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
  
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
X
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
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
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 100 ppm                   Dishwasher Temperature   O.K. °F or label
Food Temperatures:   BEEF 34; CHICKEN 33; TENDERLOIN 34; FISH 0; SHRIMP 0; RICE CAKE 0; EGGS 38; MILK 38; ICE CREAM 0; CHEESE 37
 
General Comments
HACCP CONCEPT DISCUSSED: PROPER THAWING METHODS.

NO FOLLOW UP REQUIRED. 
Report and Instructions Received By   ARTURO /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/10/2014 Time In  10:30 AM Time Out  11:40 AM Sanitation Score  90 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  94  
 
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
2  Observed the following food products to have improper/no labeling information: 1) ITEMS REPACKAGED IN FREEZERS, 2) PREVIOUSLY COOKED AND COOLED ITEMS IN WALK IN COOLER. Provide for all foods to have proper labeling information SUCH AS ITEM NAME, DATE REPACKAGED, TIME COOLED AND USE BY DATE. (750.120) Next Inspection
6  Observed the following potentially hazardous foods to be improperly thawed: 1) PORK TONGUES IN BACK. Provide for all potentially hazardous foods to be properly thawed in one of the following ways: 1) In a refrigerator unit in a way that the temperature doe not exceed 41°F 2) Under potable running water at a temperature of 70°F or below 3) In a microwave oven only when it is a part of the cooking process 4) As a part of the conventional cooking process. (750.120) TONGUES PLACED UNDER POTABLE RUNNING WATER. Immediate/Onsite
8  Observed the following food products to be improperly stored: 1) FISH UNWRAPPED IN 2-DOOR FREEZER IN BACK. Provide for all food products in storage to have proper covers THAT ARE FOOD GRADE. (750.120) FISH DISCARDED. Immediate/Onsite
15  Observed the following improper non-food contact surfaces: 1) RUST ON LOWER SHELF OF PREP TABLE IN BUTCHERS AREA, PREP AND COOKING AREA IN BACK, 2) CHIPPED FRONT SHELVING TO TWO DOOR GLASS FREEZER IN BACK, 3) HEAVY FROST/ICE BUILD UP INSIDE 2-DOOR FREEZER W/GLASS DOORS IN BACK, 4) HEAVY FROST BUILD UP ON UPPER SHELVES TO UPRIGHT FREEZER IN BACK, 5) RUST ON WIRE RACKS BY WALK IN COOLER, 6) RUST ON RACKS INSIDE OF WALK IN COOLER, 7) RUST ON TORTILLA RACKS IN STORE BY BUTCHERS AREA - CUSTOMER SIDE. 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 OF BUTCHERS MEATCASE AND LEDGES, 2) INSIDE DOOR TO UPRIGHT FREEZER IN BACK, 3) ALL SHELVING IN COOKING AREA IN BACK, 4) OUTSIDE OF DOORS TO 2-DOOR COOLER BY BACK DOOR, 5) COKE AND 7:UP STANDS IN STORE. CLEAN. (750.800) Next Inspection
36  Observed the following floor areas to be in poor repair: 1) NO COVEBASE UNDERNEATH 3-BAY SINK, 2) NO SEAL ON CONCRETE FLOORING IN COOKS AREA, BY WALK IN COOLER, UTILITY ROOM, AND WALK IN COOLER. Provide for all flooring areas to be smooth, easily cleanable, non-absorbent, durable surfaces, and be maintained in good repair. (750.1200) Observed the following floor areas to be unclean: 1) UNDER AND AROUND DRY GOOD RACKS IN BACK. Provide for all flooring areas to be in a clean condition. (750.1220) Next Inspection
37  Observed the following wall/ceilings area(s) to be in poor repair: 1) CHIPPED PAINT ON WALLS IN UTILITY ROOM. Provide for all walls and ceilings to be smooth, easily cleanable, non-absorbent, durable, and light colored and be maintained in good repair. (750.1210) Next Inspection
42  Observed excessive litter in the following area(s): 1) UTILITY ROOM IS VERY CLUTTERED. Provide for all parts of the property used in connection with facility operations to be kept free of litter. KEEP ORGANIZED AND CLEAN IN ORDER TO REDUCE POTENTIAL HARBORAGE FOR VERMIN, INSECTS, ETC. (750.1350) Next Inspection
     
     
     
     
     
     
     
Report and Instructions Received By   ARTURO /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/10/2014 Time In  10:30 AM Time Out  11:40 AM Sanitation Score  90 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  94  
 
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 /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/10/2014 Time In  10:30 AM Time Out  11:40 AM Sanitation Score  90 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  94