Page 1 of 3

    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 #   KK254  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  WALMART SUPERCENTER #4323 (RETAIL) 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
X
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
  
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
  
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
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
X
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
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
 
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
  
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:   CHEESE SALAMI 41, HARVATI CHEESE 38, YOGURT 42, SOUR CREAM, MILK 40, EGGS 40, HAM 39, HOT DOG 40, BACON 39, BRISKET 35, CHICKEN 32, BEEF 34, PINEAPPLE 36
 
General Comments
HACCP CONCEPTS DISCUSSED: SEPARATION OF UNWHOLESOME FOODS FROM WHOLESOME FOODS. 
Report and Instructions Received By   JASON VASSOS /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/14/2015 Time In  1:35 PM Time Out  3:45 PM Sanitation Score  83 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  93  
 
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 #   KK254  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  WALMART SUPERCENTER #4323 (RETAIL) Address  505 RIVERSTONE PKWY
Owner or Operator   WALMART, INC. City   KANKAKEE Zip Code   60901
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*1  OBSERVED THE FOLLOWING FOODS TO BE UNWHOLESOME/SPOILED: SEVERAL CANS AND BOX GOODS DENTED AND/OR TORN. PROVIDE FOR ALL FOODS TO BE WHOLESOME AND FREE FROM SPOILAGE. ITEMS WERE REMOVED. SEE DESTRUCTION REPORT. 750.100 IMMEDIATE/ONSITE
*12  OBSERVED AN EMPLOYEES DRINK IN THE FOLLOWING LOCATION(S): 4 DRINKS STORED THROUGHOUT DAIRY COOLER. AN AREA SHALL BE SO DESIGNATED AS LONG AS THE CONTAMINATION OF FOOD, EQUIPMENT, UTENSILS, OR SINGLE SERVICE ARTICLES WILL NOT OCCUR. 750.280 NEXT INSPECTION
8  OBSERVED THE FOLLOWING FOOD PRODUCTS TO BE IMPROPERLY STORED: MILK AND EGGS STORED ON FLOOR IN DAIRY COOLER. PROVIDE FOR ALL FOOD PRODUCTS TO BE STORED AT LEAST SIX INCHES OFF OF THE FLOOR. 750.130 NEXT INSPECTION
14  OBSERVED THE FOLLOWING IMPROPER FOOD CONTACT SURFACES: 1) WHITE SHELF IN MILK COOLER HAS CHIPPED PAINT, 2) CHIPPED PAINT ON SHELF BY LUNCHABLES. PROVIDE FOR ALL FOOD CONTACT SURFACES TO BE SMOOTH, EASILY CLEANABLE, NON-ABSORBENT, CORROSIVE RESISTANT, AND LIGHT COLORED. 750.650 NEXT INSPECTION
22  OBSERVED THE FOLLOWING FOOD CONTACT SURFACES TO BE UNCLEAN: 1) SHELF FOR FLOUR AND SUGAR HAD DEBRIS, 2)SHELVES IN DAIRY COOLER BY YOGURT NEED CLEANING. CLEAN AND MAINTAIN. 750.800 NEXT INSPECTION
42  OBSERVED MOP TO BE STORED IN THE MOP BUCKET. ALL MOPS SHALL BE STORED HANGING OR INVERTED WHEN NOT IN USE, OR DRAPED OVER RINGER. 750.1390. NEXT INSPECTION
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   JASON VASSOS /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/14/2015 Time In  1:35 PM Time Out  3:45 PM Sanitation Score  83 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  93  
 
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 #   KK254  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  WALMART SUPERCENTER #4323 (RETAIL) 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  05/14/2015 Time In  1:35 PM Time Out  3:45 PM Sanitation Score  83 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  93