Philadelphia Dept of Health Food Facility Inspection Report  
Philadelphia Dept of Health/Office of Food Protection
7801 Essington Ave. Phila., PA 19153
www.phila.gov/departments/department-of-public-health
No. of Risk Factor/Intervention Violations  8 Date  09/19/2019
No. of Repeat Risk Factor/Intervention Violations  0 Time In  01:10 PM
Number of Corrections   2 Time Out  01:40 PM
Food Facility
Madera Grocery
Address
897 N 50TH ST 19139
Telephone
(215) 878-0382
Establishment Type
Restaurant: Take Out Only
District
4
Sub
3
Licensee
Madera Grocery LLC 
Corporate Officer
Victor Aristy 
  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 OUT 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 IN Hands clean & properly washed    
7 IN No bare hand contact with RTE foods or approved alternate method properly followed    
8 OUT Adequate handwashing facilities supplied & accessible    
Approved Source
9 IN Food obtained from approved source    
10 IN Food received at proper temperature    
11 IN Food in good condition, safe, & unadulterated    
12 IN Required records available: shellstock tags, parasite destruction    
Protection From Contamination
13 OUT Food separated & protected    
14 OUT 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 IN Proper cooking time & temperature    
17 IN Proper reheating procedures for hot holding    
18 IN Proper cooling time & temperature    
19 IN Proper hot holding temperature    
20 OUT Proper cold holding temperature    
21 OUT Proper date marking & disposition    
22 IN Time as a public health control; procedures & record    
Consumer Advisory
23 IN Consumer advisory provided for raw or undercooked foods    
Highly Susceptible Population
24 IN Pasteurized foods used; prohibited foods not offered    
Chemical
25 IN Food additives: approved & properly used    
26 OUT Toxic substances properly identified, stored & used    
Conformance with Approved Procedure
27 IN 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 IN 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 IN Thermometer provided & accurate    
Food Identification
35 IN Food properly labeled; original container    
Prevention of Food Contamination
36 OUT Insects, rodents & animals not present; no unauthorized persons    
37 IN Contamination prevented during food preparation, storage & display    
38 IN Personal cleanliness    
39 IN Wiping cloths: properly used & stored    
40 IN Washing fruit & vegetables    
Proper Use of Utensils
41 OUT 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 OUT 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 OUT 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+ IN Philadelphia Ordinances    
Person in Charge (Signature)    Name:  Daniel Peralta Date:  
Inspector (Signature) D Brokenborough (215) 685-7537 Date: 09/19/2019
Philadelphia Dept of Health Food Facility Inspection Report  
Philadelphia Dept of Health/Office of Food Protection
7801 Essington Ave. Phila., PA 19153
www.phila.gov/departments/department-of-public-health
No. of Risk Factor/Intervention Violations  8 Date  09/19/2019
No. of Repeat Risk Factor/Intervention Violations  0 Time In  01:10 PM
Number of Corrections   2 Time Out  01:40 PM
Food Facility
Madera Grocery
Address
897 N 50TH ST 19139
Telephone
(215) 878-0382
Establishment Type
Restaurant: Take Out Only
District
4
Sub
3
Licensee
Madera Grocery LLC 
Corporate Officer
Victor Aristy 
  Purpose of Inspection
Inspection 
Inspection Type
Inspection 
FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS
Item/Location Temp Item/Location Temp Item/Location Temp
Tomato / Cold Prep Refrigerator 45.0 ° F Cheese / Cold Prep Refrigerator 47.0 ° F Eggs / Cold Prep Refrigerator 43.0 ° 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.
2 Violation of Code: [46.111(a) ] Food safety certified person could not demonstrate adequate knowledge of Health Awareness Reporting Procedure for employees. New Violation.
8 Violation of Code: [46.981(h)] No sign or poster posted at the handwash sink in the prep area to remind food employees to wash their hands.
No soap at hand washing sink. New Violation.
8 Violation of Code: [46.825(a)] Items stored inside of handwashing sink in prep area. New Violation.
13 Violation of Code: [46.301] No splash guard present between hand wash/grinder sink and deep fryer.
Knives stored in soiled seams. New Violation.
14 Violation of Code: [46.711(a)] Three compartment sink is not clean to sight and touch. New Violation.
20 Violation of Code: [46.385(a)(2)] Tomatoes in cold prep refrigerator observed at 45 degrees Fahrenheit instead of 41 degrees Fahrenheit or below. New Violation.
21 Violation of Code: [46.385(b)] * opened commercially processed ready to eat foods, located in the deli display case, and held more than 48 hours, were not marked
with the date it was opened. New Violation.
26 Violation of Code: [46.1021] Chemicals were stored above or on the same shelf with food, equipment, and/or single service articles in the prep/storage area. New Violation.
36 Violation of Code: [46.981(k)(l)] Flies observed throughout establishment. New Violation.
41 Violation of Code: [46.302] Knives observed stored in soiled seams. New Violation.
45 Violation of Code: [46.671] Domestic non-NSF ANSI reach-in freezers observed in the prep and storage area.
The knobs on cooking equipment were missing, and had to be turned off and on with pliers. New Violation.
45 Violation of Code: [46.521] Raw woods were used to support beverages in the walk-in cooler. New Violation.
48 Violation of Code: [46.805] The water pressure at the three compartment sink was inadequate. New Violation.
52 Violation of Code: [46.884] Trash receptacle stored inside of prep area observed with food waste inside, but without a lid. New Violation.
53 Violation of Code: [46.981(e)(m)] Mops, brooms, and dustpans are not properly elevated. New Violation.
53 Violation of Code: [46.981(a)(b)(c)(g)(n)] General cleaning needed under the equipments,by the side of the reach-in freezers in prep and storage due to dust and food debris. New Violation.
54 Violation of Code: [46.945] Personal items were observed stored on food product shelving in storage area. New Violation.
Remarks Completed on Site:4
Person in Charge (Signature) Daniel Peralta Date:  
Inspector (Signature) D Brokenborough (215) 685-7537 Date: 09/19/2019
Philadelphia Dept of Health Food Facility Inspection Report  
Philadelphia Dept of Health/Office of Food Protection
7801 Essington Ave. Phila., PA 19153
www.phila.gov/departments/department-of-public-health
No. of Risk Factor/Intervention Violations  8 Date  09/19/2019
No. of Repeat Risk Factor/Intervention Violations  0 Time In  01:10 PM
Number of Corrections   2 Time Out  01:40 PM
Food Facility
Madera Grocery
Address
897 N 50TH ST 19139
Telephone
(215) 878-0382
Establishment Type
Restaurant: Take Out Only
District
4
Sub
3
Licensee
Madera Grocery LLC 
Corporate Officer
Victor Aristy 
  Purpose of Inspection
Inspection 
Inspection Type
Inspection 
OBSERVATIONS AND CORRECTIVE ACTIONS
Item
Number
Violations cited in this report must be corrected within the time frames below.
Summary
Statements
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.

Due to imminent health hazards observed during this inspection, the establishment has been issued a Cease Operations Order and must discontinue food operations immediately. The establishment cannot operate for a minimum of 48 hours. The establishment cannot operate until the required fee is paid and the establishment is approved by the Department to resume operations. Please contact the Sanitarian at the phone number listed below for a re-inspection once the violations have been corrected and the fee has been paid.
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) Daniel Peralta Date:  
Inspector (Signature) D Brokenborough (215) 685-7537 Date: 09/19/2019