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Scott County Health Department Environmental Health Services
Food, Hotel/Motel, and Vending Fiscal Year 2017 Annual Report
www.scottcountyiowa.com
Food Inspection Program OverviewThe Environmental Health service area of the Scott County Health Department is comprised of the Environmental Health Coordinator, a Resource Assistant, and 7 Environmental Health Specialists, 3 of which are primarily responsible for conducting inspections for the Food Inspection Program.
The goal of the Food Inspection Program is to protect the public from injury and/or illness by assuring that food establishments are in compliance with the Iowa Food Code. The Scott County Health Department is contracted by the Iowa Department of Inspections and Appeals to provide these services in Scott County.
All food service establishments that sell or serve food to the public must obtain a license and comply with the 2009 Iowa Food Code and the Iowa Administrative Code.
The 2009 Iowa Food Code is adopted from the FDA 2009 model code. The Food Code is based on scientifically developed factors focusing on public health and the prevention of food borne illness.
www.scottcountyiowa.com
DirectorEd Rivers
Deputy DirectorAmy Thoreson
Environmental Health
CoordinatorEric Bradley
Environmental Health Specialist
Karen Payne Primary Inspector
Environmental Health Specialist
Logan Hildebrant Primary Inspector
Environmental Health Specialist
Tara Marriott Primary Inspector
Environmental Health Specialist Tammy Loussaert
Organizational Chart
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Food Inspection ProgramThe Scott County Health Department inspects food service establishments, retail food establishments, mobile units, farmers market stands, vending machines, and temporary food vendors.
The department also investigates reports of food-borne illness, investigates complaints of food establishments, and provides education on safe food preparation to assure that food facilities meet the requirements of the Iowa Food Code and the Iowa Administrative Rules.
www.scottcountyiowa.com
Potential Outcomes of Inspections
Routine Inspection
No Violations Observed
Routine Inspection
Violations Corrected
on Site
Routine InspectionViolations Requiring Follow-up
Re-inspection
Any Type of Inspection
Imminent Health Hazard
Closure
Annual Food Establishment Inspections in 2017
1000
1100
1200
1300
1400
1500
1600
# Annual Inspections
15351421
ContractExpectation
SCHDCompletion
93% of food service establishments in Scott
County received an annual inspection, meeting contract
expectations.
www.scottcountyiowa.com
Due to staff shortages and training of new staff, the
food inspection team was unable to meet 100%
compliance.
Most Commonly Received Complaints
• General facility sanitation concerns
• Illness complaints
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Ensuring Compliance with Food CodeUpon the Scott County Health Department receiving a complaint, an Environmental Health Specialist is assigned to investigate the complaint at the earliest possible time, but under normal circumstances, within 48 hours. If it is a possible foodborne illness complaint, then the complaint shall be investigated within 24 hours.
• All complaints will be investigated.• A complainant’s name is always kept confidential.• If the complaint is not immediately corrected or cannot be immediately
resolved, a follow-up visit will be needed before the next routine inspection is conducted.
If at the time of any inspection, routine, follow-up, or complaint, conditions are such that the Environmental Health Specialist believes that operations should not continue due to critical violations that could cause food to become unsafe, the following action(s) may occur:
• The establishment may be closed until such time all violations are corrected.• Owner’s conferences may be held with the owner of the establishment.
www.scottcountyiowa.com
Ensuring Compliance With Food Code
493
458
300
350
400
450
500
CriticalViolation
Completedwithin 10 daysor Corrected
on site
Re-inspections With Critical Violations
Critical Violation
Completedwithin 10 days orCorrected on site
93% of critical violation re-inspections were completed
within 10 days of the date of inspection.
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Ensuring Compliance With Food Code
322
289
190
240
290
340
Non-CriticalViolation
Completedwithin 90 days orCorrected on site
Re-inspections with Non-Critical Violations
Non-CriticalViolation
Completed within90 days orCorrected on site
90% of non-critical violation re-inspections
were completed within 90 days.
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Ensuring Compliance With Food Code
82
1
99% of complaints were investigated to determine whether they were justified within timelines established by the SCHD Nuisance
Procedure.
