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 #   MM016  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  GARDEN OF PRAYER YOUTH CENTER 1 Address  16424 E ROUTE 114
Owner or Operator   JEFFERSON, NIKO City   MOMENCE Zip Code   60954
 
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
X
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
X
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
 
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
 
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
X
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   QUAT 100 ppm                   Dishwasher Temperature   180F °F or label
Food Temperatures:   RICE 37; HOT DOGS 0; SAUSAGE 0; BISCUITS 35
 
General Comments
HACCP: DISCUSSED KEEPING FOOD WHOLESOME.

A FOLLOW UP WILL OCCUR WITHIN 15 DAYS FOR VIOLATION #35. 
Report and Instructions Received By   LATOYA BROWN /  
 
(Please Print)
 
(Signature of Owner or Representative)
Date  05/14/2013 Time In  10:30 AM Time Out  12:15 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 #   MM016  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  GARDEN OF PRAYER YOUTH CENTER 1 Address  16424 E ROUTE 114
Owner or Operator   JEFFERSON, NIKO City   MOMENCE Zip Code   60954
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*1  OBSERVED THE FOLLOWING FOODS TO BE UNWHOLESOME POSSIBLY SPOILED: 1) DENTED CANNED GOODS IN DRY STORAGE. PROVIDE FOR ALL FOODS TO BE WHOLESOME AND FREE FROM SPOILAGE. CANS DISCARDED. (750.100) IMMEDIATE/ONSITE
*35  OBSERVED THE FOLLOWING OUTER OPENINGS TO NOT BE SELF-CLOSING AND/OR TIGHT FITTING: 1) OUTSIDE BASEMENT DOOR. PROVIDE FOR ALL OPENINGS THAT LEAD TO THE OUTSIDE TO BE SELF-CLOSING AND TIGHT FITTING. (750.1170) 15 DAYS
OBSERVED THE FOLLOWING FOOD PRODUCTS TO HAVE IMPROPER/NO LABELING INFORMATION: 1) PREVIOUSLY COOKED AND COOLED FOOD IN REFRIGERATOR IN KITCHEN, 2) REPACKED FOOD ITEMS IN DOWNSTAIRS UPRIGHT FREEZER. PROVIDE FOR ALL FOODS TO HAVE PROPER LABELING INFORMATION SUCH AS ITEM NAME, DATE AND TIME COOLING BEGAN AND USE BY DATE; ALL REPACKAGED ITEMS MUST HAVE ITEM NAME AND USE BY DATE. (750.120) NEXT INSPECTION
OBSERVED NO THERMOMETER TO BE AVAILABLE IN THE FOLLOWING UNITS: 1) FREEZER TO REFRIGERATOR IN KITCHEN. PROVIDE FOR AN ACCURATE, CONSPICUOUS THERMOMETER, THAT IS ACCURATE WITHIN +/- 3°F, TO BE AVAILABLE IN ALL UNITS HOLDING POTENTIALLY HAZARDOUS FOODS. (750.140) NEXT INSPECTION
15  OBSERVED THE FOLLOWING IMPROPER NON-FOOD CONTACT SURFACES: 1) CHIPPED WOOD ON SHELVING IN DRY STORAGE ROOM IN BASEMENT. PROVIDE FOR ALL FOOD CONTACT SURFACES TO BE SMOOTH, EASILY CLEANABLE, NON-ABSORBANT, CORROSIVE RESISTANT, AND LIGHT COLORED. (750.690) NEXT INSPECTION
23  OBSERVED THE FOLLOWING CONTACT SURFACES TO BE UNCLEAN: 1) INSIDE KITCHEN CABINETS AND DRAWERS, 2) INSIDE OF KITCHEN STOVE AND DRAWER, 3) INSIDE OF REFRIGERATOR IN BASEMENT, 4) INSIDE OF CHEST FREEZER IN BASEMENT. CLEAN. (750.800) NEXT INSPECTION
32  OBSERVED THE FOLLOWING RESTROOM DOOR(S) TO NOT CLOSE PROPERLY 1) STAFF RESTROOM. PROVIDE FOR ALL RESTROOMS DOORS TO BE SELF CLOSING AND TIGHT-FITTING. ALL RESTROOMS DOORS SHALL REMAIN CLOSED EXCEPT DURING CLEANING OR MAINTENANCE. (750.1130) NEXT INSPECTION
36  OBSERVED THE FOLLOWING FLOOR AREAS TO BE IN POOR REPAIR: 1) CHIPPED FLOOR PAINT ON BASEMENT FLOOR. PROVIDE FOR ALL FLOORING AREAS TO BE SMOOTH, EASILY CLEANABLE, NON-ABSORBENT, DURABLE SURFACES, AND BE MAINTAINED IN GOOD REPAIR. REPAIR, REPAINT AND SEAL. (750.1200) NEXT INSPECTION
38  OBSERVED INADEQUATE LIGHTING IN THE FOLLOWING AREA(S): 1) OVER REFRIGERATOR IN BASEMENT. 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
42  OBSERVED THE FOLLOWING MAINTENANCE/CLEANING EQUIPMENT TO BE IMPROPERLY STORED: 1) MOP IN BUCKET WITH SOILED WATER. AFTER EACH USE, PLEASE EMPTY SOILED WATER, CLEAN AND SANITIZE MOP AND BUCKET; HANG MOP TO DRY. (750.1390) NEXT INSPECTION
     
     
     
     
     
     
     
Report and Instructions Received By   LATOYA BROWN /  
 
(Please Print)
 
(Signature of Owner or Representative)
Date  05/14/2013 Time In  10:30 AM Time Out  12:15 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 #   MM016  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  GARDEN OF PRAYER YOUTH CENTER 1 Address  16424 E ROUTE 114
Owner or Operator   JEFFERSON, NIKO City   MOMENCE Zip Code   60954
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
     
     
     
Report and Instructions Received By   LATOYA BROWN /  
 
(Please Print)
 
(Signature of Owner or Representative)
Date  05/14/2013 Time In  10:30 AM Time Out  12:15 PM Sanitation Score  82 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  87