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 #   BR085  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  SUPERMERCADO LA SIESTA Address  245 W BROADWAY ST
Owner or Operator   TREVINO, ARTURO City   BRADLEY Zip Code   60915
 
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
X
1
 Wiping cloths: clean, use restricted
22
X
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
  
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
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 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 0/100* ppm                   Dishwasher Temperature   NOT IN USE AT TIME OF INSPECTION °F or label
Food Temperatures:   MILK 39; EGGS 39; CHEESE 29; ICE CREAM 0; CHICKEN TAQUITOS 0; CHICKEN 18; PORK 37; SAUSAGE 37; BEEF 38
 
General Comments
HACCP: DISCUSSED SANITIZER CONCENTRATION.

NO FOLLOW UP REQUIRED. 
Report and Instructions Received By   ARTURO TREVINO /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/30/2012 Time In  10:30 AM Time Out  11:45 AM Sanitation Score  86 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  90  
 
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 #   BR085  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  SUPERMERCADO LA SIESTA Address  245 W BROADWAY ST
Owner or Operator   TREVINO, ARTURO City   BRADLEY Zip Code   60915
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*20  OBSERVED THE SANITIZER SOLUTION TO BE TOO WEAK AT THE FOLLOWING LOCATION(S): 1) BUTCHERS AREA. PROVIDE FOR THE SANITIZER SOLUTION TO BE MIXED TO THE APPROPRIATE LEVEL FOR THE TYPE OF SANITIZER BEING USED; REMIXED AND TESTED AT 100 PPM. (750.830) IMMEDIATE/ONSITE
2  OBSERVED THE FOLLOWING FOOD PRODUCTS TO HAVE IMPROPER/NO LABELING INFORMATION: 1) VARIOUS FOOD ITEMS IN FREEZERS, COOLERS, 2) HOMEMADE CHICKEN TAMALES IN STORE COOLER. PROVIDE FOR ALL FOODS TO HAVE PROPER LABELING INFORMATION SUCH AS ITEM NAME AND USE BY DATE. ALL REPACKAGED FOODS MUST BE LABELED PROPERLY ALONG WITH ALL HOMEMADE ITEMS MUST INCLUDE INGREDIENTS, USE BY DATE, MFG NAME, ADDRESS AND TELEPHONE NUMBER. PLEASE LABEL PROPERLY OR ITEMS CAN BE THROWN OUT. (750.120) NEXT INSPECTION
8  OBSERVED THE FOLLOWING FOOD PRODUCTS TO BE IMPROPERLY STORED: 1) ITEMS UNCOVERED IN WALK IN COOLER, 2) ICE STORED DIRECTLY ON MEAT IN WALK IN COOLER, 3) FOOD ITEMS STORED IN PLASTIC GROCERY BAGS. PROVIDE FOR ALL FOOD PRODUCTS IN STORAGE TO HAVE PROPER COVERS OR OVERHEAD PROTECTION; DO NOT PLACE ICE DIRECTLY ON MEAT; PROVIDE FOOD GRADE BAGS FOR STORAGE OF FOOD ITEMS IN COOLERS AND FREEZERS. (750.120) NEXT INSPECTION
15  OBSERVED THE FOLLOWING IMPROPER NON-FOOD CONTACT SURFACES: 1) RUST ON LOWER SHELF OF TABLE BY HAND SINK IN BUTCHERS AREA, 2) RUST ON RACKS ABOVE 3-BAY SINK, 3) RUST ON LOWER PREP TABLE IN BACK AND IN COOKING AREA, 4) CRACKED MOLDING ON INSIDE OF 2-DOOR FREEZER ON WEST SIDE IN BACK, 5) RUST ON PUSH CART IN BACK, 6) RUST ON RACKS W/BEANS IN BACK, 7) RUST ON RACKS INSIDE OF WALK IN COOLER, 8) HEAVY FROST BUILD UP ON ICE CREAM CHEST FREEZER IN STORE. PROVIDE FOR ALL FOOD CONTACT SURFACES TO BE SMOOTH, EASILY CLEANABLE, NON-ABSORBANT, CORROSIVE RESISTANT, AND LIGHT COLORED. (750.690) NEXT INSPECTION
21  OBSERVED THE FOLLOWING WIPING CLOTH(S) TO BE IMPROPERLY STORED: 1) ON COUNTERS IN BACK. PROVIDE FOR ALL WIPING CLOTHS TO BE STORED COMPLETELY SUBMERGED IN AN APPROVED SANITIZER SOLUTION WHILE NOT BEING USED. (750.810) NEXT INSPECTION
22  OBSERVED THE FOLLOWING FOOD CONTACT SURFACES TO BE UNCLEAN: 1) INSIDE OF LARGE ICE MACHINE. PLEASE CLEAN. (750.800) NEXT INSPECTION
23  OBSERVED THE FOLLOWING CONTACT SURFACES TO BE UNCLEAN: 1) INSIDE BOTTOM OF 2-DOOR FREEZER BY BACK DOOR, 2) 7:UP STAND IN STORE. PLEASE CLEAN. (750.800) NEXT INSPECTION
36  OBSERVED THE FOLLOWING FLOOR AREAS TO BE IN POOR REPAIR: 1) NO SEAL ON CONCRETE FLOORING IN COOKING AREA IN BACK, 2) NO SEAL ON CONCRETE FLOORING IN WALK IN COOLER, 3) NO SEAL ON CONCRETE FLOORING AROUND ICE MACHINE. RESEAL AND REPAIR CONCRETE FLOORING. (750.1200) NEXT INSPECTION
37  OBSEVED THE FOLLOWING WALL/CEILINGS, AND ATTACHED EQUIPMENT TO BE UNCLEAN: 1) FAN GRILL IN WALK IN COOLER. PLEASE CLEAN. (750.1220) OBSERVED CEILING TORN IN COOKING AREA IN BACK. REPAIR. (750.1210) NEXT INSPECTION
     
     
     
     
     
     
     
     
Report and Instructions Received By   ARTURO TREVINO /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/30/2012 Time In  10:30 AM Time Out  11:45 AM Sanitation Score  86 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  90  
 
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 #   BR085  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  SUPERMERCADO LA SIESTA Address  245 W BROADWAY ST
Owner or Operator   TREVINO, ARTURO City   BRADLEY Zip Code   60915
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
     
     
     
Report and Instructions Received By   ARTURO TREVINO /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/30/2012 Time In  10:30 AM Time Out  11:45 AM Sanitation Score  86 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  90