Page 1 of 3

    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 #   HP008  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  LORENZO R SMITH SCHOOL Address  4120 S WHEELER RD
Owner or Operator   PEMBROKE COMMUNITY CONSOLIDATED SCHOOL DISTRICT #259 City   PEMBROKE TWP. Zip Code   60958
 
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
  
4
 Sanitization rinse: Clean, temperature, concentration   INSECT, RODENT ANIMAL CONTROL
 
FOOD PROTECTION
*35
X
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
  
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
X
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
X
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
X
1
 Rooms clean, lockers provided, facilities clean
 
PERSONNEL
  
PLUMBING
  
OTHER OPERATIONS
*11
  
5
 Personnel with infections restricted
29
  
1
 Installed, maintained
*41
X
5
 Toxic items properly stored, labeled and used
*12
  
5
 Hands washed and clean, good hygienic practices
*30
X
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
X
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
  
2
 Dishwashing facilities: designed, constructed, maintained, installed, located, operated
*45
     Management personnel certified Yes X No     Registered for class    
 
GARBAGE AND REFUSE DIPSOSAL
17
  
1
 Accurate thermometers, chemical test kits provided, gauge cook
33
X
2
 Containers or receptacles covered: adequate number, insect/rodent proof, frequency, clean
 
      
Sanitizer Requirement:  Chemical   Chlorine ppm                   Dishwasher Temperature   °F or label
Food Temperatures:   turkey -1°, milk 33.5, taco meat 173.5
 
General Comments
 
Report and Instructions Received By   Christine Sneed /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/07/2005 Time In  9:35 AM Time Out  12:40 PM Sanitation Score  68 (100 Minus Demerits)
By  Bryan Kennedy (Sanitarian) Adjusted Score  77  
 
Page 2 of 3

    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 #   HP008  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  LORENZO R SMITH SCHOOL Address  4120 S WHEELER RD
Owner or Operator   PEMBROKE COMMUNITY CONSOLIDATED SCHOOL DISTRICT #259 City   PEMBROKE TWP. Zip Code   60958
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*7  Observed raw meat to be stored improperly in the following areas: -buns stored next to raw meat in the Hobart freezer -beef(raw) above pancakes in Hobart freezer -raw meat above deli meat in the walk-in freezer *Store all raw foods below and away from ready to eat foods Next Inspection
*30  Observed the drain pipe at the 2-bay sink to be a direct connection *Provide for a proper air gap at this drain. A plumbing permit is required prior to repair. (750.1100) Next Inspection
*31  Observed no handwashing sink in the facility. An employee informed me that the employees wash their hands in the restroom. *Provide for a handsink in the kitchen. Discussed using the 2-bay sink for handwashing only and rinsing dishes in the rinse sink next to the dishmachine (750.1120) Next Inspection
*35  Observed the front screen door in the kitchen to not be tight fitting at the bottom and at the top storm window. Observed the rear screen door in the kitchen to not be fully latching. *Provide for doors to be properly closing and tight fitting (750.1170) Next Inspection
*41  Observed the chlorine concentration in the sanitizer bucket to be greater than 200ppm. *Provide for a chlorine concentration of 100ppm in sanitizing buckets (750.820) Observed toxic chemicals to be stored above food in the storage room. *Store all toxic chemicals seperately from food and food related articles and equipment (750.1310) Next Inspection
2  Observed a bucket of food unlabeled in the walk-in cooler *Label all foods not in their original container (750.130) Next Inspection
8  Observed mold growing on the outer cardboard box of bulk cheese. *Store food protected to prevent mold growth/contamination (750.120) Observed a condensation leak in the Hobart freezer. *Repair to prevent condensation from leaking onto food boxes (750.120) Next Inspection
15  Observed the following non-food contact surfaces to be improper: -tape holding the screen door window in the kitchen -rust, chipped paint on the mixer -butcher block table drawer rusty -butcher block table shelf scratched -bottom of unused milk cooler rusty -door frame of used milk cooler scratched *Repair/replace (750.690) Next Inspection
23  Observed the following non-food contact surfaces to need cleaning: -gaskets of Hobart freezer -gaskets of milk cooler -inside of milk coolers -inside of microwave -underneath, inside of fryer *Please clean (750.800) Next Inspection
33  Observed the dumpster lids to be open *Keep closed (750.1130) Next Inspection
36  Observed the floor to need cleaning in the walk-in cooler and freezer *Please clean (750.1220) Next Inspection
37  Observed the walls and fan covers to need cleaning in the walk-in cooler. *Please clean (750.1220) Next Inspection
40  Observed an employee's jacket and shoes to be stored above food in the storage room. *Store employee's personal belongings in a designated area(750.1280) Next Inspection
     
     
     
     
     
     
Report and Instructions Received By   Christine Sneed /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/07/2005 Time In  9:35 AM Time Out  12:40 PM Sanitation Score  68 (100 Minus Demerits)
By  Bryan Kennedy (Sanitarian) Adjusted Score  77  
 
Page 3 of 3

    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 #   HP008  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  LORENZO R SMITH SCHOOL Address  4120 S WHEELER RD
Owner or Operator   PEMBROKE COMMUNITY CONSOLIDATED SCHOOL DISTRICT #259 City   PEMBROKE TWP. Zip Code   60958
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
     
Report and Instructions Received By   Christine Sneed /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/07/2005 Time In  9:35 AM Time Out  12:40 PM Sanitation Score  68 (100 Minus Demerits)
By  Bryan Kennedy (Sanitarian) Adjusted Score  77