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 #   MM016  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  GARDEN OF PRAYER YOUTH CENTER 1 Address  16424 E ROUTE 114
Owner or Operator   JEFFERSON, NIKO City   MOMENCE Zip Code   60954
 
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
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
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
  
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
X
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
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
X
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
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
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
X
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 ppm                   Dishwasher Temperature   NOT CURRENTLY USING °F or label
Food Temperatures:   MILK 41, SWEET POTATOES 39, MASHED POTATOES 42, CHEESE 40, ICE CREAM 0, PIZZA 0, BREAD 5, STRAWBERRY CAKE 42, SAUSAGE -5
 
General Comments
HACCP CONCEPT STORE ALL RAW FOODS AWAY FROM READY TO EAT FOODS. 
Report and Instructions Received By   DONNA JOHNSON /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  07/21/2015 Time In  11:35 AM Time Out  1:20 PM Sanitation Score  79 (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 #   MM016  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  GARDEN OF PRAYER YOUTH CENTER 1 Address  16424 E ROUTE 114
Owner or Operator   JEFFERSON, NIKO City   MOMENCE Zip Code   60954
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*7  OBSERVED POTENTIAL CONTAMINATION OF FOOD: RAW EGGS WERE STORED ABOVE CHEESE AND BREAD IN FRIDGE 1. STORE ALL RAW FOODS AWAY FROM READY TO EAT FOODS. 750.130 EGGS MOVED. IMMEDIATE/ONSITE
*41  OBSERVED THE FOLLOWING CHEMICAL(S) TO BE IMPROPERLY STORED: OPEN PACKET OF BLEACH WIPES STORED WITH SERVING SPOONS. STORE ALL CHEMICALS ITEMS AWAY FROM FOOD AND FOOD EQUIPMENT. 750.1310. CORRECTED. IMMEDIATE/ONSITE
2  OBSERVED THE FOLLOWING BULK FOOD PRODUCTS TO NOT HAVE PROPER LABELS ON THE CONTAINER: CONTAINER OF CORN MEAL MISSING LABEL. PROVIDE. 750.130. CORRECTED IMMEDIATE/ONSITE
8  OBSERVED THE FOLLOWING FOOD PRODUCTS TO BE IMPROPERLY STORED: BOXES OF SEASONINGS AND SAUCES STORED ON FLOOR IN PANTRY. PROVIDE FOR ALL FOOD PRODUCTS TO BE STORED AT LEAST SIX INCHES OFF OF THE FLOOR. 750.130. CORRECTED. IMMEDIATE/ONSITE
10  OBSERVED THE FOLLOWING UTENSIL(S) TO BE IMPROPERLY STORED: METAL MEASURING SPOON STORED WITH HANDLE IN THE FLOUR. PROVIDE FOR ALL UTENSILS TO BE STORED IN ONE OF THE FOLLOWING MANNERS: 1) CLEAN AND DRY AND 2) IN THE FOOD PRODUCT WITH THE HANDLE UP AND OUT OF THE FOOD PRODUCT. 750.260. CORRECTED. IMMEDIATE/ONSITE
17  OBSERVED NO TEST KIT TO BE AVAILABLE FOR TESTING THE CHEMICAL SANITIZER. PROVIDE TO MEASURE THE SANITIZER CONCENTRATION. 750.820. NEXT INSPECTION
21  OBSERVED THE FOLLOWING WIPING CLOTH(S) TO BE IMPROPERLY STORED: WET AND DRAPED OVER 3-BAY SINK IN KITCHEN. 750.810. MOVED TO SANITIZER. IMMEDIATE/ONSITE
25  OBSERVED THE FOLLOWING SINGLE SERVICE ARTICLES TO BE IMPROPERLY STORED: PLASTIC FORKS IN KITCHEN GOING IN DIFFERENT DIRECTIONS. PROVIDE FOR SINGLE SERVICE PLASTIC WARE TO BE STORED IN ONE DIRECTION. 750.880. NEXT INSPECTION
32  OBSERVED THE FOLLOWING RESTROOM DOOR(S) TO NOT CLOSE PROPERLY: NO SELF CLOSER ON EMPLOYEE RESTROOM. PROVIDE FOR ALL RESTROOMS DOORS TO BE SELF CLOSING AND TIGHT-FITTING. ALL RESTROOMS DOORS SHALL REMAIN CLOSED EXCEPT DURING CLEANING OR MAINTENANCE. 750.1110 NEXT INSPECTION
34  OBSERVED THE DUMPSTER TO BE ON THE FOLLOWING IMPROPER SURFACE: DUMPSTER IN ON GRASS. 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
37  OBSEVED THE FOLLOWING WALL/CEILINGS, AND ATTACHED EQUIPMENT TO BE UNCLEAN: VENT COVER IN EMPLOYEE RESTROOM DUSTY. CLEAN. 750.1220. NEXT INSPECTION
38  OBSERVED INADEQUATE LIGHTING IN THE FOLLOWING AREA(S): LIGHT OUT IN BASEMENT FRIDGE 1. PROVIDE A SHATTER PROOF BULB. 750.1230. NEXT INSPECTION
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   DONNA JOHNSON /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  07/21/2015 Time In  11:35 AM Time Out  1:20 PM Sanitation Score  79 (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 #   MM016  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  GARDEN OF PRAYER YOUTH CENTER 1 Address  16424 E ROUTE 114
Owner or Operator   JEFFERSON, NIKO City   MOMENCE Zip Code   60954
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
Report and Instructions Received By   DONNA JOHNSON /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  07/21/2015 Time In  11:35 AM Time Out  1:20 PM Sanitation Score  79 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  93