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 #   HP008  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  LORENZO R SMITH SCHOOL Address  4120 S WHEELER RD
Owner or Operator   PEMBROKE COMMUNITY CONSOLIDATED SCHOOL DISTRICT #259 City   PEMBROKE TWP. Zip Code   60958
 
ITEM
X
WT
DESCRIPTION
ITEM
X
WT
DESCRIPTION
ITEM
X
WT
DESCRIPTION
 
FOOD
18
 
1
 Pre-flushed, scraped, soaked
34
X
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
  
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
X
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
 
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
  
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
X
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
  
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   180 °F or label
Food Temperatures:   MILK 47/TIME TEMP OK, CHICKEN PATTY 0, BROCCOLI 39, CUCUMBER 37, SHREDDED CHEESE 38, EGGS 33, CORN DOG 185.
 
General Comments
HACCP CONCEPTS DISCUSSED: IMPORTANCE OF KEEPING HOT FOODS AT 135 OR ABOVE AND COLD FOODS AT 41 OR BELOW. 
Report and Instructions Received By   DON SESSIONS /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/23/2015 Time In  10:30 AM Time Out  11:50 AM Sanitation Score  92 (100 Minus Demerits)
By  Angela Colon (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 #   HP008  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  LORENZO R SMITH SCHOOL Address  4120 S WHEELER RD
Owner or Operator   PEMBROKE COMMUNITY CONSOLIDATED SCHOOL DISTRICT #259 City   PEMBROKE TWP. Zip Code   60958
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
14  Observed the following improper food contact surfaces: Rust on the bottom of the milk cooler. Provide for all food contact surfaces to be smooth, easily cleanable, non-absorbant, corrosive resistant, and light colored. 750.650 Next Inspection
21  Observed the following wiping cloth(s) to be improperly stored: 1) wiping cloths in sink by hand sink 2) wiping cloth by dishwasher. Provide for all wiping cloths to be stored completely submerged in an approved sanitizer solution while not being used. 750.810 Next Inspection
32  Observed the following restroom door(s) to not close properly: Self-closure for mens restroom nearest to kitchen was broken. Provide for all restrooms doors to be self closing and tight-fitting. All restrooms doors shall remain closed except during cleaning or maintenance Observed the following fixtures to be in poor repair in the restroom(s): 1) Faucet in men's restroom was broken, 2) waste cans had no lids in either restroom nearest to the kitchen. Provide for all fixtures to be kept clean and in good repair. 7501120 Next Inspection
34  Observed the dumpster to be on the following improper surface: Dumpster was on gravel. Provide for the dumpster or refuse area to be on a smooth surface constructed of a non-absorbent material, such as concrete or machine-laid asphalt. 750.1140 Next Inspection
36  Observed the following floor areas to be unclean: 1)Cleaning behind Hobart 3 door unit, 2) By coffee service area in kitchen. Provide for all flooring areas to be in a clean condition. 750.1220. Observed the following floor areas to be in poor repair: 1)Cleaning behind Hobart 3 door unit, 2) By coffee service area in kitchen. Provide for all flooring areas to be smooth, easily cleanable, non-absorbent, durable surfaces, and be maintained in good repair. 750.1200. Next Inspection
37  Observed the following wall/ceilings, and attached equipment to be unclean and in poor repair: 1) Behind Hobart 3 door unit, 2) By coffee service area in kitchen,3)Vent covers in men and women restrooms nearest to kitchen and employee restroom were dusty. Provide for all walls, ceilings, and attached equipment to be in a clean condition and in good repair. 750.1220,750.1210 Next Inspection
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   DON SESSIONS /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/23/2015 Time In  10:30 AM Time Out  11:50 AM Sanitation Score  92 (100 Minus Demerits)
By  Angela Colon (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 #   HP008  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  LORENZO R SMITH SCHOOL Address  4120 S WHEELER RD
Owner or Operator   PEMBROKE COMMUNITY CONSOLIDATED SCHOOL DISTRICT #259 City   PEMBROKE TWP. Zip Code   60958
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
     
     
     
Report and Instructions Received By   DON SESSIONS /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/23/2015 Time In  10:30 AM Time Out  11:50 AM Sanitation Score  92 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  92