Deerfield-News. com-Deerfield Beach, Fl-An inspection revealed Good Life was selling products that could be dangerous to children. The violations are of statute 581.217
581.217(7)(e), F.S. The hemp extract product, or the package, label, or advertisement for the product, is in
the shape of humans, cartoons, or animals; or bears any reasonable resemblance to an existing candy
product that is familiar to the public as a widely distributed, branded food product such that a product could
be mistaken for the branded product, especially by children; or the product contains any color additives.
The inspector from the Florida Department of Agriculture had the operator destroy the potentially dangerous products during the inspection. The complete inspection is posted below.
Florida Department of Agriculture and Consumer Services
Division of Food Safety
FOOD SAFETY INSPECTION REPORT
Chapter 500, Florida Statutes
(850) 245-5520
Visit #: 9999-7182-2231-02
Bureau of Food Inspection
Attention: Business Center
3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
WILTON SIMPSON
COMMISSIONER
Name: Goodlife Hillsboro Establishment #: 393999
Owner: Goodlife Hillsboro Llc Date of Visit: July 20, 2023
Type: Convenience Store/Prepackaged/No Food Service Inspected By:
Address: 438 W Hillsboro Blvd Deerfield Beach, FL 33441-1604
TERRI RAINEY,
FRANCIS ODIO
INSPECTION SUMMARY – Focused Inspection
A Focused Inspection is a visit focused on a specific task that does not constitute an inspection and will not result in an inspection
summary.
NOTICE OF FEES
To review your account balance or to renew your permit, please visit our Food Permit Center at https://FoodPermit.FDACS.gov.
COS = Corrected on Site
OBSERVATIONS AND CORRECTIVE ACTIONS
P = Priority Citation
(Directly Associated with Foodborne Illnesses)
Pf = Priority Foundation Citation
(Supports or Leads to a Priority)
INSPECTION: HEMP RETAIL
Violation No. Citation Description and Observation COS
Citation Description: Distribution or sale of a hemp extract that is attractive to children in violation of s.
581.217(7)(e), F.S. The hemp extract product, or the package, label, or advertisement for the product, is in
the shape of humans, cartoons, or animals; or bears any reasonable resemblance to an existing candy
product that is familiar to the public as a widely distributed, branded food product such that a product could
be mistaken for the branded product, especially by children; or the product contains any color additives.
Observation: Retail- D9 HI.COM Grandmas Magic Brownie 2.11 oz bars advertisement in is shape of
human cartoon, specifically grandma face. COS- product was voluntarily discarded. Stop Sale and release
issued.
77 x
INSPECTION: GRP
Violation No. Citation Description and Observation COS
Citation Description: Food bears or contains a poisonous or deleterious substance which may render it
injurious to health. 500.10(1)(a) F.S. P
Observation: Retail- dozo DON’T TRIP mushroom gummies contain muscarine as an ingredient. Various
flavors of Purple amanita mushroom gummies contain muscarine as ingredient. COS- products was
voluntarily discarded by management during inspection. Stop sale and release issued.
97
P
x
A Supplemental Report was also issued during the visit which includes important information for management.
COMMENTS
Trainee present during inspection. All violations verified by primary inspector.
Page 1 of 11
Print Date: 7/20/2023
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.gov/Reports/SearchFoodEntity.aspx.
TERRI RAINEY, SANITATION AND SAFETY SPECIALIST Name and Title of Whom This Report was Issued
JAMES BULLARD, PERSON IN CHARGE
Page 2 of 11
Print Date: 7/20/2023
Francis Odio, Sanitation and Safety Specialist
Florida Department of Agriculture and Consumer Services
Division of Food Safety
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Bureau of Food Inspection
Attention: Business Center
3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
Visit #: 99997182223102
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
COMMISSIONER
WILTON SIMPSON
393999
GOODLIFE HILLSBORO
July 20, 2023
Food Entity Owner: GOODLIFE HILLSBORO LLC
Food Entity Type/Description: 122/Convenience Store/Prepackaged/No Food Service
Food Entity Mailing Address: 20926 CIPRES WAY BOCA RATON, FL 33433
Food Entity Location Address: 438 W Hillsboro Blvd Deerfield Beach, FL 33441-1604
Food Entity #:
Food Entity Name:
Date Of Visit:
Inspected By: TERRI RAINEY
# Of Pkgs: 27 Size Of Pkg: 60 G Total Weight: 1620 G
Invoice #: N/A
Invoice Date:
You are hereby notified that the following item on which a STOP SALE ORDER AND RELEASE was issued on 07/20/2023 by
TERRI RAINEY is hereby released.
