Florida Department of Agriculture and Consumer Services Division of Food Safety

Florida Department of Agriculture and Consumer Services
Division of Food Safety

Visit #: 9999-7182-1926-79
FOOD SAFETY INSPECTION REPORT Bureau of Food Inspection
Attention: Business Center
NICOLE "NIKKI" FRIED Chapter 500, Florida Statutes 3125 Conner Boulevard, C-26
COMMISSIONER (850) 245-5520 Tallahassee, FL 32399-1650
Name: Vicky Bakery # 0004 Establishment #: 366453

Owner: Pedro Cao Date of Visit: May 24, 2022
Type: Retail Bakery w/FS Inspected By: JOSE PAVON
Address: 13925 NW 67th Ave Miami Lakes, FL 33014-2935
INSPECTION SUMMARY - Operating Without a Valid Food Permit; Re-Inspection Required

The following violations observed during the inspection must be corrected to be in compliance with Chapter 500, 581, and 583,
Florida Statutes, and Rule 5K-4, Florida Administrative Code. A Department inspector will return for a reinspection on about June
07, 2022. The failure to correct the violations by this date may result in the imposition of the maximum penalties provide in Chapter
500 Florida Statutes, including an administrative fine and the suspension or revocation of your food permit. The reinspection visit is
due to documented citations that pose a risk of foodborne illness.
NOTICE OF FEES
To review your account balance or to renew your permit, please visit our Food Permit Center at httqs://FoodPermit.FDACS.qov.
OBSERVATIONS AND CORRECTIVE ACTIONS

COS = Corrected on Site P = Priority Citation Pf = Priority Foundation Citation
(Directly Associated with Foodborne Illnesses) (Supports or Leads to a Priority
INSPECTION: RISK BASED
Violation
Number Citation Description and Observation COS
2 Citation Description: Person in charge does not correctly respond to questions that relate to preventing 0
Pf transmission of foodborne disease by a food employee who has a disease or medical condition that may cause
foodborne disease, can not describe symptoms associated with diseases that are transmissible through food, or can
not explain how to comply with reporting responsibilities and exclusion or restriction of food employees. 2-102.11(C)
(2)-(3) and (17) Pf
Observation: Food employee does not respond correctly to questions relating to foodborne illnesses or symptom's
associated with diseases transmissible through food.
4 Citation Description: Employee eating, drinking or using tobacco where exposed food, clean equipment, utensils, 0
and linens, unwrapped single service and single use articles or other items could become contaminated. 2-401.11
Observation: Food service observed multiple employees open water and coffee drinks stored on top of reach in
display hot box were exposed foods are stored.
6 Citation Description: Food employee not cleaning hands or exposed portions of arms immediately before engaging
in food preparation including working with exposed food, clean equipment or utensils, or unwrapped single service or
single use articles; after touching bare human body parts; after using the toilet room; after caring for or handling
service animals or aquatic animals; after coughing, sneezing, using a handkerchief or tissue, using tobacco, eating or
drinking; after handling soiled equipment or utensils; during food preparation as often as necessary to remove soil
and prevent cross contamination; before donning gloves to initiate a task that involves working with food; or after
engaging in other activities that contaminate the hands. 2-301.14 P
Observation: Food service observed multiple employees conducting multiple tasks not washing hands and then
engaging to work with exposed foods and food utensils. cos employees were instructed to wash hands during
inspections by person in charge.
Print Date: 5/24/2022

Page 1 of 13
8 Citation Description: Handwashing sink not maintained so that it is accessible at all times for employee use or is
Pf used for purposes other than handwashing, or an automatic handwashing facility not used in accordance with
manufacturer's instructions. 5-205.11 Pf
Observation: Processing observed food utensils stored inside hand sink basin located next to cooking station. cos
food utensils moved to proper storage during inspection.
11 Citation Description: Food not safe, or is adulterated. 3-101.11 P 121

