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Selects: How Restaurant Health Inspections Work

By iHeartPodcasts

In this episode of the Stuff You Should Know podcast, personal accounts of appalling sanitation lapses at restaurants take center stage. Chuck recounts memories of employees dropping meat on the floor and serving it, while Josh discusses reports of staff urinating in coffee. These alarming anecdotes underscore the importance of restaurant inspections, whose origins trace back to Upton Sinclair's exposé on unsanitary conditions in the meat industry.

The inspection process is outlined, including routine visits, surprise checks, and audits based on public complaints of foodborne illness. Common violations like incorrect food storage, cross-contamination, unclean prep surfaces, and pest infestations are also highlighted. By taking an inside look at inspection procedures and prevalent infractions, the episode reveals the mechanisms in place to prevent health risks when dining out.

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Selects: How Restaurant Health Inspections Work

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Selects: How Restaurant Health Inspections Work

1-Page Summary

Personal Accounts of Unsanitary Restaurant Practices

Chuck's First-Hand Experiences

  • Chuck witnessed a dishwasher submerge a shod foot and dirty leg into a pot of Brunswick stew, as Josh Bryant recounts.
  • Chuck describes having to wear the most disgusting clothing while working at a barbecue restaurant.
  • Employees would often drop meat on the floor, laugh it off as a "good catch," and serve it to customers, according to Chuck.

Josh's Anecdotes

  • While not as direct as Chuck's experiences, Josh has read about shocking incidents like an employee urinating in coffee daily.
  • Josh recalls he and Chuck getting severely ill from undercooked chicken at a restaurant, but the establishment took no action despite complaints.

The Origins and Purpose of Restaurant Health Inspections

  • Upton Sinclair's 1905 novel "The Jungle" exposed unsanitary conditions in the meat industry, leading to public outcry and the 1906 Pure Food and Drug Act.
  • Chuck Bryant notes the food code serves as a guide for states to enforce food safety standards and prevent foodborne illnesses through inspections.

The Inspection Process

  • Routine inspections occur at set intervals like every 6 months, while follow-ups address previous violations.
  • Complaint-driven inspections respond to public reports of unsanitary conditions or foodborne illness cases.
  • Inspectors make unannounced visits to observe real violations before staff can conceal issues. They assess food prep areas, storage, equipment, and overall facilities.

Factors Determining Inspection Frequency

  • Inspection frequency depends on the restaurant's risk level based on food type (e.g. raw seafood), history of violations or illness outbreaks, and food safety programs.
  • Ben Chapman, a food safety expert, suggests ethnic restaurants may face more inspections due to consumer complaint systems like Yelp, though data on explicit racial bias is limited.

Common Violations

  • Improper food storage temperatures and cross-contamination between raw and cooked items are high priorities.
  • Unclean food prep surfaces, poor equipment maintenance allowing mold growth, and pest infestations are concerns.
  • Inspectors also check for damaged equipment, improper chemical storage, and labeling issues.

1-Page Summary

Additional Materials

Counterarguments

  • While Chuck's experiences are alarming, they are anecdotal and may not represent the practices of the majority of restaurants.
  • The mention of Chuck having to wear disgusting clothing could be a personal choice or a result of a particular restaurant's poor management rather than an industry-wide issue.
  • Josh's anecdotes, especially about reading incidents like an employee urinating in coffee, could be isolated incidents and not indicative of common restaurant practices.
  • The impact of Upton Sinclair's "The Jungle" on the Pure Food and Drug Act might be overstated, as there were other factors and reformers involved in the push for food safety legislation.
  • The food code is a guide, but its effectiveness depends on the rigor and consistency of enforcement by local health departments.
  • Routine and follow-up inspections are important, but they may not always catch every violation, and some argue that more frequent or random inspections could be more effective.
  • Complaint-driven inspections are reactive rather than proactive, potentially allowing unsanitary practices to persist until a complaint is made.
  • Unannounced visits by inspectors are meant to catch real violations, but savvy operators may still find ways to temporarily cover up issues during inspections.
  • The assertion that ethnic restaurants may face more inspections due to consumer complaints could imply a bias in consumer reporting or in the inspection process, which may not be substantiated by comprehensive data.
  • Common violations are listed, but the text does not address how often these violations lead to actual harm or the effectiveness of the inspections in reducing these violations.
  • The text does not discuss the potential financial and operational burdens that strict inspection regimes can place on small or independent restaurants.

