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 #   MA006  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  HERITAGE WOODS OF MANTENO Address  355 DIVERSATECH DR
Owner or Operator   DSI DIVERSATECH OPERATOR City   MANTENO Zip Code   60950
 
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
  
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
  
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
X
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
X
2
 Handling of food(ice) minimized, methods  
SEWAGE
  
DRESSING ROOMS
10
X
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
X
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
  
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 50-100 ppm                   Dishwasher Temperature   180F °F or label
Food Temperatures:   HAM 35, CHEESE 36, CHICKEN 41, RAW HAMBURGER 37, PUDDING 38, COTTAGE CHEESE 43, MILK 40
 
General Comments
 
Report and Instructions Received By   BRIAN A. STANLEY /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  09/09/2013 Time In  1:15 PM Time Out  2:15 PM Sanitation Score  88 (100 Minus Demerits)
By  Steven Lamb (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 #   MA006  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  HERITAGE WOODS OF MANTENO Address  355 DIVERSATECH DR
Owner or Operator   DSI DIVERSATECH OPERATOR City   MANTENO Zip Code   60950
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*31  Provide for all handsinks to be accessible at all times to assure that proper handwashing occurs. Handsink was blocked by cart in kitchen. Provide for all handsinks to be accessible at all times to assure that proper handwashing occurs. Cart was remove. 750.1120 Immediate/Onsite
2  Observed the following food products to have improper/no labeling information. There is no time on roast beef, grilled chicken, & mushrooms in the walk-in cooler. Provide for all foods to have proper labeling information. 750.100 Next Inspection
9  Observed food service employees to be handling ready-to-eat foods without minimizing direct hand contact with the food product. Cup found in coco in waitress station. Food employees shall avoid direct contact with ready-to-eat food whenever possible and, to the extent possible, shall handle ready-to-eat food only with suitable utensils such as a deli tissue, spatulas, tongs, or single-use gloves. 750.280 Next Inspection
10  Observed the following utensil(s) to be improperly stored. Food Scoop handle found in sugar. Provide for all utensils to be stored in one of the following manners: 1) Clean and dry 2) In the food product with the handle up and out of the food product 3) In a dipper well, using potable water 4) Malt collars and frozen dessert utensils either clean and dry or ina dipper well. 750.280 Next Inspection
23  Observed the following contact surfaces to be unclean. Interior of fryer cabinet has grease & debris in it. Clean and maintain. 750.800 Next Inspection
36  Observed the following floor areas to be unclean: Floor under the fryer has grease & debris on it. Provide for all flooring areas to be in a clean condition. 750.1220 Next Inspection
37  Obseved the following wall/ceilings, and attached equipment to be unclean: Wall behind dishwasher has debris on it. Provide for all walls, ceilings, and attached equipment to be in a clean condition. 750.1220 Next Inspection
38  Observed inadequate lighting in the following area(s): Light bulb is missing in the grillhood. Provide a minimum of 20 foot candles of light in all food preparation areas, at equipment/utnesil washing areas, equipment/untensil storage areas, in lavatories and toilet areas and a minimum of 10 foot candles in walk-in refrigerator units, dry food storage areas, and in all other areas. 750.1240 Next Inspection
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   BRIAN A. STANLEY /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  09/09/2013 Time In  1:15 PM Time Out  2:15 PM Sanitation Score  88 (100 Minus Demerits)
By  Steven Lamb (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 #   MA006  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  HERITAGE WOODS OF MANTENO Address  355 DIVERSATECH DR
Owner or Operator   DSI DIVERSATECH OPERATOR City   MANTENO Zip Code   60950
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
     
     
Report and Instructions Received By   BRIAN A. STANLEY /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  09/09/2013 Time In  1:15 PM Time Out  2:15 PM Sanitation Score  88 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  92