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 #   KK169  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  ASCENSCION SAINT MARY-KANKAKEE Address  500 W COURT ST
Owner or Operator   ASCENSION SAINT MARY-KANKAKEE City   KANKAKEE Zip Code   60901
 
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
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
  
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
X
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
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
  
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     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   quat 100/200 ppm                   Dishwasher Temperature   ok °F or label
Food Temperatures:   milk: 35 eggs: 22 ice cream: 16 chicken: 155 turkey: 35 hamburger: 36 chicken: -12 cheese: 43 ham: 24 chicken: -19 cottage cheese: 22 cheese: -11 turkey: 32 milk: 36 banana cream pie: 42 chicken: 159 cheese: 43 hamburger: 42 cream cheese: 35 salad dressing: 43 cheeseburger soup: 150
 
General Comments
HACCP: Discussed proper sanitizer concentrations.
Note: This facility asked about the use of a thermocouple thermometer. Thermocouple thermometers are good thermometers to use and this facility can use them if it so chooses. 
Report and Instructions Received By   Eileen O''Connell /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/25/2006 Time In  9:20 AM Time Out  12:20 PM Sanitation Score  88 (100 Minus Demerits)
By  Donald Graves (Sanitarian) Adjusted Score  92  
 
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 #   KK169  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  ASCENSCION SAINT MARY-KANKAKEE Address  500 W COURT ST
Owner or Operator   ASCENSION SAINT MARY-KANKAKEE City   KANKAKEE Zip Code   60901
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*20  Observed the sanitizer in several buckets to be at 100 ppm. All Quat sanitizers shall be at a concentration of 200-400 ppm. (750.830) Sanitizers re-made. Immediate/Onsite
2  Observed food throughout the facility to have no label including crunch candy, butterfinger, and crushed pineapple. All foods not in the original package must have a label. (750.130) Next Inspection
8  Observed food in the prep cooler by grills to be uncovered including corn dog nuggets and chicken tenders. All food in storage must have a cover or proper overhead protection. (750.130) Next Inspection
15  Observed the following non-food contact surfaces in need of repair: 1. shelves in the 2-door stainless steel cooler by entrance to main kitchen are rusty 2. light shield in the white 3-door cooler is broken 3. rubber seal inside ice machine 4. tear in gasket of cooler in cafeteria with Tropicana/milk/cheese Repair/replace (750.690) Next Inspection
23  Observed the following non-food contact surfaces in need of cleaning: 1. door gaskets of the white three-door cooler 2. fryer cabinet by grill in main kitchen 3. fan cover in walk-in cooler #3 4. doors and door frames of walk-in coolers 5. door gasket to left door of upright cooler by pizza oven in cafeteria 6. door gaskets to both doors of cooler by pizza oven in cafeteria. Clean and maintain. (750.800) Next Inspection
24  Observed silverware in holders stored with the eating surface up. Store all utensils with the handles presented. (750.850) Next Inspection
25  Observed single service containers stored face up with no protection. Please store inverted or with proper overhead protection. (750.880) Next Inspection
38  Observed light out in the white 3-door cooler in main kitchen. Provide proper amounts of light in all food storage and preparation areas. (750.1230) Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   Eileen O''Connell /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/25/2006 Time In  9:20 AM Time Out  12:20 PM Sanitation Score  88 (100 Minus Demerits)
By  Donald Graves (Sanitarian) Adjusted Score  92  
 
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 #   KK169  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  ASCENSCION SAINT MARY-KANKAKEE Address  500 W COURT ST
Owner or Operator   ASCENSION SAINT MARY-KANKAKEE City   KANKAKEE Zip Code   60901
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
Report and Instructions Received By   Eileen O''Connell /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/25/2006 Time In  9:20 AM Time Out  12:20 PM Sanitation Score  88 (100 Minus Demerits)
By  Donald Graves (Sanitarian) Adjusted Score  92