Complaints Investigated byNuisance ProcedureTimeline
Complaints Not Investigatedby Nuisance ProcedureTimeline
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Compliance• Chain restaurants are noted to have a quick response
in correcting observed violations (possibly due to corporate oversight, financial resources, less complex food processes)
• Facilities where communication barriers or cultural differences are represented tend to be slower to correct violations
• Local, family-owned restaurants with no oversight and limited financial resources tend to have more compliance issues
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Enforcement• During FY17, there were a total of 20 food
establishment closures:
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3 – Sewage back-up 2 – Tornado
3 – No hot water 1 – Sanitation
1 – Numerous violations 1 – Non-compliance with re-inspection procedure
5 – Fire 4 – Non-payment
Enforcement• If at the time of any inspection (routine, follow-up,
complaint) condition are such that staff believe operations should not continue due to an imminent health hazard, the following action(s) may occur:– The establishment may be closed until such time all
violations are corrected– Owner’s conference may be held with the owner of the
establishment– The City Clerk in the appropriate city, or County Auditor’s
Office for establishments outside of city boundaries, may be contacted to hold up the approval of the liquor license until the establishment is in compliance
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Most Commonly Observed Food Code Violations
• Hand washing sinks properly supplied and accessible
• Proper cold holding temperatures
• Proper eating, tasting, drinking, or tobacco use
• Food separated and protected (Cross Contamination and Environmental)
• Food contact surfaces: cleaned and sanitized Inaccessible Hand Sink
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Patterns in Non-Compliance, Complaints, and Enforcement
• More food code violations observed when facility has experienced a change in management/turnover of staff
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Patterns in Non-Compliance, Complaints, and Enforcement
• FY15-FY17: Frequency of complaints for foodborne illness, general facility sanitation, and pest control have increased
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Complaints FY15 FY16 FY17
Foodborne Illness 6 14 18
General Facility Sanitation 1 4 15
Pest Control 2 6 7
Trends in Non-Compliance, Complaints, and Enforcement
• FY15-FY17: Frequency of foodborne illness complaints has been the lowest during summer months of June – August
• FY15-FY17: Frequency of foodborne illness complaints has been highest during winter months (December – February)*
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*trend may be related to increase in overall illness that the public then attributes to foodborne illness
Temporary Vendor Compliance
0
50
100
150
200
250
300
350
App toOperate
App Priorto Event
305 305
Vendors inComplianceTotal Vendors
100% of temporary food vendors submitted an application to operate and had their license in place prior to the event.
www.scottcountyiowa.com
Temporary Vendor Inspections
In FY17 the following temporary event inspections occurred:
• 246 Temporary vendors• 5 Mass Gatherings
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Mobile Food FacilitiesThe Scott County Health Department is required to inspect every mobile unit in Scott County each year. Standard inspections are conducted at the time each unit is licensed and additionally, any time they are operating in our jurisdiction in conjunction with events throughout the year.
Mobile units vary in their sizes and capabilities.
www.scottcountyiowa.com
Push Cart
Mobile Truck
The ServSafe Manager Training was developed by the National Restaurant Association. Upon completion of the training course, if an individual receives a passing score of 75%, the Certified Food Protection Manager certification is awarded. The certification is valid for 5 years. By January 1, 2018, every food service establishment will be required to have a Certified Food Protection Manager on staff.
The Food Inspection team provided ServSafe Manager education courses to restaurant staff members four times this year via an interactive classroom setting. The average overall score at the conclusion of each class exceeded 80%.
www.scottcountyiowa.com
ServSafe Class Outcomes
22
30
26
30
19
25
20
26
3
5
6
4
0 5 10 15 20 25 30 35
9/1/2016 Class
9/15/2016 Class
3/30/2017 Class
4/13/17 Class
FailPassTotal in Class
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Hotel/Motel ProgramThe Scott County Health Department Hotel/Motel Licensing and Enforcement Program issues licenses for hotels and motels, allows for routine, unannounced inspections of the premises, and requires inspections as a result of complaints. The goal of this program is to assure hotel/motel compliance with Iowa Administrative Code.
A hotel is any building equipped, used or advertised to the public as a place where sleeping accommodations are rented to temporary or transient guests. A license is not transferable or refundable and any change in location or ownership requires a new license.
