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 #   HP010  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  PEMBROKE KOGER SENIOR CENTER Address  4019 WHEELER RD
Owner or Operator   PEMBROKE TOWNSHIP City   HOPKINS PARK Zip Code   60944
 
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
  
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
X
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
X
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
X
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
X
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
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
X
2
 Containers or receptacles covered: adequate number, insect/rodent proof, frequency, clean
 
      
Sanitizer Requirement:  Chemical   chlorine 100-200 ppm                   Dishwasher Temperature   <180* °F or label
Food Temperatures:   chicken 195; beef 8; fish 18,25; milk 38; pork chops 27; vegetable freezer 24; chest freezer -16
 
General Comments
Haccp: discussed proper handwashing techniques while using rubber gloves. Also, discussed not putting out refrigerated condiments till closer to lunch time.

A follow up will occur when dishwasher is repaired.

 
Report and Instructions Received By   Darrell Lillard /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/11/2006 Time In  9:30 AM Time Out  11:30 AM Sanitation Score  77 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  81  
 
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 #   HP010  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  PEMBROKE KOGER SENIOR CENTER Address  4019 WHEELER RD
Owner or Operator   PEMBROKE TOWNSHIP City   HOPKINS PARK Zip Code   60944
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*7  Observed raw eggs stored next to juice and milk; observed raw fish stored above bread in cooling units. *Please store all potentially hazardous foods below or separately from all ready to eat foods. Eggs and fish moved. (750.130d) Immediate/Onsite
*45  Darrell has taken and passed exam; awaiting certificate. Next Inspection
2  Observed several food items in the refrigerators, coolers, and freezers not labeled. All food must be labeled w/item and date placed in cooking and freezer units once out of original container. All food must be labeled w/name, date that has been previously cooked then cooled. (750.120/140) Immediate/Onsite
5  Observed no thermometers in deep freezer units. *Please provide accurate thermometers placed in conspicuous places for all cooling and freezer units. (750.140) Immediate/Onsite
8  Observed frozen potatoes and bread stored in plastic garbage bags in chest freezers. *Please provide food grade bags.(750.130d) Immediate/Onsite
10  Observed scoops used for flour, sugar etc in storeroom lying in food. *Please store in food with handle presented. (750.280) Immediate/Onsite
15  Observed chest and upright freezers in back storeroom with rust on inside and in need of defrosting. *Please repair/replace. (750.690) Immediate/Onsite
16  Observed dishwasher not working properly - not heating and has rust and lime build up on inside. *Please repair and remove rust and lime. *This facility is not allowed to use the dishwasher until repaired and heats to 180 degrees. The dishwasher must be tested by someone at the KCHD before use to ensure it is working properly. Once repaired and cleaned please call the KCHD to schedule a reinspection of the dishwasher. (750.830) Immediate/Onsite
21  Observed wiping cloths on counters. *When not in use, please store in sanitizer bucket. (750.810) Immediate/Onsite
23  Observed the following non-food contact surfaces in need of cleaning: *Please clean (750.800) 1. outside of stove 2. all kitchen drawers - inside 3. stainless steel cabinet shelves 4. inside and out of refrigerator 5. inside of all chest freezers and gaskets 6. storerooms shelves 7. all large storage containers on outside - in storeroom 8. outside of season containers - in storeroom 9. outside and inside of double door coolers Immediate/Onsite
26  Observed foil pans being reused. *NO reuse of any single service items. (750.60)Please remove. Immediate/Onsite
32  Observed handsink to be dirty. *Please clean (750.1120) Immediate/Onsite
33  Please clean exterior of kitchen garbage cans. (750.1130e) Immediate/Onsite
36  Observed floor in both storerooms in need of cleaning. *Please clean (750.1220) Observed floor in back storeroom in need of resealing. *Please provide floor to be smooth and easily cleanable. (750.1200) Immediate/Onsite
37  Please clean wall by dishwasher, ceiling vent above refrigerator in kitchen and both restrooms. (750.1220) Immediate/Onsite
42  Please organize back room. *Please removed all unnecessary items. All cleaning equipment should be stored in utility room. (750.1350d) Immediate/Onsite
     
     
     
Report and Instructions Received By   Darrell Lillard /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/11/2006 Time In  9:30 AM Time Out  11:30 AM Sanitation Score  77 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  81  
 
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 #   HP010  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  PEMBROKE KOGER SENIOR CENTER Address  4019 WHEELER RD
Owner or Operator   PEMBROKE TOWNSHIP City   HOPKINS PARK Zip Code   60944
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
     
Report and Instructions Received By   Darrell Lillard /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/11/2006 Time In  9:30 AM Time Out  11:30 AM Sanitation Score  77 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  81