Observation: Food service observed multiple flies landing on multiple pastries, sandwiches and empanadas
located inside reach in hot display case. cos sandwiches, pastries and empanadas were voluntarily discarded by
person in charge during inspection, processing observed multiple to numerous to count flies landing on trays
containing exposed food pastries. cos pastries were voluntarily discarded during inspection , a stop use order was
issued on all processing of exposed foods during inspection see comments.
13 Citation Description: Single-use gloves not used for only one task, used for another purpose, or not discarded 21
when damaged or soiled or when interruptions occur in the operation. 3-304.15(A) P
Observation: Processing observed employee not washing hands after conducting multiple tasks with same gloves
and engaging to work with exposed foods and utensils. cos employee was instructed to wash hands and change
gloves during inspection by person in charge.
13 Citation Description: Food not protected from cross contamination by storage in packages, covered containers or 0
wrappings. 3-302.11(A)(4)
Observation: Processing observed multiple trays of food stored uncovered located on ready rack inside walk in
cooler.
19 Citation Description: Hot held time/temperature control for safety food not maintained at 135°F or above, or roast 121
cooked or reheated to a temperature and for a time specified for cooking roast in the Food Code not hot held at
130°F or above. 3-501.16(A)(1) P
Observation: Food service observed multiple beef empanadas , stuff meat potatoes and ham croquettes with
internal temperatures between 98 f - 105 f when probed located inside reach in hot display case. cos all foods were
voluntarily discarded during inspection by person in charge.
20 Citation Description: Cold held time/temperature control for safety food not maintained at 41°F or below. 121
3-501.16(A)(2) P
Observation: Processing observed pieces of deli bulk ham and cheese with internal temperatures between 60 f - 65
f when probed located on top of prep table and person in charge cannot determined how long the bulk ham and
cheese were on the counter prep table. cos bulk ham and cheese were voluntarily discarded during inspection by
person in charge.
21 Citation Description: Ready-to-eat time/temperature control for safety food that requires date marking not 0
discarded when it exceeds the 7-day limit, except time that the product is frozen, or does not bear a date mark and
the correct date mark cannot be determined. 3-501.18 P
Observation: Food service observed multiple plastic containers of in house made ham spread not date marked
located inside reach in cooler adjacent to counter and person in charge cannot determined day made. cos containers
of ham spread were voluntarily discarded during inspection by person in charge.
26 Citation Description: Poisonous or toxic materials not stored to prevent contamination of food, equipment, utensils, El
linens, and single-service and single-use articles by separating the poisonous or toxic material by spacing or
partitioning, or locating the poisonous or toxic material in an area that is not above food, equipment, utensils, linens,
and single-service and single-use articles. 7-201.11 P
Observation: Processing observed a plastic container of cleaning agent stored on top of 3 bay sink. cos cleaning
agent moved to proper storage during inspection, back observed plastic bottle of cleaning agent stored inside 3 bay
sink compartment commingled with metal baking pans. cos bottle of cleaning agent moved to proper storage during
inspection.

Page 2 of 13
INSPECTION: GRP
Violation
Citation Description and Observation COS
Number
35 Citation Description: Food packaged on site not labeled with: the common name of the food or an adequate
descriptive identity statement; if made from two or more ingredients, a list of ingredients and sub-ingredients in
descending order of predominance by weight; an accurate declaration of the net quantity of contents; the name and
place of business of the manufacturer, packer, or distributor; or nutritional labeling as specified in 21 CFR 101 and 9
CFR 317 Subpart B. 3-602.11(B)(1)-(4) and (6)
Observation: Retail observed multiple packages of in house pack cup cakes not labeled with name of business,
address and ingredients. cos packages of cup cakes removed from retail counter during inspection.
35 Citation Description: Working container holding a food or food ingredient that is not readily and unmistakably
recognized and has been removed from its original packaging for use in the establishment is not identified with the
common name of the food. 3-302.12
Observation: Food service container of sugar not labeled with common name of food located next to orange juicer
machine.
36 Citation Description: Premises not maintained free of insects and other pests; or not controlled to eliminate their
Pf presence on the premise by routinely inspecting incoming shipments of food and supplies; routinely inspecting the
premises for evidence of pests; and using methods, if pests are found, such as trapping devices or other means of
pest control. 6-501.111 (A)-(C) Pf
Observation: Processing observed multiple flies to numerous to count throughout areas and landing on trays with
exposed foods and equipment, while exposed foods are being process. stop use orders issued on all processing of
exposed foods and equipment see comments.
37 Citation Description: Food on display not protected from contamination by the use of packaging; counter, service
line, or salad bar food guards; display cases; or other effective means. 3-306.11 P
Observation: Food service observed door guards missing from reach in hot display case towards the back causing
multiple flies to enter and land on food on display. cos plastic doors were placed on the back of reach in hot display
case during inspection.
37 Citation Description: Unpackaged food not protected from environmental sources of contamination during
preparation. 3-305.14
Observation: Processing observed multiple racks of open foods stored in front of dusting vents located inside walk
in cooler. cos racks of food were covered during inspection.
37 Citation Description: Food not stored at least 6 inches above the floor; in a clean, dry location; or food stored where 0
it is exposed to splash, dust or other contamination. 3-305.11
Observation: Food service observed multiple packages of water beverages stored on the floor located behind
counters.
38 Citation Description: Food employee not wearing a hair restraint such as a hat, hair covering or net, beard restraint, 0
or clothing that covers body hair, that is designed and worn to effectively keep their hair from contacting exposed
food; clean equipment, utensils, and linens; and unwrapped single-service and single-use articles. 2-402.11
Observation: Food service processing observed multiple employee not restraining hair while working with exposed
foods.
45 Citation Description: Nonfood-contact surface of equipment exposed to splash, spillage, or other food soiling or
that requires frequent cleaning not constructed of a corrosion-resistant, nonabsorbent, and smooth material.
4-101.19
Observation: Processing observed multiple card board used as linear for bottom shelve of prep table adjacent to
floor mixer.
45 Citation Description: Materials used in the construction of utensils or food-contact surfaces of equipment, under 0
normal use conditions, are not durable; corrosion-resistant; nonabsorbent; sufficient in weight and thickness to
withstand repeated warewashing; finished to have a smooth, easily cleanable surface; and resistant to pitting,
chipping, crazing, scratching, scoring, distortion or decomposition. Equipment or utensil not designed or constructed
to be durable and to retain its characteristic qualities under normal use conditions. 4-101.11(B)-(E) and 4-201.11
Observation: Processing observed a metal paint brush use for spreading liquid for pastries located on counter
bucket adjacent to cooking area.
45 Citation Description: Nonfood-contact surfaces not free of unnecessary ledges, projections, and crevices or not
designed and constructed to allow easy cleaning and to facilitate maintenance. 4-202.16
Observation: Processing observed multiple milk crates used as food storage located adjacent to prep tables.

