The health department in Tippecanoe County, Indiana is understaffed and overburdened, resulting in delays in inspecting restaurants and following up on violations. A Chinese restaurant called Harbor City was forcibly closed after an inspection found maggots and dozens of violations, exposing long-term neglect. While follow-ups often don't occur timely, restaurants are typically given chances to correct violations before fines or closure. Educating employees on health codes and maintaining hygiene is challenging for restaurants. Increased staffing and improved transparency of inspection results may help address these issues.
This document provides an introduction to the Android NDK. It discusses:
- What the Android NDK is and how it allows building and debugging C/C++ code to run on Android by invoking it from Java via JNI.
- Reasons for using the NDK including performance improvements from native code and reusing existing C/C++ libraries and code.
- The basic process for using the NDK including declaring native methods, generating headers, and implementing native code.
- Potential gotchas like managing reference counting and ensuring libraries are reinitialized when an activity restarts.
El documento describe los cambios físicos y psicológicos que ocurren durante el puerperio o período posterior al parto. Estos incluyen la involución del útero, los loquios, cambios en los senos y en los órganos reproductivos, así como posibles complicaciones como infecciones o trastornos de la lactancia. El documento también explica los cuidados y el tratamiento requeridos durante esta etapa para apoyar la recuperación de la madre.
Basilea 3, CRD4 e Banking Union - ProgrammaABIEventi
Il Pit-stop di fine anno su Basilea e su tutte le novità normative!
Basilea 3, CRD4 e Banking Union si terrà il 4 dicembre 2012 a Roma, Palazzo Altieri (Piazza del Gesù, 49)
Qual è adesso la road map verso Basilea 3?
Quali novità per la vigilanza con la Banking Union?
A che punto sono i sistemi per la gestione del rischio di liquidità?
Quale sarà il nuovo framework della vigilanza prudenziale?
Come cambia la normativa sul Trading Book?
Le banche sono pronte?
Maggiori informazioni su http://www.abieventi.it/eventi/1733/basilea-3-crd4-e-banking-union
El documento presenta varios textos complementarios sobre la relación entre la universidad y la comunicación. Se discute la importancia de la teoría de la comunicación en la enseñanza universitaria y se argumenta que sin un enfoque teórico la docencia se puede degradar a mera manipulación. También se enfatiza la necesidad de que la universidad esté en tensión con los procesos sociales y no distanciada de los rápidos cambios, para poder pensar críticamente sobre la realidad.
This document provides an introduction to the Android NDK. It discusses:
- What the Android NDK is and how it allows building and debugging C/C++ code to run on Android by invoking it from Java via JNI.
- Reasons for using the NDK including performance improvements from native code and reusing existing C/C++ libraries and code.
- The basic process for using the NDK including declaring native methods, generating headers, and implementing native code.
- Potential gotchas like managing reference counting and ensuring libraries are reinitialized when an activity restarts.
El documento describe los cambios físicos y psicológicos que ocurren durante el puerperio o período posterior al parto. Estos incluyen la involución del útero, los loquios, cambios en los senos y en los órganos reproductivos, así como posibles complicaciones como infecciones o trastornos de la lactancia. El documento también explica los cuidados y el tratamiento requeridos durante esta etapa para apoyar la recuperación de la madre.
Basilea 3, CRD4 e Banking Union - ProgrammaABIEventi
Il Pit-stop di fine anno su Basilea e su tutte le novità normative!
Basilea 3, CRD4 e Banking Union si terrà il 4 dicembre 2012 a Roma, Palazzo Altieri (Piazza del Gesù, 49)
Qual è adesso la road map verso Basilea 3?
Quali novità per la vigilanza con la Banking Union?
A che punto sono i sistemi per la gestione del rischio di liquidità?
Quale sarà il nuovo framework della vigilanza prudenziale?
Come cambia la normativa sul Trading Book?
Le banche sono pronte?
Maggiori informazioni su http://www.abieventi.it/eventi/1733/basilea-3-crd4-e-banking-union
El documento presenta varios textos complementarios sobre la relación entre la universidad y la comunicación. Se discute la importancia de la teoría de la comunicación en la enseñanza universitaria y se argumenta que sin un enfoque teórico la docencia se puede degradar a mera manipulación. También se enfatiza la necesidad de que la universidad esté en tensión con los procesos sociales y no distanciada de los rápidos cambios, para poder pensar críticamente sobre la realidad.
