Environmental Health


To become licensed with the Trumbull County Combined Health District, please follow the directions in the information links below. If you should have any questions please call the office at 330-675-2489.

Mobile & Temporary Licenses: For mobiles and temporaries please make sure to look at the requirements and also fill out the drawing page as well

Restaurant Inspections

Trumbull County businesses (except in the city of Warren) selling, preparing and/or serving food must meet the requirements of the Ohio Uniform Food Safety Code and be licensed by Trumbull County Combined Health District.  Once licensed, businesses must be inspected to assure they comply with food rules that protect the health of the public. Restaurants, grocery stores, school cafeterias, daycare centers, nursing homes and hospitals all require appropriate licensing and inspection.

Ohio categorizes retail food businesses according to risk levels, with the risk being the complexity of food preparation and other factors with potential to cause foodborne illness. The licensing year is from March 1 to the last day of February the following year.

License fees and inspection frequency are based on the four risk classes below:

Risk Level

Inspections per year




1 Routine

Prepackaged food

Snacks or candy at retail stores


1 Routine

Limited food handling

Ice cream stores, some bakeries


2 Routine

Cutting, slicing, heating, holding and/or cooling foods

Fast food restaurants, some schools, pizza shops


2 Routine

Complex food handling processes, reheating in bulk, or serves high risk population

Full service restaurants, nursing homes, hospitals, catering companies


Food Service Operation: A location where food is served, ready to eat, in individual portions.
Retail Food Establishment: A location where food is stored, processed, or prepared for retail sale.

Types of Inspections

Routine or Standard: This comprehensive inspection is conducted to evaluate if the business is following the requirements of Ohio food rules
Follow-up: This inspection is conducted to recheck on critical violations that were noted in a previous routine inspection.
Critical Control Point (CCP): An in-depth inspection for risk level IV Food Service Operations (FSO) that closely follows the flow of food and looks for potential problems in the process that may lead to foodborne illness.
Process Review (PR): Conducted at a Retail Food Operation (RFE), this is similar to the Critical Control Point inspection above.
Complaint Investigation: This inspection may selectively examine the conditions associated with the nature of the complaint.
Foodborne Illness: In the event a foodborne illness was suspected to originate at a food facility, the inspection would focus on the conditions which may have contributed to the illness.

Critical Violation: These practices may cause food to become contaminated or cause someone to become ill.
Non-critical Violation: These violations are less likely to cause illness and may be a cleaning or maintenance issue, and many times are easily corrected.

Elements of an inspection may include:
Assuring approved food source(s)
Prevention of cross contamination of food of equipment
Use of proper cooking and cooling processes
Safe hot and cold holding temperatures
Employee education, health and hygiene
Proper storage of food, paper products, and chemicals

Food Service Operations/Retail Food Establishments (Including Mobile, Temporary, Vending)

Multi-Lingual Food Codes