Page 1 of 2

    Food Service Establishment
    Retail Food Store
    Temporary
    Mobile
KANKAKEE COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH
2390 W. STATION STREET
KANKAKEE, IL 60901
(815) 802-9410, (815) 802-9411 (FAX)

FOOD SERVICE SANITARY INSPECTION REPORT
 Establishment #   KK057  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  HIGH POINT RESIDENCE KANKAKEE Address  1975 E COURT ST
Owner or Operator   PLATINUM HEALTHCARE, LLC City   KANKAKEE Zip Code   60901
 
ITEM
X
WT
DESCRIPTION
ITEM
X
WT
DESCRIPTION
ITEM
X
WT
DESCRIPTION
 
FOOD
18
 
1
 Pre-flushed, scraped, soaked
34
  
1
 Outside storage area, enclosures properly constructed, clean: controlled incineration
*1
  
5
 Source, Wholesome, No Spoilage
19
  
2
 Wash, rinse after: clean, proper temperature
2
X
1
 Original Container, Properly Labeled
*20
X
4
 Sanitization rinse: Clean, temperature, concentration   INSECT, RODENT ANIMAL CONTROL
 
FOOD PROTECTION
*35
  
4
 Presence of insects/rodents - outer openings protected; no birds, turtles, or other animals
*3
  
5
 Potentially hazardous food meets temperature requirements during storage, preparation, display, service and transportation
21
X
1
 Wiping cloths: clean, use restricted
22
  
2
 Food contact surfaces of equipment and utensils clean, free of abrasives and detergents  
FLOORS WALLS AND CEILINGS
36
X
1
 Floor: constructed, drained, clean, good repair, covering installation, dustless cleaning methods
*4
  
4
 Facilities to maintain product temperature
23
X
1
 Non-food contact surfaces of equipment and utensils clean
5
 
1
 Thermometers provided and conspicuous
37
X
1
 Walls, ceiling, attached equipment: constructed good repair, clean surfaces, dustless cleaning methods
6
 
2
 Potentially hazardous food properly thawed
24
  
1
 Storage, handling of clean equipment utensils
*7
  
4
 Unwrapped and potentially hazardous food not re-served, Cross Contamination
25
  
1
 Single-service articles, storage, dispensing  
LIGHTING
26
  
2
 No re-use of single-service articles
38
  
1
 Lighting provided as required - Fixtures shielded
8
  
2
 Food protection during storage, preparation, display, service and transportation  
WATER
  
VENTILATION
*27
 
5
 Water source, safe: Hot and cold under pressure
39
  
1
 Rooms and equipment - vented as required
9
  
2
 Handling of food(ice) minimized, methods  
SEWAGE
  
DRESSING ROOMS
10
  
1
 Food(ice) dispensing utensils properly stored
*28
  
4
 Sewage and waste water disposal
40
  
1
 Rooms clean, lockers provided, facilities clean
 
PERSONNEL
  
PLUMBING
  
OTHER OPERATIONS
*11
  
5
 Personnel with infections restricted
29
  
1
 Installed, maintained
*41
  
5
 Toxic items properly stored, labeled and used
*12
  
5
 Hands washed and clean, good hygienic practices
*30
 
5
 Cross-connection, back siphonage-backflow
42
  
1
 Premises: maintained, free of litter, unnecessary articles, cleaning/maintenance equipment properly stored, authorized personnel
13
  
1
Clean clothes, hair restraints
  
TOILET AND HAND-WASHING FACILITIES
 
FOOD EQUIPMENT AND UTENSILS
14
  
2
 Food (ice) contact surfaces: designed, constructed, maintained, installed, located
*31
  
4
 Number, convenient, accessible, designed, installed
43
  
1
 Complete separation from living/sleeping quarters, laundry
32
 
2
 Toilet rooms enclosed, self-closing doors, fixtures, good repair, clean: Hand cleanser, sanitary towels/hand drying devices provided. Proper waste receptacles, tissue
15
X
1
 Non-food (ice) contact surfaces: designed, constructed, maintained, installed, located.
44
  
1
 Clean, soiled linen properly stored
 
CERTIFIED PERSONNEL
16
X
2
 Dishwashing facilities: designed, constructed, maintained, installed, located, operated
*45
     Management personnel certified Yes     No X Registered for class    
 
GARBAGE AND REFUSE DIPSOSAL
17
  
1
 Accurate thermometers, chemical test kits provided, gauge cook
33
  
2
 Containers or receptacles covered: adequate number, insect/rodent proof, frequency, clean
 
      
Sanitizer Requirement:  Chemical   chlorine 100 ppm                   Dishwasher Temperature   chlorine 50 ppm °F or label
Food Temperatures:   cheese 38 freezer 2
 
General Comments
 
Report and Instructions Received By   Sunday Mezo /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  03/25/2005 Time In  9:30 AM Time Out  11:15 AM Sanitation Score  87 (100 Minus Demerits)
By   (Sanitarian) Adjusted Score  92  
 
Page 2 of 2

    Food Service Establishment
    Retail Food Store
    Temporary
    Mobile
KANKAKEE COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH
2390 W. STATION STREET
KANKAKEE, IL 60901
(815) 802-9410, (815) 802-9411 (FAX)

FOOD SERVICE SANITARY INSPECTION REPORT
 Establishment #   KK057  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  HIGH POINT RESIDENCE KANKAKEE Address  1975 E COURT ST
Owner or Operator   PLATINUM HEALTHCARE, LLC City   KANKAKEE Zip Code   60901
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*20  Observed the sanitizer bucket to not have a measurable amount of chlorine. *Please provide a bucket of chlorine to be 100 ppm Next Inspection
2  Observed bulk food bins to not be labled. *Please provide a proper lable (750.130) Next Inspection
15  Observed cardboard to be used as a storage container for unorigianl items. *Please provide a container to be smooth, easily cleanable, and non-absorbant. (750.690) Observed the handle of the hot water faucet at the hand sink in the dinning room missing the top. *Please repair (750.690) Next Inspection
16  Observed the dish machine sanitizer mechanism to not work properly. *Please provide a chemical sanitizing dish machine to sanitize at 50 ppm. (750.830) Next Inspection
21  Observed various rags out on the counter. *Please store wiping rags completely submersed in an approved sanitizer buckets (750.810). Next Inspection
23  Please clean the following surfaces (750.800) 1. oven doors, glass, and ledges. 2. catch trays of all equipment. 3. juice machine drain pain and tube. Next Inspection
25  Observed a box of napkins on the floor. * Please store all Single service items 6 Next Inspection
36  Please clean the floors under all the storage equipment, prep tables, and floor mats. (750.1220) Next Inspection
37  observed ceiling tiles to have water stains. *Please replace(750.1210) Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   Sunday Mezo /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  03/25/2005 Time In  9:30 AM Time Out  11:15 AM Sanitation Score  87 (100 Minus Demerits)
By   (Sanitarian) Adjusted Score  92