Ac Government 091005124359 Phpapp02 091007124148 Phpapp01 091009124527 Phpapp01Amy Collis
The document provides information about the structure and leadership of the United States Congress. It notes there are 535 members total, with 435 representatives and 100 senators. It then gives details about representatives and senators from Texas, including their terms and backgrounds. It concludes by listing current leaders of Congress such as the Speaker of the House, Senate Majority Leader, and their parties and home states.
La Unión Europea ha propuesto un nuevo paquete de sanciones contra Rusia que incluye un embargo al petróleo. El embargo prohibiría las importaciones de petróleo ruso por mar y limitaría las importaciones por oleoducto. Sin embargo, Hungría, Eslovaquia y la República Checa se oponen al embargo al petróleo, ya que dependen en gran medida de las importaciones rusas.
Este documento ofrece una introducción a Twitter, incluyendo una definición de Twitter, los términos más usados como "tuit", "timeline" y "hashtags", las 5 fases típicas de un usuario de Twitter, cómo usar Twitter para una empresa, y consejos para gestores de comunidades y marketing en Twitter. Explica conceptos como seguidores, seguidos, modas como #FollowFriday, y cómo medir la popularidad en Twitter.
Cuối năm 2008, People weekly magazine lần đầu tiên đưa hình ảnh một con chó lên trang bìa báo. Đây là một chuyện chưa từng xảy ra cho tờ tạp chí mang tên "People". Ngay đến nhật báo nghiêm túc nhất, tờ Washington Post cũng đã có những lời ca ngợi như sau: "Sự ra đời của con vật là một động lực mạnh mẽ cho đất nước đang gặp nhiều sự xáo trộn này. Bản thân con vật mang nhiều nỗi bi thương nhưng nó đã mạnh dạn đứng dậy và nhìn đời với sự bao dung và hạnh phúc. Tên của nó là Niềm Tin (Faith), đó là một con chó đứng bằng hai chân sau và có thể hiên ngang tiến bước như tất cả mọi con người trên xã hội này."
El documento describe la evolución de varios tipos de microprocesadores de Intel, incluyendo el Pentium clásico, Pentium Pro, Pentium MMX, Pentium II, Celeron, Pentium III, Intel Core 2 Duo y Pentium 4. Cada generación introdujo mejoras como mayor velocidad, caché adicional, soporte para gráficos acelerados y mayor eficiencia energética. El documento también menciona las características clave de las placas madre y buses de sistema compatibles con cada microprocesador.
The document provides details on proposed user interface and flow changes to Sprint's Plan Optimizer tool. It describes new and updated pages for the landing page, recommended plan details, usage charts, and the plan change process. The updates are aimed at simplifying the user experience, improving readability of recommendations, increasing usage data visibility, and allowing comparisons of up to three recommended plans.
Get real-time visibility of which employees and on-site and which are not. Employees can tag in or out from their own PC, Mac, laptop, or via their smartphone, card scan, or via reception. Tracking the attendance or presence of employees ensures you can account for them in the event of an emergency.
Salah Attar successfully completed BitDefender Desktop Products Technical Training on February 14, 2011. The certificate is valid for 12 months according to Ovidiu Lepadatu, the Global Training Manager.
Bollywood is the Hindi language film industry based in Mumbai, India. It is the largest film producer in India and is popularly known as the cultural icon of India. Bollywood produces around 200 films per year and has a huge global audience and following worldwide.
The document discusses rising COVID-19 cases on Maui and restrictions imposed on bars and restaurants. It notes that 33 new cases were reported on Christmas Eve, the highest single-day total. Many of the new cases were linked to social gatherings and "bar-like behavior" at restaurants without masks or distancing. Recent cluster reports showed cases linked to restaurants and bars. While some new cases were older, officials said bar closures likely prevented a larger outbreak. The restrictions have negatively impacted local businesses, with one owner saying the changing rules are "definitely killing us."
The Restaurant Opportunities Center of Michigan (ROC-MI) is conducting a study called the Great Service Divide to examine occupational segregation and inequality in Detroit's restaurant industry. The study is using matched pair testing where pairs of testers who only differ in race/ethnicity apply simultaneously for the same job to measure discrimination. So far 20 tests have been completed, but more are needed to achieve statistically significant results. The study aims to build on ROC-MI's prior research on workplace discrimination and barriers faced by minority workers. Ultimately, a report will be produced with recommendations for policymakers and employers to address issues found.
