Philadelphia Dept of Health Food Facility Inspection Report  
Philadelphia Dept of Health/Office of Food Protection
1900 N. 20th St. Phila., PA 19121
www.phila.gov/departments/department-of-public-health
No. of Risk Factor/Intervention Violations  5 Date  11/08/2018
No. of Repeat Risk Factor/Intervention Violations  0 Time In  11:25 AM
Number of Corrections   0 Time Out  12:55 PM
Food Facility
Goxhaj, Adif/Ray's/V05115
Address
1247 W NORRIS ST 19122
Telephone
(267) 288-3591
Establishment Type
Food Vendor: Mobile Food Vendor
District
5
Sub
3
Licensee
 
Corporate Officer
Adif Goxhaj 
  Purpose of Inspection
Inspection 
Inspection Type
Inspection 
FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS
IN=in compliance    OUT=not in compliance    N/O=not observed    N/A=not applicable
  
COS=corrected on-site during inspection    R=repeat violation
 Compliance Status COS R
Demonstration of Knowledge
1 IN Certification by accredited program, compliance with Code, or correct responses    
Employee Health
2 IN Management awareness; policy present    
3 IN Proper use of reporting; restriction & exclusion    
Good Hygienic Practices
4 IN Proper eating, tasting, drinking, or tobacco use    
5 IN No discharge from eyes, nose, and mouth    
Preventing Contamination by Hazards
6 OUT Hands clean & properly washed    
7 OUT No bare hand contact with RTE foods or approved alternate method properly followed    
8 IN Adequate handwashing facilities supplied & accessible    
Approved Source
9 OUT Food obtained from approved source    
10 N/O Food received at proper temperature    
11 IN Food in good condition, safe, & unadulterated    
12 N/A Required records available: shellstock tags, parasite destruction    
Protection From Contamination
13 IN Food separated & protected    
14 IN Food-contact surfaces: cleaned & sanitized    
15 IN Proper disposition of returned, previously served, reconditioned, & unsafe food    
 
 Compliance Status COS R
Potentially Hazardous Food Time/Temperature
16 N/O Proper cooking time & temperature    
17 N/O Proper reheating procedures for hot holding    
18 N/O Proper cooling time & temperature    
19 N/O Proper hot holding temperature    
20 OUT Proper cold holding temperature    
21 IN Proper date marking & disposition    
22 N/O Time as a public health control; procedures & record    
Consumer Advisory
23 N/A Consumer advisory provided for raw or undercooked foods    
Highly Susceptible Population
24 N/A Pasteurized foods used; prohibited foods not offered    
Chemical
25 N/A Food additives: approved & properly used    
26 IN Toxic substances properly identified, stored & used    
Conformance with Approved Procedure
27 N/A Compliance with variance, specialized process, & HACCP plan    
Risk factors are improper practices or procedures identified as the most prevalent contributing factors of foodborne illness or injury. Public Health Interventions are control measures to prevent foodborne illness or injury.
GOOD RETAIL PRACTICES
Good Retail Practices are preventative measures to control the addition of pathogens, chemicals, and physical objects into foods.
 Compliance Status COS R
Safe Food and Water
28 IN Pasteurized eggs used where required    
29 IN Water & ice from approved source    
30 IN Variance obtained for specialized processing methods    
Food Temperature Control
31 OUT Proper cooling methods used; adequate equipment for temperature control    
32 IN Plant food properly cooked for hot holding    
33 IN Approved thawing methods used    
34 OUT Thermometer provided & accurate    
Food Identification
35 IN Food properly labeled; original container    
Prevention of Food Contamination
36 IN Insects, rodents & animals not present; no unauthorized persons    
37 IN Contamination prevented during food preparation, storage & display    
38 OUT Personal cleanliness    
39 IN Wiping cloths: properly used & stored    
40 IN Washing fruit & vegetables    
Proper Use of Utensils
41 IN In-use utensils: properly stored    
 
