State University Carol A. Sawyer. Ph.D. Department of Food Science and humans Nutrition Mimi... Paul K. Fershee. Jr.. Michigan Food Dealers Association APPENDIX 6. CONSENT FORM 80 APPENDIX 6 CONSENT FORM 1 have been informed about the research study to be conducted in my store concerning Quality Control Factors for Foodservice Operations in Convenience Stores. The researcher has explained that there will be in-store visits consisting of a brief questionnaire to be filled out by employees and managers plus an overview of the facilities by the researcher. The researcher will then return to the store to observe production and/or receiving of "take out" foods and obtain samples of these “take out" foods for further study. Temperatures of holding areas and swabs of work areas and employee hands will be taken. The researcher assures me that the results of this research are strictly confidential. and that my name. the store’s name. and employee names will not be associated with the data gathered. When this investigation is concluded. I will be able to obtain a copy of the results from the researcher. My signature below indicates that I agree to participate in this study but I am free to withdraw my consent and discontinue my participation in this study at any time. Name Date Store/s Name Address/s Researcher Name Date Code a APPENDIX 7. ON-SITE EVALUATION FORM TO EVALUATE STORE CONDITIONS ON INITIAL VISIT 81 APPENDIX 7 ON-SITE EVALUATION FORM TO EVALUATE STORE CONDITIONS ON INITIAL VISIT STORE CODE 8 IN-HOUSE _______ COMMISSARY ______ DATE TIME _am/pm 1) Are recipes. job descriptions. or printed policies on safe food handling available to me? __Y ___N May I have copies? ___Y -__N 2) May I gather data in the store today? ___Y ___N 3) What training has been done of employees in safe food handling? 4) Have you heard of the Michigan Food Dealers Association? ___Y ___N Are you a member? ___Y ___N 5) What is the manager schedule in your store? 6) Would you be willing to donate samples of your products for my use in this study? Y SANDWICHES: Sold Prep’d Sold Prep'd Beef ___ ___ Egg Salad ___ ___ Beef/Cheese ___ __. Tuna Salad __. ._.. Turkey ___ ___ Ham Salad __, ___ Turkey/Cheese ___ ___ Chicken Salad ._. __. Submarine ___ ___ Sausage ___ __. Hotdogs ___ ___ Reuben __. _._ Other ___ ___ Other ___ ___ ___ SNACKS: Pizza ___ ___ Ice Cream ___ ___ Burritos ___ ___ Nachos ___ __. Cheese ___ ___ Other ___ __. SALADS: ' Potato ___ ___ Cole Slaw ___ ___ Macaroni ___ ___ Chef ___ ___ Tossed ___ __- Other ____ ___ -__ SOUPS: Meat/Cream ___ ___ Seafood/Cream __. ___ Meat/Vegt. ___ ___ Poultry/Vegt. ___ ___ Other ___ ___ Other ___ ___ Soap and single use towels available for employees Employees wash hands before beginning work Employees wash hands after smoking/breaks/sneezing/bathroom use Employees have no visible infected burns. cuts. or boils Cutting boards are washed and sanitized between operations All utensils and equipment are washed and sanitized after use Food prep equipment not in use is clean Temperature of refrigerators are at 45 F or below Temperature of freezers are 0 P or below Foods are defrosted under refrigeration or cold running water Metal stem type thermometers are used for measurement Pull dates are used on in-house prepared foods Pull dates are used on commissary provided foods Pull dates are not expired FIFO is used for ”take out” foods 4«<<<4<4««