The COVID-19 pandemic significantly impacted restaurants in Toronto. Dining restrictions meant restaurants could only offer takeout and delivery, causing many to lose money and customers. Chinatown restaurants especially suffered due to pandemic origins. Gerrard Street restaurants also struggled, with some permanently closing. While government relief programs helped employees and owners, issues around debt, especially unpaid rent, remain a major challenge. Continued closures are expected as recovery will be difficult with added costs being passed to consumers.
CDC MMWR Health Department Use of Social Media to Identify Foodborne Illness ...Raed Mansour
Harris J.K., Mansour R., Choucair B., Olson J., Nissen C., Bhatt J. Health Department Use of Social Media to Identify Foodborne Illness — Chicago, Illinois, 2013–2014. MMWR 2014;63:681-685.
Ac Government 091005124359 Phpapp02 091007124148 Phpapp01 091009124527 Phpapp01Amy Collis
The document provides information about the structure and leadership of the United States Congress. It notes there are 535 members total, with 435 representatives and 100 senators. It then gives details about representatives and senators from Texas, including their terms and backgrounds. It concludes by listing current leaders of Congress such as the Speaker of the House, Senate Majority Leader, and their parties and home states.
La Unión Europea ha propuesto un nuevo paquete de sanciones contra Rusia que incluye un embargo al petróleo. El embargo prohibiría las importaciones de petróleo ruso por mar y limitaría las importaciones por oleoducto. Sin embargo, Hungría, Eslovaquia y la República Checa se oponen al embargo al petróleo, ya que dependen en gran medida de las importaciones rusas.
Este documento ofrece una introducción a Twitter, incluyendo una definición de Twitter, los términos más usados como "tuit", "timeline" y "hashtags", las 5 fases típicas de un usuario de Twitter, cómo usar Twitter para una empresa, y consejos para gestores de comunidades y marketing en Twitter. Explica conceptos como seguidores, seguidos, modas como #FollowFriday, y cómo medir la popularidad en Twitter.
Cuối năm 2008, People weekly magazine lần đầu tiên đưa hình ảnh một con chó lên trang bìa báo. Đây là một chuyện chưa từng xảy ra cho tờ tạp chí mang tên "People". Ngay đến nhật báo nghiêm túc nhất, tờ Washington Post cũng đã có những lời ca ngợi như sau: "Sự ra đời của con vật là một động lực mạnh mẽ cho đất nước đang gặp nhiều sự xáo trộn này. Bản thân con vật mang nhiều nỗi bi thương nhưng nó đã mạnh dạn đứng dậy và nhìn đời với sự bao dung và hạnh phúc. Tên của nó là Niềm Tin (Faith), đó là một con chó đứng bằng hai chân sau và có thể hiên ngang tiến bước như tất cả mọi con người trên xã hội này."
El documento describe la evolución de varios tipos de microprocesadores de Intel, incluyendo el Pentium clásico, Pentium Pro, Pentium MMX, Pentium II, Celeron, Pentium III, Intel Core 2 Duo y Pentium 4. Cada generación introdujo mejoras como mayor velocidad, caché adicional, soporte para gráficos acelerados y mayor eficiencia energética. El documento también menciona las características clave de las placas madre y buses de sistema compatibles con cada microprocesador.
The document provides details on proposed user interface and flow changes to Sprint's Plan Optimizer tool. It describes new and updated pages for the landing page, recommended plan details, usage charts, and the plan change process. The updates are aimed at simplifying the user experience, improving readability of recommendations, increasing usage data visibility, and allowing comparisons of up to three recommended plans.
Get real-time visibility of which employees and on-site and which are not. Employees can tag in or out from their own PC, Mac, laptop, or via their smartphone, card scan, or via reception. Tracking the attendance or presence of employees ensures you can account for them in the event of an emergency.
Salah Attar successfully completed BitDefender Desktop Products Technical Training on February 14, 2011. The certificate is valid for 12 months according to Ovidiu Lepadatu, the Global Training Manager.
Bollywood is the Hindi language film industry based in Mumbai, India. It is the largest film producer in India and is popularly known as the cultural icon of India. Bollywood produces around 200 films per year and has a huge global audience and following worldwide.
The document discusses rising COVID-19 cases on Maui and restrictions imposed on bars and restaurants. It notes that 33 new cases were reported on Christmas Eve, the highest single-day total. Many of the new cases were linked to social gatherings and "bar-like behavior" at restaurants without masks or distancing. Recent cluster reports showed cases linked to restaurants and bars. While some new cases were older, officials said bar closures likely prevented a larger outbreak. The restrictions have negatively impacted local businesses, with one owner saying the changing rules are "definitely killing us."
