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  11/15/2016
No. of Repeat Risk Factor/Intervention Violations  0 Time In  02:20 PM
Number of Corrections   1 Time Out  04:15 PM
Food Facility
Xin Le Yuan Restaurant
Address
2718 CECIL B. MOORE AVE 19121
Telephone
(215) 769-3335
Establishment Type
Restaurant: Take Out Only
District
5
Sub
2
Licensee
 
Corporate Officer
Bao Shuan Lin 
  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 OUT 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 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 X  
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 IN 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 IN Proper cold holding temperature    
21 IN 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 IN 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 OUT 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 OUT 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 OUT Non-food contact surfaces clean    
Physical Facilities
48 IN Hot & cold water available; adequate pressure    
49 OUT 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:  Bao Shuan Lin Date: 11/15/2016
Inspector (Signature) J Logan (215) 685-9011 Date: 11/15/2016
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  11/15/2016
No. of Repeat Risk Factor/Intervention Violations  0 Time In  02:20 PM
Number of Corrections   1 Time Out  04:15 PM
Food Facility
Xin Le Yuan Restaurant
Address
2718 CECIL B. MOORE AVE 19121
Telephone
(215) 769-3335
Establishment Type
Restaurant: Take Out Only
District
5
Sub
2
Licensee
 
Corporate Officer
Bao Shuan Lin 
  Purpose of Inspection
Inspection 
Inspection Type
Inspection 
FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS
Item/Location Temp Item/Location Temp Item/Location Temp
egg roll / Cold-Hold Unit 40.0 ° F Eggs / Walk-In Cooler 40.0 ° 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.
1 Violation of Code: [46.102] A food safety certified individual is not present. New Violation.
8 Violation of Code: [46.941(a)-(e)] Paper towels are not available at the prep area hand sink. New Violation.
8 Violation of Code: [46.825(a)] The prep area hand sink was blocked with a tray full of spices at the start of the inspection. The tray was later moved. Corrected On-Site.
14 Violation of Code: [46.712] Mold growth was observed in the ice cream scoop dipper well. New Violation.
14 Violation of Code: [46.731] The person in charge could not correctly describe the wash, rinse, sanitize, air dry method of cleaning food equipment and utensils. New Violation.
33 Violation of Code: [46.383] Shrimp was observed thawing in still water. New Violation.
36 Violation of Code: [46.981(k)(l)] -Several mouse droppings were observed along prep and storage area floor perimeters and shelves. Remove all droppings and disinfect contaminated surfaces.
-Live flies were observed in the prep area. New Violation.
36 Violation of Code: [46.922(e)(f)] -The front and back doors are open without screens to prevent the entry of vermin.
-A hole was observed in the restroom wall that leads to the outside. New Violation.
41 Violation of Code: [46.302] -Knives were observed stored in-between two cold holding units.
-The rice scoop was observed stored in stagnant water. New Violation.
43 Violation of Code: [46.775] Plastic utensils are not stored in a way so that utensil handles are presented to employees. New Violation.
45 Violation of Code: [46.671] - Rice and shopping bags are used to store food in freezers.
- Domestic deep freezers observed in the establishment are not NSF/ANSI approved.
- Garbage grinder installed at a shallow basin wall-mounted handwashing sink. Grinder must be installed at a deep basin sink with four legs.
- A drop-in counter hand sink is installed as a wall-mounted hand sink.
-Non-NSF approved bulk food storage containers are in use.
- A defective cold holding unit is used to store dry goods.
- Cups are used as scoops. New Violation.
47 Violation of Code: [46.711(b)(c)] Clean wok and wok gas lines. New Violation.
49 Violation of Code: [46.823(c)-(e)] A mop sink was not observed. New Violation.
Person in Charge (Signature) Bao Shuan Lin Date: 11/15/2016
Inspector (Signature) J Logan (215) 685-9011 Date: 11/15/2016
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  11/15/2016
No. of Repeat Risk Factor/Intervention Violations  0 Time In  02:20 PM
Number of Corrections   1 Time Out  04:15 PM
Food Facility
Xin Le Yuan Restaurant
Address
2718 CECIL B. MOORE AVE 19121
Telephone
(215) 769-3335
Establishment Type
Restaurant: Take Out Only
District
5
Sub
2
Licensee
 
Corporate Officer
Bao Shuan Lin 
  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.
53 Violation of Code: [46.921] -The prep area ceiling is not smooth and easily cleanable. New Violation.
53 Violation of Code: [46.981(a)(b)(c)(g)(n)] The floor around the grease trap needs cleaning. New Violation.
54 Violation of Code: [46.922(a)] Lights in the prep area are not shielded from breakage. New Violation.
61 Violation of Code: [18.04] A new owner has taken over the facility without having submitted a change of ownership application. New Violation.
Summary
Statements
Other language interpretive service used.

Food establishment licensee and operation changes require submission of a Plan Review Application. The Plan Review Guidelines, which includes this application, can be obtained from the website: http://www.phila.gov/health/pdfs/Plan_Review_for_Stationary_Food_Businesses.pdf
Contact the Plan Review Section, Office of Food Protection, for questions or appointments at 215-685-7495. Completed plan review submissions and fees may be mailed to: Plan Review Section, Office of Food Protection, 321 University Avenue, 2nd Floor, Philadelphia, PA, 19104.

This establishment is required to have a person with a valid Food Establishment Personnel Food Safety Certificate present at the establishment during all hours of operation and preparation. Due to the absence of any person with a valid Food Establishment Personnel Food Safety Certificate, 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.
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) Bao Shuan Lin Date: 11/15/2016
Inspector (Signature) J Logan (215) 685-9011 Date: 11/15/2016