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The major difference between outbreak and non-outbreak restaurants was the presence of a CFPM.
According to a 2013 -2014 FDA investigation into the relationship between Certified Food Protection Managers (CFPM) and the occurrence of risk factors and food safety.
“Having a CFPM present at all hours of operation enhances food safety management systems and reduces the number of out-of-compliance food safety behaviors and practices.”
FDA Report on the Occurrence of Foodborne Illness Risk Factors in Fast Food and Full-Service Restaurants 2013-2014