The Restaurant Opportunities Center of Michigan (ROC-MI) is conducting a study called the Great Service Divide to examine occupational segregation and inequality in Detroit's restaurant industry. The study is using matched pair testing where pairs of testers who only differ in race/ethnicity apply simultaneously for the same job to measure discrimination. So far 20 tests have been completed, but more are needed to achieve statistically significant results. The study aims to build on ROC-MI's prior research on workplace discrimination and barriers faced by minority workers. Ultimately, a report will be produced with recommendations for policymakers and employers to address issues found.
The COVID-19 pandemic significantly impacted restaurants in Toronto. Dining restrictions meant restaurants could only offer takeout and delivery, causing many to lose money and customers. Chinatown restaurants especially suffered due to pandemic origins. Gerrard Street restaurants also struggled, with some permanently closing. While government relief programs helped employees and owners, issues around debt, especially unpaid rent, remain a major challenge. Continued closures are expected as recovery will be difficult with added costs being passed to consumers.
CDC MMWR Health Department Use of Social Media to Identify Foodborne Illness ...Raed Mansour
Harris J.K., Mansour R., Choucair B., Olson J., Nissen C., Bhatt J. Health Department Use of Social Media to Identify Foodborne Illness — Chicago, Illinois, 2013–2014. MMWR 2014;63:681-685.
This document discusses the legal challenges that Latino entrepreneurs may face when opening a food business in the United States compared to their home countries. It will examine FDA regulations regarding food safety and interviews with business owners who have migrated from Latin American countries. The anticipated findings are that US law restrictions significantly impact food businesses and can challenge the authenticity of cultural cuisines. Migrant restaurant owners need to understand how legal standards in the US may differ from their home countries. The purpose is to help future entrepreneurs avoid potential problems by recognizing restrictions they will face.
Based on the case study Chipotle Mexican Grill Quality AtStake. .pdfaminaENT
Based on the case study Chipotle Mexican Grill: Quality At
Stake.
Please answer the following questions accurately and thoroughly.
What were the main shortcomings of the processes? Chipotle Mexican Grill: Quality at Stake
"Perception is reality, and people perceive fresh food to be safe food. But that's not necessarily
the case. Fresh means no chemicals, no preservatives, and that the food isn't processed. And with
that comes a certain amount of risk. Chipotle receives products from a mass number of suppliers.
If you're receiving food from only a few suppliers, it's much easier to manage. If you're receiving
food from over 100 suppliers, it's much more difficult to manage, " - Francine Shaw (Shaw),
President of Food Safety Training
Solution
s, in May 2016 "If there is a silver lining in not knowing for sure what the cause is, it is that it
has prompted us to do a comprehensive reassessment of all of the ingredients we use with an eye
to establishing best practices for the handling of each ingredient we use. The result of this
reassessment is an enhanced food safety plan that should allow us to eliminate or mitigate risks
in this area to a level near zero." - Chris Arnold, Communications Director, Chipotle Mexican
Grill, in December 2015 In July 2017, Chipotle Mexican Grill (Chipotle), a Mexican chain of
fast food restaurants based in Denver, Colorado, provisionally closed a restaurant in Virginia, the
US, after more than 130 customers complained of falling ill and experiencing symptoms
consistent with norovirus. The company reassured its customers that it was maintaining proper
food safety procedures. "Norovirus does not come from our food supply, and it is safe to eat at
Chipotle," said Jim Marsden, Executive Director of food safety at Chipotle. Nevertheless, the
shares of the company declined by 4% as soon as news of the closure of the facility came out. To
add to its woes, on July 18,2017 , three mice were filmed running around a Dallas Chipotle
restaurant. Though the company stressed that it was "an extremely isolated and rare incident",
this development, brought Chipotle once again back in the news for its food safety, an issue that
had been plaguing the company since 2015. At the beginning of 2015, hundreds of customers of
the fast food chain across 14 states fell sick after a series of outbreaks ranging from E. Coli to
norovirus to salmonella. As a result, sales were affected and in January 2016 , they were down
by as much as 36%. In an effort to win back its customers, Chipotle had not only strengthened its
food safety practices, but also spent heavily on promotions and discounts. It also took various
initiatives including testing new menu items like the queso cheese dip and a Mexican dessert
called buuclos. While the company was in the process of regaining consumer trust, the closure of
its facility in Virginia seriously affected its brand image. Though Chipotle soon reopened the
facility in Virginia and no other restaurants in the c.