Actionables

  • You can become a savvy diner by researching restaurant health scores online before choosing where to eat, ensuring you select places that maintain high standards of cleanliness and food safety.
    • Many local health departments publish inspection scores on their websites, and some areas have apps that consolidate this information. Before going out or ordering in, take a moment to look up the establishment's latest health inspection score. A pattern of high scores generally indicates a commitment to food safety.
  • Enhance your food safety at home by creating a simple checklist based on the food code for personal kitchen hygiene.
    • Using the basic principles from the food code, such as proper food storage temperatures and avoiding cross-contamination, draft a kitchen safety checklist. Regularly review this list when cooking to ensure you're following best practices, like using separate cutting boards for raw meats and vegetables and regularly sanitizing surfaces.
  • Advocate for transparency in food safety by encouraging local restaurants to display their latest inspection reports visibly on-site.
    • Next time you have a positive dining experience, suggest to the management that they showcase their health inspection rating in a prominent place, like the front window or near the register. This not only informs customers but also celebrates the establishment's commitment to maintaining high standards, potentially attracting more business and encouraging industry-wide transparency.

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Selects: How Restaurant Health Inspections Work

Personal experiences and anecdotes about unsanitary restaurant practices

Chuck and Josh share their personal experiences and anecdotes that highlight unhygienic behaviors they have encountered in the restaurant industry, raising questions about food safety practices.

Chuck's first-hand accounts of unhygienic behavior by restaurant employees

Chuck offers several disturbing stories from his time as a busboy that provide a glimpse into some questionable restaurant practices.

As a busboy, Chuck witnessed a dishwasher stick his dirty foot and leg into a large pot of Brunswick stew, then leave it there.

Chuck recounts a particularly shocking incident where he witnessed a dishwasher, in a moment of anger about the work schedule, submerge his shod foot and dirty leg into a big pot of Brunswick stew in the walk-in cooler. This egregious act was a clear violation of food safety protocols.

Chuck described the clothing he had to wear while working at a barbecue restaurant as the most disgusting he's ever had.

In another account, Chuck recalls the filthy conditions of the clothing he had to wear during his employment at a barbecue restaurant, which he describes as the most disgusting clothes he has ever had. The implied lack of cleanliness practices extends beyond the food and into the attire the employees are wearing.

Chuck recollects that employees at the restaurants he worked would often drop meat on the floor, laugh about it by saying "good catch," and then continue to serve the dropped meat to unsuspecting customers. These practices suggest a casual disregard for food safety among the staff at these eateries.

Josh's anecdotes about unsanitary practices he's encountered

Josh shares his experiences, which, while not as direct as Chuck's first-hand accounts, still underscore the need for better oversight in food service establishments.

Josh hasn't personally witnessed anything as egregious as Chuck's experiences, but has read abou ...

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Personal experiences and anecdotes about unsanitary restaurant practices

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Counterarguments

  • While Chuck and Josh's experiences are concerning, they may not represent the practices of the restaurant industry as a whole, which includes many establishments with high standards of hygiene and food safety.
  • The incident of the dishwasher putting his foot in a pot of stew is a single event and might not reflect the behavior of restaurant employees in general.
  • Dirty clothing in a barbecue restaurant could be a result of the nature of the work rather than a disregard for cleanliness, and it's possible that the clothing was not meant to be worn outside the kitchen or in areas where food is served.
  • The anecdote about employees dropping meat on the floor and still serving it is alarming, but without knowing the frequency or context, it's difficult to assess whether this is a widespread issue or isolated incidents.
  • Reading about an employee engaging in unsanitary behavior, such as urinating in coffee, is different from witnessing it firsthand, and such stories might be rare or extreme cases that do not reflect common practices.
  • The experience o ...

Actionables

  • You can become a savvy diner by researching restaurant health inspection scores online before choosing where to eat, ensuring you select places that maintain high standards of cleanliness.
    • Many local health departments publish restaurant inspection scores on their websites. By checking these scores, you can avoid establishments with a history of violations and choose those with consistently good records. This proactive approach helps you make informed decisions about where to dine.
  • Develop a habit of observing restaurant cleanliness and employee practices when you visit a new place to eat, which can be a good indicator of overall hygiene standards.
    • Pay attention to the cleanliness of tables, cutlery, and the behavior of the staff. If you notice anything concerning, like servers handling food without gloves or dirty dishes piled up, consider providing feedback to the management or choosing to dine elsewhere in the future. Your observations can help you avoid places with questionable hygiene practices.
  • Create a personal food safety kit for dining out, including items li ...

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Selects: How Restaurant Health Inspections Work

The history and purpose of restaurant health inspections

The history of restaurant health inspections in the United States is closely tied to early 20th-century efforts to ensure food safety amidst the backdrop of an industrializing nation, with the purpose to safeguard public health and prevent foodborne illnesses.