The Hotel/Motel Licensing and Enforcement Program is based off of the Iowa Administrative Code 481 Chapter 37.
www.scottcountyiowa.com
Hotel/MotelThe Scott County Health Department contract states that licensed hotels/motels in Scott County will have an inspection completed on a bi-yearly basis by June 30th of each year.
In 2017, there were a total of 40 licensed hotels/motels. Of these, 37 hotels/motels required an inspection.
Scott County Health Department staff complete half of the total required inspections each year. On this bi-yearly schedule, 23 of the hotel/motel inspections were completed in FY2017.
www.scottcountyiowa.com
Hotel/Motel Inspections
37
23
10
20
30
40
# Hotel/Motel requiringan inspection
# Hotel/Motel inspected
Hotel/Motel Inspections FFY17
# Hotel/Motel requiringan inspection# Hotel/Motel inspected
www.scottcountyiowa.com
Hotel/Motel Violations
3 3 3
0
0.5
1
1.5
2
2.5
3
3.5
# Hotel/Motelwith violations
re-inspected with30 days
# Hotel/Motelwith violationsre-inspected
# Hotel/Motelwith violations
Violations # Hotel/Motel withviolations re-inspectedwith 30 days# Hotel/Motel withviolations re-inspected
# Hotel/Motel withviolations
100% of Hotel/Motel with violations were re-inspected within 30 days.
www.scottcountyiowa.com
Hotel/Motel Complaint Investigation
www.scottcountyiowa.com
18 18
9
02468
101214161820
# complaintsreceived
# complaintsinvestigatedaccording to
NuisanceProceduretimeline
# complaintsinvestigated that
are justified
Complaints # complaints received
# complaints investigatedaccording to NuisanceProcedure timeline# complaints investigatedthat are justified
100% of complaints were investigated according to SCHD Nuisance Procedure timeline.
Most Common Complaints
www.scottcountyiowa.com
• Bed Bugs
Compliance
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• FY17: No issues with hotel/motel compliance
• Hotels close the rooms that have been established as having bed bugs, provide treatment, and then re-open them. They all comply by voluntarily closing the rooms.
Enforcement
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• No need for enforcement during FY17 as all hotel/motel facilities complied during FY17
Patterns in Non-Compliance, Complaints, and Enforcement
www.scottcountyiowa.com
• More bed bug complaints are received regarding hotels/motels that rent rooms by the month
Trends in Non-Compliance, Complaints, and Enforcement
www.scottcountyiowa.com
• Bed bug complaints received continue to increase each fiscal year
Vending ProgramThe Scott County Health Department Vending Machine Licensing and Enforcement Program issues licenses for vending machines, conducts routine inspections of the machines, and conducts inspections because of complaints.
A vending machine is a food establishment which is a self-service device that, upon insertion of a coin, paper currency, token, card or key, dispenses unit servings of food in bulk or in packages without the necessity of replenishing the device between each vending operation.
Vending machines that serve “non-prepackaged food” which includes post- and pre-mix machines which serve such items as coffee, soft drinks, soup and similar items in cups and “potentially hazardous food” which are food products that must be stored at or under 41ºF, or 135ºF or above, are required to be licensed.
www.scottcountyiowa.com
Vending
01234567
# of vendingcompanies requiring
an inspection
# of vendingcompaniesinspected
7
5
Vending Inspections# of vending companiesrequiring an inspection
# of vending companiesinspected
71% of vending companies requiring an inspection, received an inspection by December. The 2 remaining vending companies were not inspected due to one machine switching to a mini market (FE/FSE) and the other machine’s ownership changing hands.
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Most Commonly Received Complaints
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• No complaints reported in FY17
• Historically have not had complaints about vending in Scott County
Compliance
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• Vending machine companies have complied with regulations during FY17
Enforcement
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• No enforcement actions required in FY17
• If violations were noted during a vending inspection, a re-inspection is completed within 10 working days; if violations have not been corrected at that time, a notice and order will be sent to the owner/operator and they will have 10 additional working days to correct the remaining violation(s)
Patterns in Non-Compliance, Complaints, and Enforcement
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• None observed
Trends in Non-Compliance, Complaints, and Enforcement
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• None observed