Great things in business are never done by one person. They're done by a team of people.
Technology is nothing. What's important is that you have a faith in people, that they're basically good and smart, and if you give them tools, they'll do wonderful things with them.
That's been one of my mantras - focus and simplicity. Simple can be harder than complex: You have to work hard to get your thinking clean to make it simple. But it's worth it in the end because once you get there, you can move mountains.
Steve Jobs
This document summarizes a presentation on healthcare compliance. It discusses how mandatory compliance requirements have increased in recent years through various laws and regulations. Specifically, the Affordable Care Act requires companies to have compliance programs with core elements in place by March 2013 or risk exclusion from federal healthcare programs. The presentation recommends that organizations conduct background checks on all employees, licensed and unlicensed, to various degrees to avoid noncompliance penalties that can include fines, damages, and exclusion from Medicare/Medicaid billing. It provides examples where lack of compliance oversight resulted in millions paid in penalties and kickbacks.
This document discusses the benefits of third party food safety audits and outlines some issues that have arisen due to failures in the auditing process. It summarizes two major food safety crises in the US linked to failures of third party audits, highlighting the need for more rigorous auditing standards and processes. The document advocates for harmonized global food safety standards, process-based auditing, ensuring auditor competency, and the role of certification bodies in continuously improving food safety.
Forensic and Valuation Issues in HealthcarePYA, P.C.
PYA Principal Carol Carden co-presented “Forensic and Valuation Issues in Healthcare” at the AICPA Forensic & Valuation Services Conference in New Orleans, LA, November 10, 2014.
Niagara County Legislature's letter to Governor Andrew Cuomo about use of for...wkbw
The Niagara County Legislature is requesting Governor Cuomo consider activating the New York State National Guard Medical Staff to staff the former Newfane Intercommunity Hospital to specifically serve nursing home residents who test positive for COVID-19.
The document discusses active managerial control (AMC) practices being recognized in Fairfax County food establishments. It recognizes 15 food service operators over the past 10 months for demonstrating excellent AMC to minimize foodborne illness risk. AMC includes setting food safety policies, training staff, verifying policies are followed, and having corrective actions. Recent award winners employ practices like temperature logging, daily thermometer calibration, labeled sanitizer buckets, and more. The document encourages all food operators to consider how they are using AMC in their own establishments.
This document summarizes a research project conducted for Chipotle to analyze the impact of a 2015 E. coli outbreak on customer perception in State College, PA. The researchers conducted a survey of Penn State students to compare spending habits and opinions of Chipotle before and after the outbreak. They also reviewed secondary research from Foursquare analyzing foot traffic and sales at Chipotle locations nationwide from late 2015 through 2016. The goal was to determine if the outbreak affected customer perception in State College and evaluate Chipotle's marketing efforts to regain customer trust after the health issues.
This document provides a business plan for The Canal Bar, a proposed restaurant and bar in Las Colinas, Texas. The executive summary outlines the concept of providing quality food, drinks, and live local entertainment in a unique canal-side location. The target market is 21-45 year old professionals in Irving. The plan includes sections on vision/mission, industry analysis, products/services, marketing strategy, management, finances, and investment proposal. Key points are establishing The Canal Bar as a community gathering place and nightlife destination in Las Colinas through its atmosphere, entertainment, and focus on customer service.
If you can see something, and it is wrong, you can fight it with a reasonable chance of success. Fighting the nonexistent is worse than pointless: Don Quixote tilted at windmills, but at least windmills are real.
- Mike Klepper
If thou are not versed in the business of adventures...get the aside and pray...whilst I engage these giants in combat. The scariest dragons and the fierest giants usually turn out to be no more than windmills.
- Miguel de Cervantes Saavedra, Don Quixote
This document summarizes evidence from numerous studies that have found smoke-free laws for restaurants and bars do not negatively impact business. The studies examined factors like sales, employment, profits, and found no effect or slightly positive trends after implementation of such laws. The document also notes that public health and many business and restaurant leaders now support smoke-free laws as beneficial for both health and business.
1. Strain on health department impacts
restaurant inspections
Emma Ea Ambrose
The Harbor City Restaurant in downtown Lafayette, Ind., was shuttered after
a health inspection found cockroaches and maggots and dozens of other
violations. (Dwight Adams/Lafayette Journal and Courier) Wochit
LAFAYETTE, Ind. — Images from a July inspection of Harbor City paint a
picture of filth and long-term neglect — from the dirt-encrusted surfaces to
the maggots on the floor.
