Page 1 of 2

    Food Service Establishment
X 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 #   KK085  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  FAMILY DOLLAR STORES #22925 Address  35 A MEADOWVIEW CTR
Owner or Operator   FAMILY DOLLAR STORES, INC. 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
  
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
X
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
  
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     No     Registered for class    
 
GARBAGE AND REFUSE DIPSOSAL
17
  
1
 Accurate thermometers, chemical test kits provided, gauge cook
33
X
2
 Containers or receptacles covered: adequate number, insect/rodent proof, frequency, clean
 
      
Sanitizer Requirement:  Chemical   N/A ppm                   Dishwasher Temperature   N/A °F or label
Food Temperatures:   ICE CREAM 4, CHICKEN STIR FRY 0, PIZZA 31, CHEDDAR HOT DOG 39, MILK 40
 
General Comments
HACCP CONCEPTS DISCUSSED: KEEP ALL COLD FOODS 41 OR BELOW, FROZEN FOODS FROZEN. 
Report and Instructions Received By   DAVID GRAVES /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/08/2015 Time In  10:20 AM Time Out  11:15 AM Sanitation Score  92 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  92  
 
Page 2 of 2

    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 #   KK085  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  FAMILY DOLLAR STORES #22925 Address  35 A MEADOWVIEW CTR
Owner or Operator   FAMILY DOLLAR STORES, INC. City   KANKAKEE Zip Code   60901
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
22  Observed the following food contact surfaces to be unclean: Employee table in back room sticky with food debris. Clean and maintain. 750.800 Next Inspection
23  Observed the following contact surfaces to be unclean: Bottom of dairy cooler had food debris on it. Clean and maintain. 750.800 Next Inspection
33  Observed the following garbage containers to have no cover(s) in the following areas: Dumpster out back is uncovered. Provide that the dumpster lid be kept closed, except while throwing away trash. 750.1130 Next Inspection
36  Observed the following floor areas to be unclean: 1)Back storage area has paper debris all around, 2) Floor by break area has food and trash debris. 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: Vent in restroom was dusty. Provide for all walls, ceilings, and attached equipment to be in a clean condition. 750.1220. Next Inspection
42  Observed mop to be stored in the ringer. All mops shall be stored hanging or inverted when not being used. 750.1390. Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   DAVID GRAVES /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/08/2015 Time In  10:20 AM Time Out  11:15 AM Sanitation Score  92 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  92