Page 3 of 13
46 Citation Description: Test kit or other device that accurately measures the concentration in MG/L of sanitizing 0
Pf solution not provided. 4-302.14 Pf
Observation: No sanitizer test kit available at food establishment.
46 Citation Description: Warewashing equipment; sinks, basins or other receptacles used for washing or rinsing raw 0
food or laundering wiping cloths; or drainboards or equipment used to substitute for drainboards not cleaned before
use, throughout the day at a frequency necessary to prevent recontamination of equipment and utensils and ensure
the equipment performs its intended function, and at least every 24 hours when used. 4-501.14
Observation: Food service observed 3 bay sink with heavy accumulation of soil build up and old food particles
throughout compartments.
47 Citation Description: Nonfood-contact surface of equipment has an accumulation of dust, dirt, food residue or other
debris. 4-601.11(0)
Observation: Food service observed old food particles throughout shelving and interior lights of reach in hot display
case. observed old food particles throughout the bottom shelve of reach in cooler adjacent to service counter.
49 Citation Description: Plumbing system not maintained in good repair. 5-205.15(B) 0
Observation: Food service observed condensation water leaking on to bucket located inside reach in display cooler
adjacent to service counter.
53 Citation Description: Physical facilities not maintained in good repair. 6-501.11 0
Observation: Processing observed missing and damaged ceiling tiles throughout the establishment.
53 Citation Description: Physical facilities not cleaned as often as necessary to keep them clean, or cleaning not done 0
during periods when the least amount of food is exposed such as after closing. 6-501.12
Observation: Processing observed soil floors throughout entire establishment, observed dust accumulation on
vents located inside walk in cooler.
99 Citation Description: Expired Permit- The food establishment is operating without a valid food permit. 500.12(1) 0
(a)F.S., 5K-4.020(4)(b) F.A.C.
Observation: Establishment is operating without a valid food permit.
A Supplemental Report was also issued during the visit which includes important information for management.
COMMENTS
Stop Use Order issued. Food establishment can visit https://foodpermit.fdacs.gov or contact the Business Center at (850) 245-5520
when corrections have been made and/or when required documents have been obtained to request food safety inspector visit for
written release of equipment.
If evidence of pest infestation is observed on the next inspection, a Stop-Use Order will be issued on all receiving areas of the
establishment and the establishment will no longer be allowed to receive additional food items, a Stop-Use Order of all processing
equipment (if applicable) will be issued and a Stop-Sale Order of all exposed food items (if applicable) will be issued until the
infestation is eradicated. A copy of the Pest Control Plan Checklist has been provided to the establishment.
Re-inspection visit required due to pests. Food establishment can visit https://foodpermit.fdacs.gov or contact the Business Center
at (850) 245-5520 to request food safety inspector visit for written release when all affected areas have been adequately cleaned
and sanitized. In addition, food establishment must develop and implement a pest management control program.
This food establishment was found to be operating with an expired food permit. To renew a food permit, visit
https://foodpermit.fdacs.gov or contact the Business Center at 850-245-5520.
Payments can be made online at https://foodpermit.fdacs.gov or can be mailed to Florida Department of Agriculture and Consumer
Services, P.O. Box 6720, Tallahassee FL 32314-6720. Checks and money orders are to be payable to Florida Department of
Agriculture and Consumer Services. All payments must include the Food Establishment number and reason of payment type in the
memo section of the check or money order.