Of the 50 health code violations, the insect infestation spelled a temporary
closure for the Chinese restaurant, of which a judge ordered the closure in
early July.
Just eight months before, the Tippecanoe County Health Department cited
Harbor City for 36 health code violations, including the presence of live and
2. dead cockroaches. When the health department followed up in November,
inspectors found 19 violations, including unclean equipment. The severity of
the violations merited another inspection within 30 days to ensure the worst
offenses had been corrected.
But that never happened.
In fact, the follow-up didn't occur until July 6. Two days later,
Judge Don Daniel issued an injunction, on the health department's
recommendation, closing the restaurant.
It's not the first time the health department did not follow up promptly with a
restaurant after finding serious violations, exposing the public to potential
health and safety threats, including food-borne illnesses.
That risk is further compounded by an incomplete inspection database,
which is not consistently maintained by the health department, leaving
consumers unable to access information in a timely manner during which it's
most likely to impact their well-being.
Health officials say the department is "stretched thin" because of a growing
number of restaurants in Tippecanoe County and point to a rotation in
inspectors for the lack of oversight. County officials say help is on the way,
and the transition of a part-time position into a full-time will help absorb the
growing workload of inspectors.
But it's unclear whether those measures will be enough to bring the
department up to speed as the dining landscape continues to expand and
consumers demand more information about where their food is produced.
Repeat offenders often get away with violations
In the three years he has worked at the health department,
administrator Craig Rich said he couldn't recall the last time his office had to
forcibly close a restaurant.
3. But the conditions at Harbor City were so dire and unsafe the department
asked the restaurant to close voluntarily. When the owner refused, the health
department sought the injunction.
News of the forced closure struck a collective nerve with diners, sparking
outrage and disgust over the conditions in the kitchen and raising questions
about restaurant inspection methods.
"The Harbor City thing has really got me bothered. I donʼt know how they
got opened back up," said Dan Paul of Lafayette, who regularly dines out.
The health department allowed Harbor City to reopen less than a week after
Daniels had shut it down, citing danger to the public.
According to Rich, no "magic number" of violations exists that will prompt
the health department to shutter a restaurant.
Most of the time, restaurant closures are voluntary, Rich said, and occur
because of some event beyond the establishment's control — like a flood or
fire. These events so severely impact a restaurant's ability to function and
follow the health code that it typically ends up self-reporting to the health
department.
Although it is rare, habitual non-compliance — especially in terms of critical
violations — also can shut down a restaurant, said Krista Click, director of
the Indiana State Department of Health.
Health departments divide citations into two categories: critical and non-
critical violations. Critical violations, according to sanitation requirements,
are violations of code that "may result in an unacceptable health risk." Non-
critical violations are breaks of code that do not immediately endanger
human life.
No single violation is severe enough to cause a restaurant closure before a
follow-up, Rich said. The proprietors are generally informed of the violation
4. and given a time frame in which to correct the violations. Depending on the
severity of the offense, an inspector attempts a follow-up within 24 hours to
a week.
In practice, however, follow-ups often occur well outside that window and
sometimes not at all.
For example:
• DT Kirby's received an inspection in May 2015. The report indicated the
restaurant had six critical violations and seven non-critical.
One violation included an employee repeatedly putting on gloves without
washing his/her hands. According to the department's records, no follow-up
visit occurred and an inspector did not visit the establishment again until
July 2016. During that visit, Kirby's received eight critical and four non-
critical violations.
• In October 2015, inspectors found seven critical and 16 noncritical
violations at New Cheng Du. There was no follow-up and the restaurant has
not been inspected since, according to health department records.
• China Dragon received eight citations for critical violations in
2015, including a can of RAID stored under a soda machine. No follow-up
was reported.
• Other habitual offenders like China 1 and Steak N' Shake on Meijer Drive
received no follow-ups after visits in 2014 and 2015, despite citations for
critical violations.
In rare instances, some establishments went without inspection for more
than a year. Sunrise Diner, which does not have a history of critical violations,
did not receive an inspection between December 2013 and July 2015.
(Inspection information was drawn from databases maintained by the health
department and the Journal & Courier, which is compiled from data provided
5. by the health department. In many cases, the information on the two sites
does not match, with the health department database often lacking
complete records.)
The Journal & Courier reached out to restaurants with a history of repeat
offenses, but only DT Kirby's was willing to comment.
