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 #   KK019  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  RIVERSIDE SENIOR LIFE COMMUNITIES AT WESTWOOD Address  100 WESTWOOD OAK CT
Owner or Operator   RIVERSIDE MEDICAL CENTER 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
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
  
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
  
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   QUAT 200-400 ppm                   Dishwasher Temperature   180F °F or label
Food Temperatures:   ROAST BEEF 41, RAW HAMBURGER 40, HAM SALAD 41, POTATO SALAD 40, RAW PORK 39, EGGS 41, HAM 40, TILIPIA 34, VEGETABLE SOUP 191
 
General Comments
HACCP CONCEPTS DISCUSSED. HANDWASHING & FOOD TEMPERATURES. 
Report and Instructions Received By   PAUL /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/30/2014 Time In  1:55 PM Time Out  3:30 PM Sanitation Score  87 (100 Minus Demerits)
By  Steven Lamb (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 #   KK019  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  RIVERSIDE SENIOR LIFE COMMUNITIES AT WESTWOOD Address  100 WESTWOOD OAK CT
Owner or Operator   RIVERSIDE MEDICAL CENTER City   KANKAKEE Zip Code   60901
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*7  Observed raw eggs above hamburger meat and other foods. Manager stored eggs in bottom drawer. 750.150 Next Inspection
*20  Observed the sanitizer solution to be too weak at the following location(s). Sanitizer bucket was weak. Provide for the sanitizer solution to be mixed to the appropriate level for the type of sanitizer being used. Employee adjusted bucket. 750.820 Immediate/Onsite
2  Observed the following food products to have improper/no labeling information. There is no label on surgar & rice in dry storage room. 2. Label all bottles of oil above prep table. Provide for all foods to have proper labeling information. 750.100 Next Inspection
23  Observed the following contact surfaces to be unclean. Mop sink is soiled. Clean and maintain. 750.800 Next Inspection
36  Observed the following floor areas to be unclean: Debris on the floor in the walk-in freezer. 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 above the three compartment sink has old torn caulking on it. 2. Wall has debris on it below long dish table in dishwashing area. 3. Wall has glue on it by dishwasher. Remove glue & repaint wall. Provide for all walls, ceilings, and attached equipment to be in a clean condition. 750.1220 Next Inspection
42  Observed excessive litter in the following area(s): Trash found in white pull out bins in dry storage room. Provide for all parts of the property used in connection with facility operations to be kept free of litter. 750.1350 Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   PAUL /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/30/2014 Time In  1:55 PM Time Out  3:30 PM Sanitation Score  87 (100 Minus Demerits)
By  Steven Lamb (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 #   KK019  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  RIVERSIDE SENIOR LIFE COMMUNITIES AT WESTWOOD Address  100 WESTWOOD OAK CT
Owner or Operator   RIVERSIDE MEDICAL CENTER City   KANKAKEE Zip Code   60901
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
Report and Instructions Received By   PAUL /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/30/2014 Time In  1:55 PM Time Out  3:30 PM Sanitation Score  87 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  91