Page 4 of 13
A copy of this report has been provided to the person in charge of the food establishment and will be available online at
https://foodpermit.fdacs.qov/Reports/SearchFoodEntity.aspx.
VLADYLIEN NAVARRO, PERSON IN CHARGE

JOSE PAVON, SANITATION AND SAFETY SPECIALIST Name and Title of Whom This Report was Issued
•Q1:1/1.4,91•L Ga/ZAW

Page 5 of 13
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT

Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
NICOLE "NIKKI" FRIED
COMMISSIONER
Visit #: 99997182192679
Food Entity #: 366453
Food Entity Name: VICKY BAKERY # 0004
Date Of Visit: May 24, 2022
Inspected By: JOSE PAVON
Food Entity Location Address: 13925 NW 67th Ave Miami Lakes, FL 33014-2935
Food Entity Mailing Address: 13925 NW 67th Ave Miami Lakes, FL 33014-2935
Food Entity Type/Description: 141/Retail Bakery w/FS
Food Entity Owner: PEDRO CAO
SUPPLEMENTAL KEY #:
STOP USE ORDER
328983
You are hereby ordered to withhold from movement, sale or use subject to further instructions from an authorized agent of the
Florida Department of Agriculture and Consumer Services, the goods or equipment listed below.
Article: all processing of exposed foods.

Brand Name: vicky bakery # 0004
Lot #: # Of Pkgs: Size Of Pkg: Total Weight:
Invoice #:
Invoice Date:
Manufacturer:
Distributor:
The primary reason and condition that caused the product or equipment stop sale or stop use and determined dangerous,
unwholesome, fraudulent, or insanitary was: FS 500.04; FS 500.10 ADULTERATED" PREVENTION OF FOOD
CONTAMINATION: Insects, rodents, and animals not present
Comments: ALL AFFECTED AREAS MUST BE ADEQUATELY CLEANED AND SANITIZED. IN ADDITION, FOOD
ESTABLISHMENT MUST DEVELOP AND IMPLEMENT A PEST MANAGEMENT CONTROL PROGRAM. VISIT
HTTPS://FOODPERMIT.FDACS.GOV OR CONTACT THE BUSINESS CENTER AT (850) 245-5520 TO REQUEST FOOD
SAFETY INSPECTOR VISIT FOR WRITTEN RELEASE.
FDACS-14325 Rev. 05/22

Page 6 of 13

(850) 245-5520
COMMISSIONER
Visit #: 99997182192679
SUPPLEMENTAL KEY #:
STOP USE ORDER
328983
Article: expresso coffee machine

Invoice #: 0001635
Invoice Date:
Manufacturer:
Distributor:
unwholesome, fraudulent, or insanitary was: FS 500.04; FS 500.10 ADULTERATED* PREVENTION OF FOOD
FDACS-14325 Rev. 05/22

Page 7 of 13

(850) 245-5520
COMMISSIONER
Visit #: 99997182192679
SUPPLEMENTAL KEY #:
STOP USE ORDER
328983
Article: hobart floor mixer

Invoice #:
Invoice Date:
Manufacturer:
Distributor:
FDACS-14325 Rev. 05/22

Page 8 of 13

(850) 245-5520
COMMISSIONER
Visit #: 99997182192679
SUPPLEMENTAL KEY #:
STOP USE ORDER
328983
Article: microwave hamilton beach

Invoice #:
Invoice Date:
Manufacturer:
Distributor:
FDACS-14325 Rev. 05/22

Page 9 of 13

(850) 245-5520
COMMISSIONER
Visit #: 99997182192679
SUPPLEMENTAL KEY #:
STOP USE ORDER
328983
Article: orange juicer machine

Invoice #: mod zumex 32115VH
Invoice Date:
Manufacturer:
Distributor:
FDACS-14325 Rev. 05/22

Page 10 of 13

(850) 245-5520
COMMISSIONER
Visit #: 99997182192679
SUPPLEMENTAL KEY #:
STOP USE ORDER
328983
Article: amana small oven

Invoice #:
Invoice Date:
Manufacturer:
Distributor:
FDACS-14325 Rev. 05/22

Page 11 of 13
(850) 245-5520
COMMISSIONER
Visit #: 99997182192679
SUPPLEMENTAL KEY #:
STOP USE ORDER
328983
Article:
Brand Name:
Invoice #:
Invoice Date:
Manufacturer:
Distributor:
FDACS-14325 Rev. 05/22