The origin of restaurant health inspections

Early Regulation of the Food Industry

The need for more stringent oversight of food safety practices, particularly in restaurants, commenced notably with the reaction to Upton Sinclair's 1905 novel "The Jungle," which cast a harsh light on the unsanitary conditions of the meatpacking industry. This exposure led to an outcry from the public for federal intervention to oversee and regulate the food industry.

The Creation of the Pure Food and Drug Act

In response to the public's concern, Congress passed the Pure Food and Drug Act in 1906. This hallmark legislation, together with the Federal Meat Inspection Act passed in the same year, began to set federal standards for food safety that would evolve into the modern food code. These early regulatory efforts reflected current concerns, focusing on the storage and temperatures of meat and food, as well as the cleanliness of employees and facilities.

The purpose of restaurant health inspections

Enforcement of Food Safety Standards

Chuck Bryant points out that the food code, first produced in 1934 and most recently updated every two or four years since 1993, is voluntary and not federal law. Nonetheless, it is ...

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The history and purpose of restaurant health inspections

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Counterarguments

  • While the history of restaurant health inspections is indeed tied to early 20th-century efforts, it's important to recognize that food safety concerns and practices have been a part of human societies long before this period, with various cultures implementing their own forms of food safety measures.
  • The effectiveness of restaurant health inspections can be inconsistent due to variations in enforcement and resources at the local level, which can lead to disparities in food safety from one jurisdiction to another.
  • The novel "The Jungle" was a work of fiction and, while it did have a significant impact on public perception and policy, it may not have been fully representative of the entire food industry at the time.
  • The Pure Food and Drug Act and subsequent regulations have evolved over time, and some critics argue that these regulations can sometimes be reactive rather than proactive, lagging behind current food safety science or industry practices.
  • The voluntary nature of the food code means that there is no uniform national standard for restaurant health inspections, which can lead to a patchwork of regulations and enforcement practices.
  • Some critics argue that health inspections can place an undue burden on small businesses, which may struggle to comply with the myriad of regulations compared to larger corporations that have more resources.
  • There is a debate about the balance between public safety and privacy, with some restaurant owners arguing that the posting of health inspection scores can unfairly damage a business's reputation, e ...

Actionables

  • You can become a more informed diner by checking the latest health inspection scores online for restaurants you plan to visit, ensuring you support establishments that prioritize food safety.
    • Many local health departments publish restaurant inspection scores on their websites. Before you choose where to eat, look up the restaurant's score to see how well they comply with food safety standards. This practice encourages restaurants to maintain high standards, knowing that customers are watching.
  • You can contribute to food safety by reporting any observed violations to your local health department, helping to maintain community health standards.
    • If you notice something concerning at a restaurant, such as improper food handling or unsanitary conditions, don't hesitate to report it to your local health authority. Your vigilance can prompt an inspection that might prevent foodborne illness outbreaks, making dining out safer for everyone.
  • You can educate your friends and family about the importance of food safety by hosting a themed dinner party where you discuss ...

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Selects: How Restaurant Health Inspections Work

The inspection process and types of inspections

Inspectors assess the sanitation and safety of restaurants through various types of reviews, each with its specific focus and frequency. The inspection process is carefully designed to catch violations and ensure public health is not at risk.

Different categories of restaurant inspections

There are several types of inspections a restaurant may experience.

Routine/regular inspections occur at set intervals, such

as every 6 months or annually.

Routine inspections are conducted at scheduled intervals that can range from every six months to once every year and a half, depending on local regulations and factors. During these inspections, health inspectors post a score on the wall reflecting the inspection results. These scores provide a snapshot of the restaurant’s compliance on the day of the inspection.

Follow-up inspections are prompted by previous violations to ensure problems have been addressed.

Follow-up inspections occur after an initial review where issues were identified. These can be scheduled for a specific date, such as "next Thursday," or might take place the next day if violations were severe. In extreme situations, restaurants can be temporarily shut down until they correct the problematic conditions.

Complaint-driven inspections occur in response to public reports of unsanitary conditions or foodborne illness.

These inspections are triggered by consumer complaints and are not scheduled. When someone in the public reports unsanitary conditions or instances of foodborne illness, an inspector will visit the restaurant to investigate the validity of these complaints and take necessary actions.

The inspection process

The inspection process involves both announced and spontaneous actions to accurately assess a restaurant.

Inspectors often make unannounced visits, heading directly to the kitchen to observe any violations in ...