 Compliance Status COS R
Proper Use of Utensils
42 IN Utensils, equipment & linens: properly stored, dried & handled    
43 IN Single-use & single-service articles: properly stored & used    
44 IN Gloves used properly    
Utensils, Equipment and Vending
45 IN Food & non-food contact surfaces cleanable, properly designed, constructed, & used    
46 IN Warewashing facilities: installed, maintained, & used; test strips    
47 IN Non-food contact surfaces clean    
Physical Facilities
48 OUT Hot & cold water available; adequate pressure    
49 IN Plumbing installed; proper backflow devices    
50 IN Sewage & waste water properly disposed    
51 IN Toilet facilities: properly constructed, supplied, & cleaned    
52 IN Garbage & refuse properly disposed; facilities maintained    
53 OUT Physical facilities installed, maintained, & clean    
54 OUT Adequate ventilation & lighting; designated areas used    
Philadelphia Ordinances
56 IN Person in Control of premises has not posted "No Smoking" signs.    
56+ OUT Philadelphia Ordinances    
Person in Charge (Signature)    Name:  Adif Goxhaj - A59604 - exp. 2/1/20 Date: 11/08/2018
Inspector (Signature) John Toner 215-685-6573 Date: 11/08/2018
Philadelphia Dept of Health Food Facility Inspection Report  
Philadelphia Dept of Health/Office of Food Protection
1900 N. 20th St. Phila., PA 19121
www.phila.gov/departments/department-of-public-health
No. of Risk Factor/Intervention Violations  5 Date  11/08/2018
No. of Repeat Risk Factor/Intervention Violations  0 Time In  11:25 AM
Number of Corrections   0 Time Out  12:55 PM
Food Facility
Goxhaj, Adif/Ray's/V05115
Address
1247 W NORRIS ST 19122
Telephone
(267) 288-3591
Establishment Type
Food Vendor: Mobile Food Vendor
District
5
Sub
3
Licensee
 
Corporate Officer
Adif Goxhaj 
  Purpose of Inspection
Inspection 
Inspection Type
Inspection 
FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS
Item/Location Temp Item/Location Temp Item/Location Temp
Cheese / Cold-Hold Unit 41.0 ° F Ham / Cold-Hold Unit 38.0 ° F Eggs / Cold-Hold Unit 52.5 ° F
Yogurt sauce / Cold-Hold Unit 44.0 ° F Cheese / Cooler 35.0 ° F French fries / Cooler 20.0 ° F
Beef / Cooler 27.0 ° F Tomatoes / Cold-Hold Unit 50.0 ° F /  
/   /   /  
/   /   /  
/   /   /  
/   /   /  
/   /   /  
Food Disposal
Food Types Volume Unit Pounds
OBSERVATIONS AND CORRECTIVE ACTIONS
Item
Number
Violations cited in this report must be corrected within the time frames below.
6 Violation of Code: [46.132] Person in charge observed donning single use gloves without a prior hand wash. New Violation.
6 Violation of Code: [46.131] No hot water is available in the unit. New Violation.
7 Violation of Code: [46.261] The person in charge was observed touching ready to eat food with his bare hands. New Violation.
9 Violation of Code: [46.211] Person in charge does not have a current commissary form. New Violation.
20 Violation of Code: [46.385(a)(2)] - Sliced tomatoes were held at 50 degrees F rather than 41 degrees F or below as required.
- Eggs were held at 52.5 degrees F, rather than 45 degrees F or below as required. New Violation.
31 Violation of Code: [46.611] Food facility does not have adequate refrigeration equipment to maintain all refrigerated foods at a temperature of 41 degrees F or below due to the unit's generator having no gasoline. New Violation.
34 Violation of Code: [46.59] Temperature measuring devices for ensuring proper temperatures of food are not available or readily accessible in all cold-holding units. New Violation.
38 Violation of Code: [46.152] Food employee observed not wearing hair restraints, such as nets or hats. New Violation.
48 Violation of Code: [46.805] No hot water is available. New Violation.
53 Violation of Code: [46.981(a)(b)(c)(g)(n)] Debris observed along floor perimeters of the unit. New Violation.
54 Violation of Code: [46.614] Hood ventilation system is not functioning due to no gasoline in the unit's generator. New Violation.
65 Violation of Code: [8-06.2.2] Grindable food waste (egg shells) observed inside of a trash can. New Violation.
Remarks Completed on Site:22
Summary
Statements
Due to conditions observed during the inspection, the establishment has agreed to discontinue food operations and voluntarily close until it is approved by the Department to resume operations. Please contact the Sanitarian at the phone number listed below to arrange for an inspection prior to opening.

This inspection has revealed that the establishment is not in satisfactory compliance. Corrective action is required to eliminate these violations. Compliance status will be assessed upon reinspection.
You are required under Section 6-502 of the Philadelphia Health Code to correct the violations listed as noted above. Your failure to correct these violations may result in the revocation of your health license and other legal action. Reinstatement of a revoked health license will require payment of another license fee. An appeal to these orders may be made to the Board of License and Inspection Review, Municipal Services Building, 1401 JFK Boulevard Philadelphia, PA 19102-1617
Person in Charge (Signature) Adif Goxhaj - A59604 - exp. 2/1/20 Date: 11/08/2018
Inspector (Signature) John Toner 215-685-6573 Date: 11/08/2018