County growth, staff shortage cause lags in inspections
The health department is responsible for the inspection of 700 Tippecanoe
County restaurants, as well as monitoring school cafeterias, catering
businesses, grocery stores, food trucks and transient food vendors. Rich
said the health department tries to inspect each restaurant twice a year, and
that doesn't include follow-ups and training.
But Rich said the food safety branch of the health department is stretched
thin. Currently, the office employs three full-time and one part-time
employees. Lags in follow-ups and inspections also may occur because
restaurant lists rotate through inspectors.
"Sometimes, a lag, itʼs intentionally done to rotate. You donʼt want the same
inspectors dealing with the same restaurants. Sometimes that is one of the
negatives," Rich said.
Tippecanoe County commissioners recently approved the conversion of the
part-time position to a full-time position. If approved by the county council,
the position will go into effect in 2017.
Commissioner David Byers said he wasn't aware of any serious oversights or
delays regarding restaurant inspections. As business and the food industry
grow in Greater Lafayette, however, he said the county needs more
inspectors.
According to Rich, 96 restaurants have opened in Tippecanoe County in the
past two years. Rich, however, was unable to provide a number of
6. restaurants that have closed during the same time frame.
"The mystery is that we donʼt have a fixed number of closed restaurants
during that time frame as they are much harder to track and log into the
(data)base," Rich said.
The additional position, Byers and Rich hope, will mean more efficient
inspections and follow-ups.
"We are just trying to get it a little more organized. We are trying to
modernize a little bit," Byers said.
But some restaurants are falling through the cracks even earlier.
For example, Heirloom Restaurant and Digby's Pub and Patio opened
about a year ago, but both establishments were only recently inspected. The
department is supposed to inspect the new facilities within 30 days.
Rich said those delays are atypical.
"I do not know why this occurred. It is our policy to do an inspection within
30 days or so of an opening. How this fell through the cracks, I donʼt know.
We will make sure that this does not happen in the future," he said.
Department provides multiple avenues to address violations
Although inspectors don't always make visits within the specified time frame,
the majority of restaurants with critical violations receive a follow-up within a
month.
From that first follow-up appointment, however, the health department
offers numerous opportunities for a restaurant to clean up its act before
it might be shut down for violations.
"Itʼs only when the follow-up doesnʼt work that we move on to bigger and
better things," Rich said.
7. That includes fines for repeated violations. The health department cannot
provide a breakdown of how many fines have been issued to which
restaurants because of the way the records are kept, according to
administrative assistant Stacie Rees.
The first two citations for a violation do not incur a fine. If the same critical
violation is present for a third time during a follow-up, however, a fine of $50
will be levied against the business, $100 for a fourth violation and $200 for a
fifth.
Then inspectors might suggest closing the restaurant to address sanitation.
At that point, Rich said, most restaurants will voluntarily shut down. If an
establishment doesn't, the department seeks a court order to have the
restaurant closed, as it recently did with Harbor City.
As soon as inspectors entered Harbor City, Rich said they knew the
restaurant would have to close — at least temporarily. The infestation of
insects put it over the edge, he said.
"It was the maggots crawling on the floor," Rich continued. "That tells a
whole picture of complete filth. When they are able to breed on the floor,
there is no cleaning."
The restaurant was fined $200 in October because of a malfunction with the
dish washing machine.
To the restaurant's credit, Rich said, employees were able to clean the place
up and meet every one of the health department's demands and pass
inspection, which is why Harbor City was allowed to reopen not long after its
forced closure.
"Weʼll keep a close eye on them," Rich said.
Still, that may not be enough.
8. Rich said a major challenge for ethnic restaurants like Harbor City can be
a language barrier.
"A language and cultural barrier is part of the problem," Rich said.
Many area establishments — especially those serving Asian cuisine, Rich
said — have employees and proprietors who do not speak English as their
first language. Rich said it's not that they don't want to comply, but often
significant non-compliance arises because of difficulty understanding health
code standards written in English.
In situations in which a language barrier and repeated non-compliance exist,
Rich said, the health department offers on-site training for owners and staff,
although his office does not employ a translator for the sessions. The
sessions, however, are not mandatory. They are a courtesy offered by the
department — one Harbor City did not elect to take advantage of, according
to Rich.
"Our goal is not to shut anyone down, we really do try to work with people,"
Rich said.