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The inspection process and types of inspections

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Clarifications

  • Routine inspections in restaurants typically occur at regular intervals, such as every 6 months or annually, depending on local regulations. These inspections are scheduled visits by health inspectors to assess the restaurant's compliance with sanitation and safety standards. The frequency of routine inspections can vary based on factors like the restaurant's history of compliance and the level of risk associated with its operations. Inspectors assign a score based on their findings during these routine inspections, providing a snapshot of the restaurant's adherence to regulations at the time of the visit.
  • Health inspectors post scores on the wall after routine inspections to inform the public about the restaurant's compliance with health and safety regulations. These scores serve as a quick reference for customers to gauge the restaurant's cleanliness and adherence to standards. Higher scores indicate better compliance, while lower scores may suggest issues that need attention. The visibility of these scores helps promote transparency and accountability in the food service industry.
  • In extreme situations during inspections, restaurants can be temporarily shut down if severe violations are found. This closure is enforced until the identified problems are rectified to ensure public health and safety. Inspectors have the authority to take immediate action if they discover conditions that pose an imminent risk to customers. The closure is a measure to prevent the restaurant from operating until it meets the required standards.
  • In restaurant inspections, "dynamic" areas typically involve spaces where food is prepared and handled in real-time, like the kitchen. On the o ...

Counterarguments

  • Routine inspections at set intervals may not be frequent enough to ensure ongoing compliance between inspections.
  • Posting a score on the wall may not fully represent the restaurant's overall food safety as conditions can change rapidly.
  • Follow-up inspections scheduled for a specific date may allow establishments to temporarily correct issues just for the inspection.
  • Temporary shutdowns can be a severe financial burden for restaurants and may not always be the most effective or fair solution to address violations.
  • Complaint-driven inspections rely on public reports, which may not always be accurate or may overlook establishments where patrons are less likely to report issues.
  • Unannounced visits, while effective at capturing real-time operations, may not give a complete picture of the establishment's practices over time.
  • The surprise element of inspections could potentially create a stressful work environment and ma ...

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Selects: How Restaurant Health Inspections Work

Criteria and factors used to assess restaurant risk and inspection frequency

Local municipalities assign a risk factor to restaurants, determining the inspection frequency based on various elements, including the type of food served and the establishment's history of compliance and food safety.

Factors that influence inspection frequency

The type of food served (e.g. raw seafood versus pre-packaged deliItems) affects the risk level.

Restaurants serving high-risk foods, such as raw seafood, are inspected more frequently, possibly every three months initially, due to the increased risk of foodborne illness associated with these items. Risk assessments take into account the probability of food contamination based on the type of cuisine and methods of preparation.

Restaurants with a history of violations or foodborne illness outbreaks are inspected more often.

An establishment that has been the source of a foodborne illness outbreak is considered high-risk and will, therefore, receive more frequent visits from inspectors. Restaurants with a record of complaints or repeated violations will see a similar increase in the frequency of their inspections. Conversely, establishments that show consistent compliance during inspections may be rewarded with less frequent visits.

Chain restaurants and those with strong food safety programs may be inspected less frequently than high-risk establishments.

Chain restaurants and ones with documented and effective food safety programs tend to be inspected less often compared to high-risk establishments due to their generally lower risk profile and established corporate protocols.

Challenges with bias in the inspection system

There are concerns that ethnic restaurants may be disproportionately targeted for inspections based on consumer complaints.

Reports have surfaced that suggest ethnic restaurants might face disproportionat ...

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Criteria and factors used to assess restaurant risk and inspection frequency

Additional Materials

Clarifications

  • Local municipalities assign risk factors to restaurants based on various elements like the type of food served and compliance history to determine inspection frequency. These risk factors help prioritize inspections for establishments with higher chances of food safety issues, such as those serving raw seafood or with a history of violations. Inspection frequency is adjusted based on these risk factors to ensure proper oversight and compliance with food safety regulations. The goal is to focus resources where they are most needed to protect public health and prevent foodborne illnesses.
  • The type of food served at a restaurant influences how often it is inspected. Restaurants serving high-risk foods like raw seafood are inspected more frequently due to the increased risk of foodborne illness associated with these items. The inspection frequency is determined based on the probability of food contamination related to the cuisine type and preparation methods used at the establishment.
  • Chain restaurants and establishments with robust food safety programs often have standardized procedures and training in place, which can lead to a lower risk profile. Due to this lower risk, they may be inspected less frequently compared to high-risk establishments like those serving raw seafood. The established corporate protocols and documented food safety practices contribute to a more consistent compliance record, influencing inspection frequency. This means that chain restaurants and those with strong food safety programs may receive fewer inspections as a result of their proactive measures to maintain food safety standards.
  • Ethnic restaurants facing potential disproportionate inspection rates can stem from consumer complaints, which may influence inspection frequency. This concern revolves around the idea that certain types of restaurants, particularly those serving ethnic cuisine, might be subject to more frequent inspections based on consumer feedback. The issue is complex and involves examining how consumer complaints, like those on platforms such as Yelp, could inadvertently impact inspection patterns for ethnic re ...