Lot #: Unknown
Article: Brownie- a cannabinoid supplement
Brand Name: Grandma’s Magic Brownie
STOP SALE ORDER AND RELEASE SUPPLEMENTAL KEY #:
331928
Manufacturer:
Distributor:
The primary reason and condition that caused the product or equipment stop sale or stop use and determined to be Attractive to
Children was: FS 581.217 Distribution and Retail Sale of Hemp Extract. * Attractive to Children.
Disposition: Product was voluntarily destroyed by food entity management and witnessed by inspector.
Comments:
FDACS-14325 Rev. 05/22
Page 3 of 11
Print Date: 7/20/2023
Florida Department of Agriculture and Consumer Services
Division of Food Safety
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Bureau of Food Inspection
Attention: Business Center
3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
Visit #: 99997182223102
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
COMMISSIONER
WILTON SIMPSON
393999
GOODLIFE HILLSBORO
July 20, 2023
Food Entity Owner: GOODLIFE HILLSBORO LLC
Food Entity Type/Description: 122/Convenience Store/Prepackaged/No Food Service
Food Entity Mailing Address: 20926 CIPRES WAY BOCA RATON, FL 33433
Food Entity Location Address: 438 W Hillsboro Blvd Deerfield Beach, FL 33441-1604
Food Entity #:
Food Entity Name:
Date Of Visit:
Inspected By: TERRI RAINEY
# Of Pkgs: 6 Size Of Pkg: 2500 mg Total Weight: 15000 mg
Invoice #: N/A
Invoice Date:
You are hereby notified that the following item on which a STOP SALE ORDER AND RELEASE was issued on 07/20/2023 by
TERRI RAINEY is hereby released.
Lot #: unknown
Article: Mushroom mixed fruit gummies
Brand Name: DOZO
STOP SALE ORDER AND RELEASE SUPPLEMENTAL KEY #:
331930
Manufacturer:
Distributor: Latro Inc
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.* Chapter 5K-4: Food deemed adulterated.
Disposition: Product was voluntarily destroyed by food entity management and witnessed by inspector.
Comments:
FDACS-14325 Rev. 05/22
Page 4 of 11
Print Date: 7/20/2023
Florida Department of Agriculture and Consumer Services
Division of Food Safety
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Bureau of Food Inspection
Attention: Business Center
3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
Visit #: 99997182223102
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
COMMISSIONER
WILTON SIMPSON
393999
GOODLIFE HILLSBORO
July 20, 2023
Food Entity Owner: GOODLIFE HILLSBORO LLC
Food Entity Type/Description: 122/Convenience Store/Prepackaged/No Food Service
Food Entity Mailing Address: 20926 CIPRES WAY BOCA RATON, FL 33433
Food Entity Location Address: 438 W Hillsboro Blvd Deerfield Beach, FL 33441-1604
Food Entity #:
Food Entity Name:
Date Of Visit:
Inspected By: TERRI RAINEY
# Of Pkgs: 10 Size Of Pkg: 9.92 G Total Weight: 99.2 G
Invoice #: N/A
Invoice Date:
You are hereby notified that the following item on which a STOP SALE ORDER AND RELEASE was issued on 07/20/2023 by
TERRI RAINEY is hereby released.
Lot #: unknown
Article: Strawberry Amanita Mushroom Gummy
Brand Name: Purple
STOP SALE ORDER AND RELEASE SUPPLEMENTAL KEY #:
331930
Manufacturer:
Distributor: Social Brands
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.* Chapter 5K-4: Food deemed adulterated.
Disposition: Product was voluntarily destroyed by food entity management and witnessed by inspector.
