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 #   KK253  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  WALMART SUPERCENTER #4323 (DELI) Address  505 RIVERSTONE PKWY
Owner or Operator   WALMART, 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
 
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
 
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
X
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
X
1
Installed, maintained
*41
X
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
 
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   QUAT 200-400 ppm                   Dishwasher Temperature   180 °F or label
Food Temperatures:   CHEESE STICKS 140, POPCORN CHICKEN 139, SHRIMP 138, CRAB SALAD 39, COLE SLAW 39, PASTA SALAD 38, POTATO SALAD 38, MACARONI SALAD 36, HAM SALAD 37, TURKEY 39, CHEESE 38 TOMATOES 32, ROAST BEEF 39, STEW MEAT 35, GROUND BEEF 35
 
General Comments
HACCP CONCEPT DISCUSSED: KEEP ALL CHEMICALS STORED AWAY FROM FOOD ITEMS, FOOD UTENSILS AND EQUIPMENT. 
Report and Instructions Received By   JASON VASSOS /  
 
(Please Print)
 
(Signature of Owner or Representative)
Date  05/12/2015 Time In  9:20 AM Time Out  11:25 AM Sanitation Score  89 (100 Minus Demerits)
By  Angela Colon (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 #   KK253  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  WALMART SUPERCENTER #4323 (DELI) Address  505 RIVERSTONE PKWY
Owner or Operator   WALMART, INC. City   KANKAKEE Zip Code   60901
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*41  Observed the following chemical(s) to be improperly stored: 1)Sanitizer stored on prep sink, 2) sanitizer hanging next to deli papers and plastic gloves. Provide for all food, equipment, utensils, and single service articles to be stored either above or completely separate for all toxic chemicals. 750.1310. Immediate/Onsite
15  Observed the following improper non-food contact surfaces: Bent metal seal on hot food display case door in deli. 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: Dirty/ greasy inside of fryer cabinet. Clean and maintain. 750.800. Next Inspection
25  Observed the following single service articles to be improperly stored: Box of single service articles on floor in Deli by hot food display case. Provide for all single service articles to be stored at least six inches off of the floor in closed covered containers which protect them from contamination. 750.880. Next Inspection
29  Observed the following plumbing to be improperly installed or maintained: 1) Leaky faucet to 3 bay sink in deli, 2)Loose faucet head to hand sink in produce. Provide for all plumbing to be sized, installed, and maintained in accordance with applicable provisions of the Illinois State Plumbing Code. All Plumbing modifications and/ or upgrades will be required to be permitted to inspected by the local plumbing inspector. 750.1160 Next Inspection
36  Observed the following floor areas to be in poor repair: 1) Baseboard was peeling back from wall by hand sink in deli, 2) Baseboard was missing on wall around the corner from hand sink in deli. Provide for all flooring areas to be smooth, easily cleanable, non-absorbent, durable surfaces, and be maintained in good repair. 750.1200 Next Inspection
38  Observed inadequate lighting in the following area(s): Two lights out above fryers in deli. Replace light bulbs. 750.1230 Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   JASON VASSOS /  
 
(Please Print)
 
(Signature of Owner or Representative)
Date  05/12/2015 Time In  9:20 AM Time Out  11:25 AM Sanitation Score  89 (100 Minus Demerits)
By  Angela Colon (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 #   KK253  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  WALMART SUPERCENTER #4323 (DELI) Address  505 RIVERSTONE PKWY
Owner or Operator   WALMART, INC. City   KANKAKEE Zip Code   60901
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
     
Report and Instructions Received By   JASON VASSOS /  
 
(Please Print)
 
(Signature of Owner or Representative)
Date  05/12/2015 Time In  9:20 AM Time Out  11:25 AM Sanitation Score  89 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  94