COTTAGE FOOD OPERATION (CFO) CLASS A REGISTRATION & SELF-CERTIFICATION CHECKLIST

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Lynn Fields
6 years ago
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COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH ENVIRONMENTAL HEALTH 5050 Commerce Drive, Baldwin Park, CA 91706 Telephone: (626) 430-5320 Website: http://www.publichealth.lacounty.

number: Have you obtained planning approval to operate as a CFO from the City/County Planning Department?

potentially hazardous and are not allowed. Only foods that are defined as non-potentially hazardous are approved for preparation by a Cottage Food Operation (CFO).

1 COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH ENVIRONMENTAL HEALTH 5050 Commerce Drive, Baldwin Park, CA Telephone: (626) Website: COTTAGE FOOD OPERATION (CFO) CLASS A REGISTRATION & SELF-CERTIFICATION CHECKLIST Registration or Permit type: New Renewal Note: If you are renewing, please provide your current registration number: Have you obtained planning approval to operate as a CFO from the City/County Planning Department? Business Name: Owner Name: Contact Number: No Address: City: Zip Code: County: Mailing Address (if different): Website: Prohibited Items: Foods containing cream, custard, or meat fillings are potentially hazardous and are not allowed. Only foods that are defined as non-potentially hazardous are approved for preparation by a Cottage Food Operation (CFO). These are food items that do not require refrigeration to keep them safe from bacterial growth that could be a cause of food-borne illness. Products: (Please check the items you will be preparing and/or selling) Baked goods Dried pasta Honey Popcorn Candy Dry baking mixes Mustard Vinegar Churros Fruit butter Tortillas Waffle cones Dried mole paste Herb/Spice blends Granola/Cereals Jams/Jellies/ Preserves Chocolate covered Nonperishable food Fruit tamales/pies Nut mixes/ Nut butter Dried tea/ Roasted coffee Nuts/Dried fruits Sweet sorghum syrup Pizzelles Fruit empanadas Trail mix

2 Food descriptions: Hours of operation: Fill in the days and times the CFO will be open (Example) Monday 9:00 a.m.- 12:00 p.m. 3:00 p.m. - 6:00 p.m. Monday Tuesday Wednesday Thursday Friday Saturday Sunday State the approved areas of CFO within the house (i.e. kitchen, dining room, etc.): Water Source: Please check what type of water source will be used in Cottage Food Facility City Water Private Well Note: If the CFO is serviced by a private well, the water shall be tested by an approved laboratory analysis to verify that the water meets State water quality standards for bacteriological and primary inorganic chemicals. Approval to operate will be granted after submitting recent (within 3 months) laboratory results to this Department. Disposal of Waste: Please check what type of treatment is used to dispose of waste Public Sewer Service Private Septic System Food Processor Course: Within 3 months of being approved to operate by the Environmental Health Division, please provide proof of completion of the required California Department of Public Health (CDPH) food processor course. The website for CDPH is

3 Employee: I understand that I may not have more than one full-time equivalent cottage food employee, not including a family member or household member of the cottage food operator, within the registered or permitted area of a private home where the cottage food operator resides and where cottage food products are prepared or packaged for direct, indirect, or direct and indirect sale to consumers. Gross Annual Sales: I understand that I will lose my CFO status and will need to become permitted in a commercial facility if my CFO business exceeds the following gross annual sales figures for the calendar years in the following table: Calendar Year Gross Annual Sales In $ 35,000 In $ 45,000 In $ 50,000 Owner s Statement: I,, agree to gr ant access to the local health department to conduct an inspection of my cottage food operation s primary domestic residence housing the CFO during normal business hours, during the hours specified on the registration form, or at other reasonable times, for the purposes of inspection or investigation including the collection of food samples. In addition, I agree to notify Los Angeles County Environmental Health prior to modifying my food list, type of operation, and/or method of selling, distributing, or otherwise providing my CFO products to the consumer or retailers regardless of whether or not the product is sold, consigned or given away.

4 COTTAGE FOOD OPERATION (CFO) SELF-CERTIFICATION CHECKLIST The following requirements are outlined in the Cottage Food Operation (CFO) regulations and are provided as minimum standards of health and safety for the preparation of approved cottage foods in the home. Facility Requirements The CFO shall be located in a private dwelling where the CFO operator currently resides. CFO food preparation will take place in the private kitchen within that home. Additional storage used for the CFO will be within the home and used exclusively for storage. Sleeping quarters are excluded from areas used for CFO food preparation or storage. Employee and Training Requirements All persons preparing or packaging CFO products have completed the California Department of Public Health (CDPH) food processor course. If not, the operator shall complete the course and provide certificate(s) within 5 days of completion. The CFO has no more than 1 full-time equivalent employee. (Immediate family or household members are not included.) Sanitation Requirements Kitchen equipment and utensils used to produce CFO products are clean and maintained in a good state of repair. All food contact surfaces, equipment, and utensils used for the preparation, packaging, or handling of any CFO products shall be washed, rinsed, and sanitized before each use. All food preparation and food and equipment storage areas shall be maintained free of rodents and insects. Food Preparation Requirements (includes packaging and handling) Warm water, hand soap and clean towels are available for hand washing. Hand washing is required immediately prior to handling foods and after engaging in any activity that contaminates the hands such as after using the toilet, coughing or sneezing, eating or smoking. All food ingredients used in the CFO products are from an approved source. Potable water shall be used for hand washing, ware washing and as an ingredient. During the preparation, packaging or handling of CFO products: Domestic activities such as family meal preparation, dishwashing, clothes washing or ironing, kitchen cleaning or guest entertainment are not allowed. Infants, small children, or pets are not allowed. Smoking is not allowed. Any person with a contagious illness shall refrain from working in the CFO.

5 Labeling Requirements A sample label will be provided to this Department for review and approval. Planning Requirements I have complied with the applicable planning requirements for the CFO. By signing below you are certifying that you meet the requirements of the California Homemade Food Act, AB 1616 (Gatto) as it pertains to a Class A Cottage Food Operations. Prior to making any changes, I acknowledge that I must notify Los Angeles County Environmental Health Division of any intended changes to the above statement. Cottage Food Operator Checklist completed and submitted by: Print Name: Date Received: OFFICE USE ONLY Received By: Pending: Paid: Check #: Registration Status Approved: By: Denied: By:

HOPE STREET FARMERS MARKET 2017 PRODUCER APPLICATION due February 1, 2017 Information for Applicants

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