Comments:
FDACS-14325 Rev. 05/22
Page 5 of 11
Print Date: 7/20/2023
Florida Department of Agriculture and Consumer Services
Division of Food Safety
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Bureau of Food Inspection
Attention: Business Center
3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
Visit #: 99997182223102
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
COMMISSIONER
WILTON SIMPSON
393999
GOODLIFE HILLSBORO
July 20, 2023
Food Entity Owner: GOODLIFE HILLSBORO LLC
Food Entity Type/Description: 122/Convenience Store/Prepackaged/No Food Service
Food Entity Mailing Address: 20926 CIPRES WAY BOCA RATON, FL 33433
Food Entity Location Address: 438 W Hillsboro Blvd Deerfield Beach, FL 33441-1604
Food Entity #:
Food Entity Name:
Date Of Visit:
Inspected By: TERRI RAINEY
# Of Pkgs: 7 Size Of Pkg: 9.92 G Total Weight: 69.44 G
Invoice #: N/A
Invoice Date:
You are hereby notified that the following item on which a STOP SALE ORDER AND RELEASE was issued on 07/20/2023 by
TERRI RAINEY is hereby released.
Lot #: unknown
Article: Watermelon amanita mushroom gummy
Brand Name: Purple
STOP SALE ORDER AND RELEASE SUPPLEMENTAL KEY #:
331930
Manufacturer:
Distributor: Social Brands
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.* Chapter 5K-4: Food deemed adulterated.
Disposition: Product was voluntarily destroyed by food entity management and witnessed by inspector.
Comments:
FDACS-14325 Rev. 05/22
Page 6 of 11
Print Date: 7/20/2023
Florida Department of Agriculture and Consumer Services
Division of Food Safety
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Bureau of Food Inspection
Attention: Business Center
3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
Visit #: 99997182223102
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
COMMISSIONER
WILTON SIMPSON
393999
GOODLIFE HILLSBORO
July 20, 2023
Food Entity Owner: GOODLIFE HILLSBORO LLC
Food Entity Type/Description: 122/Convenience Store/Prepackaged/No Food Service
Food Entity Mailing Address: 20926 CIPRES WAY BOCA RATON, FL 33433
Food Entity Location Address: 438 W Hillsboro Blvd Deerfield Beach, FL 33441-1604
Food Entity #:
Food Entity Name:
Date Of Visit:
Inspected By: TERRI RAINEY
# Of Pkgs: 13 Size Of Pkg: 9.92 G Total Weight: 128.96 G
Invoice #: N/A
Invoice Date:
You are hereby notified that the following item on which a STOP SALE ORDER AND RELEASE was issued on 07/20/2023 by
TERRI RAINEY is hereby released.
Lot #: unknown
Article: Wildberry amanita mushroom gummy
Brand Name: Purple
STOP SALE ORDER AND RELEASE SUPPLEMENTAL KEY #:
331930
Manufacturer:
Distributor: Social Brands
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.* Chapter 5K-4: Food deemed adulterated.
Disposition: Product was voluntarily destroyed by food entity management and witnessed by inspector.
Comments:
FDACS-14325 Rev. 05/22
Page 7 of 11
Print Date: 7/20/2023
Florida Department of Agriculture and Consumer Services
Division of Food Safety
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Bureau of Food Inspection
Attention: Business Center
3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
Visit #: 99997182223102
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
COMMISSIONER
WILTON SIMPSON
393999
GOODLIFE HILLSBORO
July 20, 2023
Food Entity Owner: GOODLIFE HILLSBORO LLC
Food Entity Type/Description: 122/Convenience Store/Prepackaged/No Food Service
Food Entity Mailing Address: 20926 CIPRES WAY BOCA RATON, FL 33433
Food Entity Location Address: 438 W Hillsboro Blvd Deerfield Beach, FL 33441-1604
Food Entity #:
Food Entity Name:
Date Of Visit:
Inspected By: TERRI RAINEY
# Of Pkgs: 9 Size Of Pkg: 25.16 G Total Weight: 226.44 G
Invoice #: N/A
Invoice Date:
You are hereby notified that the following item on which a STOP SALE ORDER AND RELEASE was issued on 07/20/2023 by
TERRI RAINEY is hereby released.
Lot #: unknown
Article: Raspberry Magic amanita mushroom gummy
Brand Name: Purple
STOP SALE ORDER AND RELEASE SUPPLEMENTAL KEY #:
331930
Manufacturer:
Distributor: Social Brands
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.* Chapter 5K-4: Food deemed adulterated.