Page 12 of 13
When the department or its duly authorized agent finds, or has probable cause to believe, that any food or food-processing equipment
is in violation of this chapter or any rule adopted under this chapter so as to be dangerous, unwholesome, fraudulent, or insanitary
within the meaning of this chapter, an agent of the department may issue and enforce a stop-sale, stop-use, removal, or hold order,
which order gives notice that such article or processing equipment is, or is suspected of being, in violation and has been detained or
embargoed and which order warns all persons not to remove, use, or dispose of such article or processing equipment by sale or
otherwise until permission for removal, use, or disposal is given by the department or the court. It is unlawful for any person to remove,
use, or dispose of such detained or embargoed article or processing equipment by sale or otherwise without such permission in
accordance with 500.172 (1) Florida Statutes.
AN ADMINISTRATIVE HEARING IS AVAILABLE FOR ALL ORDERS, NOTICES, AND REPORTS IN THIS
SUPPLEMENTAL REPORT
If you wish to contest the Department's action, you have the right to request an administrative hearing to be conducted in accordance
with Sections 120.569 and 120.57, Florida Statutes and to be represented by counsel or other qualified representative. Your request
for hearing must contain:
1.Your name, address, and telephone number, and facsimile number (if any).
2. The name, address, and telephone number, and facsimile number of your attorney or qualified representative (if any) upon whom
service of pleadings and other papers shall be made.
3. A statement that you are requesting an administrative hearing and dispute the material facts alleged by the department, in which
case you must identify the material facts that are in dispute (formal hearing), or that you request an administrative hearing and that you
do not dispute the facts alleged by the department (informal hearing).
4. A statement of when (date) you received the Notice and the file number of this Notice.
Your request for a hearing must be received at the address shown on this Notice within twenty-one (21) days of receipt of this
Notice. If you fail to obtain a Release from this Notice or fail to request an administrative hearing within the twenty-one (21) day
deadline you waive your right to a hearing and the Department may enter a Final Order imposing up to the maximum penalties as
authorized by Florida Law.
HEARING WAIVER AND WAIVER OF RIGHTS ON DESTROYED PRODUCTS

I, if-,Ce..v-aW the person in charge of VICKY BAKERY # 0004 hereby
waive a n e and a hearing as provided in Chapter 120, Florida Statutes and waive all rights as provided on the last page of this
report.
(Signature)
ACKNOWLEDGEMENT
A copy of this report has been provided to the person in charge of the food establishment.
I acknowledge receipt of a copy of this document.

)1.-a4A-a4.4.43
Signature of FDACS Representative Signatu of Representative
JOSE PAVON, SANITATION AND SAFETY SPECIALIST VLADYLIEN NAVARRO, PERSON IN CHARGE
Print Name and Title
„e-e:01,9-,em, ca4A-w-
FDACS-14325 Rev. 05/22

Page 13 of 13

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Florida Department of Agriculture and Consumer Services

Division of Food Safety

Name: Vicky Bakery # 0004 Establishment #: 366453

INSPECTION SUMMARY - Operating Without a Valid Food Permit; Re-Inspection Required

OBSERVATIONS AND CORRECTIVE ACTIONS

INSPECTION: RISK BASED

Print Date: 5/24/2022

11 Citation Description: Food not safe, or is adulterated. 3-101.11 P 121

Print Date: 5/24/2022

Print Date: 5/24/2022

Print Date: 5/24/2022

VLADYLIEN NAVARRO, PERSON IN CHARGE

Print Date: 5/24/2022

FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT

Article: all processing of exposed foods.

FDACS-14325 Rev. 05/22

Print Date: 5/24/2022

FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT

Article: expresso coffee machine

FDACS-14325 Rev. 05/22

Print Date: 5/24/2022

FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT

Article: hobart floor mixer

FDACS-14325 Rev. 05/22

Print Date: 5/24/2022

FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT

Article: microwave hamilton beach

FDACS-14325 Rev. 05/22

Print Date: 5/24/2022

FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT

Article: orange juicer machine

FDACS-14325 Rev. 05/22

Print Date: 5/24/2022

FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT

Article: amana small oven

FDACS-14325 Rev. 05/22

Print Date: 5/24/2022

FDACS-14325 Rev. 05/22

Print Date: 5/24/2022

HEARING WAIVER AND WAIVER OF RIGHTS ON DESTROYED PRODUCTS

I acknowledge receipt of a copy of this document.

FDACS-14325 Rev. 05/22

Print Date: 5/24/2022

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