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 #   SA012  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  SEASONAL/ ST. ANNE YOUTH ACTIVITY GROUP Address  220 N SECOND
Owner or Operator   ST. ANNE YOUTH ACTIVITY GROUP City   ST. ANNE Zip Code   60964
 
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
  
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
X
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
  
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
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
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
  
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   Chlorine ppm                   Dishwasher Temperature   n/a °F or label
Food Temperatures:   hot dogs -1, 35; pizza -6
 
General Comments
Haccp: discussed using paper towels as liners. No re-use of any single service items.

No follow up required. 
Report and Instructions Received By   Karla Wilkenson /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/17/2006 Time In  4:30 AM Time Out  5:15 AM Sanitation Score  91 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  91  
 
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 #   SA012  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  SEASONAL/ ST. ANNE YOUTH ACTIVITY GROUP Address  220 N SECOND
Owner or Operator   ST. ANNE YOUTH ACTIVITY GROUP City   ST. ANNE Zip Code   60964
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*45  Observed no proof of a certified food handler. (Previous CFH quit) Category II facilities must have at least one. Please either fax or mail a copy of the certificate. Immediate/Onsite
8  Observed pop on floor. *Please store 6" off the floor. (750.130b) Immediate/Onsite
14  Observed slotted spoon w/rust. *Please discard. All serving utensils are to be smooth, easily cleanable, and corrosive free. (750.600) spoon discarded Immediate/Onsite
15  Observed freezer w/rust on inside. *Please repair, replace, or repaint. (750.690) Immediate/Onsite
23  Observed the following non-food contact surfaces in need of cleaning: *Please clean (750.800) 1. inside of refrigerator 2. shelf by cheese machine - by tack board 3. inside tracks of pepsi cooler 4. cabinets on inside under 3-bay Immediate/Onsite
25  Observed paper plates stored improperly and plastic spoon w/serving end up. *Please store all single service protected. Spoons should have handle presented. (750.880b) Observed plastic cups in storeroom on floor. *Please store 6" off the floor. (750.880a) Immediate/Onsite
32  Observed handsink w/rust by faucets. *Please repair or replace. Handsinks must be in good repair. (750.1120f) Immediate/Onsite
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   Karla Wilkenson /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/17/2006 Time In  4:30 AM Time Out  5:15 AM Sanitation Score  91 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  91  
 
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 #   SA012  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  SEASONAL/ ST. ANNE YOUTH ACTIVITY GROUP Address  220 N SECOND
Owner or Operator   ST. ANNE YOUTH ACTIVITY GROUP City   ST. ANNE Zip Code   60964
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
Report and Instructions Received By   Karla Wilkenson /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/17/2006 Time In  4:30 AM Time Out  5:15 AM Sanitation Score  91 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  91