Disposition: Product was voluntarily destroyed by food entity management and witnessed by inspector.
Comments:
FDACS-14325 Rev. 05/22
Page 8 of 11
Print Date: 7/20/2023
Florida Department of Agriculture and Consumer Services
Division of Food Safety
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Bureau of Food Inspection
Attention: Business Center
3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
Visit #: 99997182223102
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
COMMISSIONER
WILTON SIMPSON
393999
GOODLIFE HILLSBORO
July 20, 2023
Food Entity Owner: GOODLIFE HILLSBORO LLC
Food Entity Type/Description: 122/Convenience Store/Prepackaged/No Food Service
Food Entity Mailing Address: 20926 CIPRES WAY BOCA RATON, FL 33433
Food Entity Location Address: 438 W Hillsboro Blvd Deerfield Beach, FL 33441-1604
Food Entity #:
Food Entity Name:
Date Of Visit:
Inspected By: TERRI RAINEY
# Of Pkgs: 3 Size Of Pkg: 25.16 G Total Weight: 75.48 G
Invoice #: N/A
Invoice Date:
You are hereby notified that the following item on which a STOP SALE ORDER AND RELEASE was issued on 07/20/2023 by
TERRI RAINEY is hereby released.
Lot #: unknown
Article: Blue razz magic amanita mushroom gummy
Brand Name: Purple
STOP SALE ORDER AND RELEASE SUPPLEMENTAL KEY #:
331930
Manufacturer:
Distributor: Social Brands
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.* Chapter 5K-4: Food deemed adulterated.
Disposition: Product was voluntarily destroyed by food entity management and witnessed by inspector.
Comments:
FDACS-14325 Rev. 05/22
Page 9 of 11
Print Date: 7/20/2023
Florida Department of Agriculture and Consumer Services
Division of Food Safety
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Bureau of Food Inspection
Attention: Business Center
3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
Visit #: 99997182223102
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
COMMISSIONER
WILTON SIMPSON
393999
GOODLIFE HILLSBORO
July 20, 2023
Food Entity Owner: GOODLIFE HILLSBORO LLC
Food Entity Type/Description: 122/Convenience Store/Prepackaged/No Food Service
Food Entity Mailing Address: 20926 CIPRES WAY BOCA RATON, FL 33433
Food Entity Location Address: 438 W Hillsboro Blvd Deerfield Beach, FL 33441-1604
Food Entity #:
Food Entity Name:
Date Of Visit:
Inspected By: TERRI RAINEY
# Of Pkgs: 1 Size Of Pkg: 25.16 G Total Weight: 25.16
Invoice #: N/A
Invoice Date:
You are hereby notified that the following item on which a STOP SALE ORDER AND RELEASE was issued on 07/20/2023 by
TERRI RAINEY is hereby released.
Lot #: unknown
Article: Strawberry magic amanita mushroom gummy
Brand Name: Purple
STOP SALE ORDER AND RELEASE SUPPLEMENTAL KEY #:
331930
Manufacturer:
Distributor: Social Brands
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.* Chapter 5K-4: Food deemed adulterated.
Disposition: Product was voluntarily destroyed by food entity management and witnessed by inspector.
Comments:
FDACS-14325 Rev. 05/22
Page 10 of 11
Print Date: 7/20/2023
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.
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.
ACKNOWLEDGEMENT
I acknowledge receipt of a copy of this document.
TERRI RAINEY, SANITATION AND SAFETY SPECIALIST JAMES BULLARD, PERSON IN CHARGE
Signature of FDACS Representative Signature of Representative
Print Name and Title
HEARING WAIVER AND WAIVER OF RIGHTS ON DESTROYED PRODUCTS
____________________________________________
(Signature)
I, _____________________________________________________ the person in charge of GOODLIFE HILLSBORO hereby
waive a notice and a hearing as provided in Chapter 120, Florida Statutes and waive all rights as provided on the last page of this
report.
A copy of this report has been provided to the person in charge of the food establishment.
FDACS-14325 Rev. 05/22
Page 11 of 11
Print Date: 7/20/2023
James Bullard
Francis Odio, Sanitation and Safety Specialist
