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 #   MM023  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  MOMENCE HIGH SCHOOL Address  101 N FRANKLIN ST
Owner or Operator   MOMENCE SCHOOL DISTRICT City   MOMENCE Zip Code   60954
 
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
X
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
  
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
  
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
  
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
X
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
X
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
  
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
  
2
 Containers or receptacles covered: adequate number, insect/rodent proof, frequency, clean
 
      
Sanitizer Requirement:  Chemical   Chlorine 100-200 ppm                   Dishwasher Temperature   94 °F or label
Food Temperatures:   eggs 40; chz sauce 40; chest freezers 27; hot dogs -22; chicken patty -1; ice cream -6; curly fries 144; pizza 144; chicken soup 154; milk 38
 
General Comments
Haccp: discussed proper handwashin techniques.

**This facility must call when hot water is restored to handsink in kitchen before food prep can resume. A temporary handsink was established for the remaining part of serving time until regular handsink has hot water. Verification of hot water to handsink must be done by a member of the KCHD.

This facility still needs to submit a plan review, fee and drawing for new kitchen construction asap. 
Report and Instructions Received By   Zoe Luedtke /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/09/2006 Time In  10:00 AM Time Out  11:10 AM Sanitation Score  89 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  89  
 
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 #   MM023  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  MOMENCE HIGH SCHOOL Address  101 N FRANKLIN ST
Owner or Operator   MOMENCE SCHOOL DISTRICT City   MOMENCE Zip Code   60954
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*27  Observed no hot water at handsink in kitchen. All sinks must have hot and cold water that is pressurized at all times. *NO FOOD PREP OF ANY KIND UNTIL handsink in kitchen has hot water and is verified by someone w/KCHD. All food prep is hereby suspended until hot water is restored to handsink. A plan of action requested for keeping hot water in kitchen during construction. (750.1120d) Immediate/Onsite
15  Observed the following non-food contact surfaces to be improper: *Please repair, replace, defrost. (750.690) 1. defrost all freezers 2. rust on inside of various freezers and coolers. Please keep free of rust particles 3. chipped wood on storeroom shelves Immediate/Onsite
19  Observed middle sink of 3-bay used for washing dishes to be at 94F. *Please keep at 120F. 3-Bay is only to be used for washing, rinsing, sanitizing dishware. (750.820/830) Immediate/Onsite
23  Please clean inside of frig doors. (750.800) Immediate/Onsite
26  Observed paper towel used as a liner for cookie sheet. NO re-use of any single service. *Please remove. (750.600) Immediate/Onsite
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   Zoe Luedtke /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/09/2006 Time In  10:00 AM Time Out  11:10 AM Sanitation Score  89 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  89  
 
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 #   MM023  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  MOMENCE HIGH SCHOOL Address  101 N FRANKLIN ST
Owner or Operator   MOMENCE SCHOOL DISTRICT City   MOMENCE Zip Code   60954
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
Report and Instructions Received By   Zoe Luedtke /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/09/2006 Time In  10:00 AM Time Out  11:10 AM Sanitation Score  89 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  89