HomeMy WebLinkAboutcfo-self-certification-checklist-ada Ronald Browder
Director
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COTTAGE FOOD OPERATIONS
SELF CERTIFICATION CHECKLIST
The following requirements are outlined in the Cottage Food Operations (CFO) regulations and are
provided as minimum standards of health and safety for the preparation of approved cottage foods
in the home.
CFO Business Name: CFO Owner Name:
CFO Physical Address: CFO City: CFO Zip:
Phone: FA: PR: PE:
Above bold boxes are for office uses only.
Facility Requirements: Yes No
1.The CFO is located in private dwelling where the CFO operator currently
resides.
2.All CFO food preparation will take place in the private kitchen within that
home.
3.Additional storage used for the CFO will be within the home.
If YES, is the room used exclusively for storage?
b.Specify the room(s) that will be used for storage? ___________________________________
4.Sleeping quarters are excluded from areas used for CFO food preparation or
storage.
Zoning Requirements: Yes No
5.I have complied with the applicable zoning requirements for the CFO.
6.I have attached documentation from the Planning office (If required).
Employee and Training Requirements: Yes No
7.Have all persons preparing or packaging CFO products completed the Food
Handler course and exam?
a.If YES, copies of certificates are attached.
b.If NO, complete course within 3 months of CFO registration.
8.The CFO has more than 1 full-time equivalent employee? (Immediately
family of household members are not included.)
COTTAGE FOOD OPERATIONS SELF CERTIFICATION CHECKLIST
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Sanitation Requirements: Yes No
9.Kitchen equipment and utensils used to produce CFO products are clean
and maintained in a good state of repair.
10. 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.
11. All food preparation and food and equipment storage areas shall be
maintained free of rodents and insects.
Food Preparation Requirements (includes packaging and handling): Yes No
12. 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.
13. Warm water, hand soap and clean towels are available for hand washing.
14. All food ingredients used in the CFO products are from an approved source.
15. Potable water shall be used for hand washing, ware washing and as an
ingredient.
16. Is your water source a private water supply (well, spring, surface)?
a.If YES, have you completed testing for bacteria, nitrate & nitrite?
17. Is your water source a public water system or community services district?
a.If YES, what is the name of the public water system or community
service district
During the preparation, packaging, or handling of CFO products: Yes No
18. Domestic activities such as family meal preparation, dishwashing, clothes
washing or ironing, kitchen cleaning or guest entertainment are excluded
from the kitchen.
19. Infants, small children (younger than 12 yr. old), or pets are excluded from
the kitchen.
20. Smoking is excluded.
21. Any person with a contagious illness shall refrain from work in the CFO.
COTTAGE FOOD OPERATIONS SELF CERTIFICATION CHECKLIST
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Labeling Requirements: Yes No
22. A copy of the label has been submitted to this Department for review and
approval.
23.I have attached a sample label for each proposed food product
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 Cottage Food Operation. Prior to making any changes, I
acknowledge that I must notify the Alameda County Department of Environmental Health Jurisdiction
of any intended changes to the above statement. CFO checklist completed and submitted by:
Owner’s Signature Print Name Date