Page 1 of 3

X 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
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
X
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
  
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
  
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
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 X No     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 200-400 ppm                   Dishwasher Temperature   180F *see label on report in file °F or label
Food Temperatures:   cheese 26; eggs 40; brats 14; hamburgers 145; upright freezer -14; milk 14,34; chicken 16; vegetable coole 34
 
General Comments
Haccp: discussed proper hand washing techniques with use of rubber gloves.

A follow up will occur in apprx. 30 days for violations 7 & 35. 
Report and Instructions Received By   Walter Arnold /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/02/2006 Time In  10:00 AM Time Out  12:00 PM Sanitation Score  82 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  87  
 
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 eggs stored next to fruit in refrigerator and bratwurst stored on top of bread in chest freezer in kitchen. *Please store all potentially hazardous foods separately from all ready to eat foods. (750.130) Eggs and brats moved. Immediate/Onsite
*35  Observed hole in bottom left of overhead door in back room. *Provide for all outer openings to be tight fitting. *Please repair. (750.1170) 30 Days
*45  Provide copy of CFH certificate of Walter Arnold. Next Inspection
2  Observed foods in refrigerator, coolers, freezers not properly labeled. All food that has been previously cooked then cooled must be labeled with date, item and time cooling began; Al food out of original container must be labeled with item and date. (750.100) Immediate/Onsite
14  Observed cutting board with deep groves. *Please replace. (750.620) Immediate/Onsite
15  Observed the following non-food contact surfaces to be improper: 1. rust on push cart by hand sink; 2. inside lid of chest freezer in kitchen is cracked; 3. rust on inside of chest freezers in kitchen and back room; 4. chipped wood on shelves in dry storage. *Please repair or replace. All non-food contact surfaces are to be smooth, corrosive free, and non-absorbent. (750.690) Next Inspection
23  Observed the following non-food contact surfaces in need of cleaning: *Please clean. (750.800) 1. inside drawers and cabinets of prep table; 2. inside of refrigerator; 3. inside of chest freezer in kitchen; 4. inside and out of stoves; 5. outside of flour, sugar containers in storeroom; 6. inside bottom of double door cooler; 7. gaskets of all chest freezers; 8. fans. Immediate/Onsite
33  Observer exterior and interior of kitchen garbage cans in need of cleaning. *Please clean. (750.1130) Immediate/Onsite
36  Observed carpet on floor in dry storage. *Please remove. All floors are to be smooth, easily cleanable and non-absorbent. (750.1200) Observed floor in kitchen, storeroom and back room in need of a thorough cleaning. *Please clean. (750.1220) Immediate/Onsite
37  Observed wall above chest freezer and hand sink in need of cleaning. *Please clean. (750.1220) Observed ceiling vents in restrooms in need of cleaning. *Please clean. (750.1220) Immediate/Onsite
42  Observed lawn mower and gas stored in back room by single service items. All maintenance and cleaning equipment must be stored completely separate from all food, food items, single service and food equipment. Mower and gas moved. (750.1390) Immediate/Onsite
     
     
     
     
     
     
     
Report and Instructions Received By   Walter Arnold /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/02/2006 Time In  10:00 AM Time Out  12:00 PM Sanitation Score  82 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  87  
 
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   Walter Arnold /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/02/2006 Time In  10:00 AM Time Out  12:00 PM Sanitation Score  82 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  87