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 #   MA042  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  CVS/PHARMACY #10680 Address  47 S LOCUST
Owner or Operator   HIGHLAND PARK CVS, LLC City   MANTENO Zip Code   60950
 
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
  
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
  
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
X
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
X
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
X
2
 Toilet rooms enclosed, self-closing doors, fixtures, good repair, clean: Hand cleanser, sanitary towels/hand drying devices provided. Proper waste receptacles, tissue
15
  
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     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   NA ppm                   Dishwasher Temperature   NA °F or label
Food Temperatures:   pixies 8, milk 6, pizza 4, ice cream -10
 
General Comments
 
Report and Instructions Received By   Mike Bess /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/12/2005 Time In  9:15 AM Time Out  10:15 AM Sanitation Score  85 (100 Minus Demerits)
By  Janet Weldon (Sanitarian) Adjusted Score  100  
 
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 #   MA042  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CVS/PHARMACY #10680 Address  47 S LOCUST
Owner or Operator   HIGHLAND PARK CVS, LLC City   MANTENO Zip Code   60950
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*35  Observed the front door to not be tight fitting and self closing *Please adjust self closer to provide a tight fitting door (760.1130) Next Inspection
*41  Observed the following toxic materials improperly stored: 1. Hershey's chocolate with revlon products on endcap 2. aim and flame above catsup 3. oven cleaner next to tin foil 4. barbecue sauce next to ice packs 5. lunch bags next to dura flame 6. pesticides intermingled with cleaning supplies and towels *Please store all chemicals completely separate from food and food service items and keep pesticides completely separate from cleaning supplies and food service items (760.1400 and 1410) Next Inspection
23  Observed the following non-food contact surfaces to be in need of cleaning: 1. bottom of fannie may cooler 2. shelves and inside of bareman's cooler 3. inside all drink coolers 4. shelves dusted throughout *Please clean (760.700) Next Inspection
29  new comment test predefined comment Next Inspection
32  Observed the men's bathroom door to not be self closing and tight fitting *Please provide a tight fitting doors for the men's restroom (760.1030) Next Inspection
36  Observed floors in beer cooler, break room area nd bathrooms to be in need of cleaning *Please clean (760.1200) Next Inspection
37  Observed rusting fan covers in the beer cooler and Bareman's unit *Please repair/replace (760.1260) Observed dirty fan covers in beer cooler Bareman's unit and 7up cooler *Please clean (760.1310) Next Inspection
38  Observed the following Iights to be burnt out 1. fannie may cooler 2. edey's cooler 3. several lights in beer coolers *Please replace (760.1340) Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   Mike Bess /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/12/2005 Time In  9:15 AM Time Out  10:15 AM Sanitation Score  85 (100 Minus Demerits)
By  Janet Weldon (Sanitarian) Adjusted Score    
 
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 #   MA042  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CVS/PHARMACY #10680 Address  47 S LOCUST
Owner or Operator   HIGHLAND PARK CVS, LLC City   MANTENO Zip Code   60950
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
Report and Instructions Received By   Mike Bess /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/12/2005 Time In  9:15 AM Time Out  10:15 AM Sanitation Score  85 (100 Minus Demerits)
By  Janet Weldon (Sanitarian) Adjusted Score