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 #   BR085  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  SUPERMERCADO LA SIESTA Address  245 W BROADWAY ST
Owner or Operator   TREVINO, ARTURO City   BRADLEY Zip Code   60915
 
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
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
X
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
X
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
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
  
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
X
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
X
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
  
2
 Dishwashing facilities: designed, constructed, maintained, installed, located, operated
*45
     Management personnel certified Yes     No     Registered for class X
 
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:   freezer -23, pig 30, milk 27, eggs 39, pork rines 173
 
General Comments
No follow up is needed at this time
Go over eating and drinking with employees and importance of sanitizing buckets 
Report and Instructions Received By   Arturo Trevino /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  01/27/2006 Time In  10:45 AM Time Out  12:15 PM Sanitation Score  76 (100 Minus Demerits)
By  Janet Weldon (Sanitarian) Adjusted Score  85  
 
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 #   BR085  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  SUPERMERCADO LA SIESTA Address  245 W BROADWAY ST
Owner or Operator   TREVINO, ARTURO City   BRADLEY Zip Code   60915
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*12  Observed employee drinks to be stored on shelf with spices and a milk container to be stored in the meat display *Please designate a drink area for employees to drink and store drinks separate from foods and food service (750.530) Immediate/Onsite
*20  Observed no sanitizing buckets to be setup at this facility while meat cutting was taking place *A sanitizing bucket must be setup at all times of cutting and prepping Immediate/Onsite
8  Observed meats to be uncovered while in storage *Please cover meats at all times while in coolers and freezers (750.120) Next Inspection
14  Observed the following food contact surfaces to be improper: 1. Broken strainer 2. Cutting boards to have deep cuts and grooves and to be discolored *Please replace (750.130) Next Inspection
15  Observed the following non-food contact surfaces to be improper: 1. 2nd table under prep table rusting 2. Remove tin foil from shelves 3. Shelves in meat display are starting to rust *Please repair/replace (750.690) Next Inspection
21  Observed rags to be stored improperly *Please store in sanitizing bucket when not in use or store in bin protected if clean (750.810) Next Inspection
22  Observed inside of microwave and inside meat display to be in need of cleaning *Please clean (750.800) Next Inspection
23  Observed the following non-food contact surfaces to be in need of display: 1. All wire shelves in storage esp. near cooking areas and in walk in cooler 2. Gasket for walk-in cooler 3. Bottom of freezer closest to mop sink 4. Wire rack with spices and blender base by 3 bay 5. Legs on prep table 6. Inside clean bins bottom shelf of wire rack across from 3-bay 7. sliding tracks for meat display 8. Sauce shelves (grocery floor) 9. fruit display shelf *Please clean (750.800) Next Inspection
24  Observed clean and dirty pans to be stored together and pans to not be stored inverted *Make sure pans are clean before they are put away and stored protected (750.850 and 860) Next Inspection
33  Observed dumpster lids to be left open *Please keep closed unless you are throwing garbage away (750.1130) Next Inspection
36  Observed floors throughout to be in need of cleaning *Please clean (750.1220) Next Inspection
37  Observed wall around mop sink to be in need of cleaning or painting *Please clean (750.1220) Next Inspection
38  Observed burnt out light bulbs in back storage and meat display *Please replace (750.1240) Next Inspection
     
     
     
     
     
     
     
Report and Instructions Received By   Arturo Trevino /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  01/27/2006 Time In  10:45 AM Time Out  12:15 PM Sanitation Score  76 (100 Minus Demerits)
By  Janet Weldon (Sanitarian) Adjusted Score  85  
 
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 #   BR085  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  SUPERMERCADO LA SIESTA Address  245 W BROADWAY ST
Owner or Operator   TREVINO, ARTURO City   BRADLEY Zip Code   60915
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
Report and Instructions Received By   Arturo Trevino /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  01/27/2006 Time In  10:45 AM Time Out  12:15 PM Sanitation Score  76 (100 Minus Demerits)
By  Janet Weldon (Sanitarian) Adjusted Score  85