Counterarguments

  • While local municipalities assign risk factors for inspection frequency, this system may not always accurately reflect the current practices or improvements made by restaurants since their last inspection.
  • The type of food served as a criterion for inspection frequency could lead to overgeneralizations; not all establishments serving high-risk foods may handle them poorly.
  • Frequent inspections based on past violations might not take into account significant improvements or changes in management and food safety practices.
  • Chain restaurants and those with strong food safety programs might become complacent if inspections are less frequent, potentially leading to overlooked lapses in food safety.
  • The concern about ethnic restaurants being disproportionately targeted for inspections could be a reflection of cultural misunderstandings or differences in food preparation practices rather than bias.
  • The lack of data to support claims of explicit racial bias in inspections doesn't necessarily mean bias does not exist; it may indicate a need for more compreh ...

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Common violations and areas of focus for health inspectors

Health inspectors closely scrutinize restaurants to ensure the safety and hygiene of food services. Common issues include improper food storage, sanitation mishaps, and the presence of pests.

Improper food storage and handling

Health inspectors often come across high-priority violations related to food storage, particularly inadequate control of temperatures.

Inadequate temperature control for refrigerated or frozen foods

The podcast underlines that food, especially raw meat, should be kept out of the "danger zone" — temperatures between zero and 140 degrees Fahrenheit. Proper refrigeration should be below 40 degrees Fahrenheit to prevent bacterial growth. Chuck Bryant emphasizes that such violations like a fridge not maintaining the correct temperature can lead to an establishment being shut down until the issue is rectified.

Cross-contamination from improper separation of raw and cooked foods

Clark explains the dangers of cross-contamination, highlighting how using the same utensils on raw chicken and foods eaten raw, like lettuce, can cause foodborne illnesses. Ensuring that raw and cooked foods are properly separated is a crucial inspection point.

Hygiene and sanitation issues

Aside from ensuring that food is stored and handled correctly, inspectors focus on general hygiene and sanitation in foodservice.

Unclean food preparation surfaces, equipment, and facilities

Unsanitary conditions on food preparation surfaces and equipment are critical concerns. Clark discusses how difficult-to-clean areas, such as ice machines and beverage dispenser nozzles, can harbor mold. Due to these parts being hidden or less frequently maintained, they may be overlooked by restaurant staff.

Concerns about the cleanliness of ice machines and beverage dispenser nozzles

Regular maintenance and thorough cleaning of ice machines and beverage dispensers are important, as mold can grow within the internal parts and channels. Clark also expresses skepticism about self-serve soft drink stations due to hygiene concerns with multiple people using the same dispensers.

Other common violations

Inspectors also look for other signs of a poorly maintained ...

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Common violations and areas of focus for health inspectors

Additional Materials

Counterarguments

  • While temperature control is crucial, some traditional food preservation techniques that don't rely on refrigeration can be safe if done correctly.
  • Cross-contamination is a significant concern, but it's also important to consider that not all bacteria are harmful and some traditional foods rely on bacterial cultures.
  • The focus on cleanliness should be balanced with the understanding that over-sanitization can lead to resistant strains of bacteria.
  • Mold in ice machines and beverage nozzles is a concern, but it's also worth noting that not all molds are harmful to humans, and some may not pose a significant health risk.
  • The presence of pests like cockroaches is a serious issue, but it's also important to recognize that even the cleanest establishments can occasionally face pest problems du ...

Actionables

  • You can create a kitchen safety checklist to ensure you're following proper food storage and sanitation practices. Start by listing the ideal temperatures for storing different types of food and check your fridge and freezer with a thermometer regularly. Include reminders to store raw and cooked foods separately and to clean food preparation surfaces after each use. For example, after preparing chicken, immediately wipe down the area with a disinfectant before moving on to vegetables.
  • Organize a monthly deep-clean day to tackle those often-neglected areas that can harbor mold and pests. Pull out your appliances to clean behind and underneath them, scrub the ice machine and beverage nozzles, and check for any signs of pests like droppings or damage. Make it a family activity or a personal challenge to ensure it's done thoroughly and regularly.
  • Invest in clear, airtight co ...

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