Challenges of adhering to code impact everyone
Even if owners and managers are up-to-date on regulations and ever
vigilant, however, the establishment still may be vulnerable to a citation. This
is because employees, servers, cooks, busboys and other staff, are all
essential in keeping a restaurant up to code, said Amanda Deering, a Purdue
University professor and member of the Center for Food Safety Engineering.
"A lot of it is your employees," Deering said.
And few incentives exist for employees to follow code, especially in terms of
calling in sick.
"If you take a day off," Deering said, "youʼre not getting paid."
9. Buy Photo
Sarah Reinert prepares a chicken breast salad at Java Roaster, 130 N.
Third Street, Monday, July 25, 2016, in downtown Lafayette. (Photo:
John Terhune/Journal & Courier)
Sarah Reinert, general manager at Java Roaster, agreed that
continually educating employees was the most important part of following
code. Java Roaster is one of the few recently inspected restaurants in
Tippecanoe County with no critical violations.
"Things can get muddled. I would say the training aspect and getting
everyone on the same page is the most difficult aspect," Reinert said.
Beyond education, it is essential to foster a team atmosphere, said Ray
Brown, manager of catering service Sgt. Preston's Outpost. The failure of
one then becomes the failure of the group.
"We set up our systems to reflect the way the health department would like
10. it done. Weʼre a team, and we try to be conscious," Brown said.
"It's really hard not to get a violation," Reinert said. "Period."
Although Java Roaster and the Outpost had few violations, both managers
acknowledge the inevitability of some mistakes and said they are happy to
have an outside entity like the health department to assess conditions and
act as a resource.
Eric Grossman, a part-owner of DT Kirby's, said the restaurant has had only
positive experiences with the health department, including Rich coming to
the restaurant after the most recent inspection to assist in getting it up to
code.
"We worked through the issues together," he said.
Grossman said he found some of the health code confusing and a little
arbitrary. In the most recent inspection, for example, DT Kirby's received a
critical for not having test strips in a certain location but a non-critical for a
hole in the floor. Additionally, Grossman said, the staff laughed because they
were cited for not putting expiration dates on hot dogs, which, at the rate the
establishment serves them, felt superfluous.
Nevertheless, Grossman said, "we did update and correct our procedure."
All other violations also were corrected within 48 hours, he added.
Patrons said they appreciate the challenge restaurants face of adhering to
an intricate health code while also trying to run a successful business.
"Criticals ... never really stopped me from eating anywhere," said Dylan Mills,
who works and eats in downtown Lafayette. "Oftentimes, those criticals are
very simple — like having ice in the hand sink. Itʼs just frozen water; itʼs not
that big of a deal."
11. For C. Gibson, ignorance is bliss.
If she knows about certain issues or violations, she said she will avoid an
establishment, but that information often is difficult to come by or not up-to-
date, which is why she advocates for signs posted in restaurant windows or
doors with a grade and inspection date. She used to live in Nashville, Tenn.,
where the state required such measures.
Rich said posting scores and inspection dates is a policy that might soon be
implemented statewide.
"The state is preparing their food code so this may be something that
happens with that. Weʼre playing the waiting game with that. Whatever they
adopt, we have to adopt," Rich added.
According to the Indiana State Department of Health media relations
spokesman Ken Severson, however, "the revisions to state rules addressing
sanitation requirements for food established are still in draft form, so it
hasnʼt been determined yet whether language regarding signage about
previous inspections will be included."
Kentucky is the only neighboring state that affords restaurants letter grades
and also posts placards in establishments so customers may view the grade
before dining. Illinois does not require restaurants to post the details of the
inspection but counties publish the names of restaurants that receive a
failing inspection score. Many counties in other neighboring states, like
Illinois, also publish this information.
The Tippecanoe County Health Department is required to wait 10 days
before making inspection reports public. The time it takes for the reports to
go online, however, often exceeds 10 days, potentially putting at risk diners
who eat at the restaurant before the violations are fixed.
Should the state adopt it, signage might allow more immediate access to
12. data for consumers. For instance, placards detailing previous inspections or
providing a summary grade would allow customers to directly assess the
sanitation standards of an establishment on-site instead of searching online.
Restaurant-goer Brianna McClimans said more public awareness and
information surrounding restaurant sanitation would be useful. She doesn't
typically check the health department's inspection records, but the Harbor
City incident has her worried.
"I probably will from now on," McClimans said.
Call J&C reporter Emma Ea Ambrose at 765-431-1192. Follow her on Twitter:
@emma_ea_ambrose.
View recent inspections
The health department regularly provides the Journal & Courier with
restaurant inspections, which you can view here.