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 #   BB160  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  CULVER'S OF BOURBONNAIS Address  983 N CONVENT ST
Owner or Operator   MAIER, BOBBY City   BOURBONNAIS Zip Code   60914
 
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
X
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
X
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
X
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
X
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
  
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
X
2
 Containers or receptacles covered: adequate number, insect/rodent proof, frequency, clean
 
      
Sanitizer Requirement:  Chemical   CHLORINE 50-100 ppm                   Dishwasher Temperature   120-140 °F or label
Food Temperatures:   CHICKEN 37, GREEN BEANS 208, BROCCOLI & CHEESE 177, STUFFED GREEN PEPPERS 192, CHICKEN & DUMPLINGS 167, CHILI 159, RAW COD 41, CHICKEN GRAVY 207, BROWN GRAVY 208, ROAST BEEF 206, CHEESE 39, TUNA 43
 
General Comments
HACCP CONCEPTS DISCUSSED: WASH HANDS FOR 20-30 SECONDS WHENEVER THEY MAY BECOME CONTAMINTATED. KEEP ALL COLD FOODS AT 41F OR BELOW TO REMAIN OUT OF THE DANGER ZONE. 
Report and Instructions Received By   HUGO VAZQUEZ /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  03/24/2015 Time In  10:35 AM Time Out  12:25 PM Sanitation Score  79 (100 Minus Demerits)
By  Steven Lamb (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 #   BB160  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CULVER'S OF BOURBONNAIS Address  983 N CONVENT ST
Owner or Operator   MAIER, BOBBY City   BOURBONNAIS Zip Code   60914
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*3  Observed the following potentially hazardous foods to be held at improper temperatures. 1. Tartar sauce was found at 46F. 2. Raw hamburger was found at 47F. Provide for all cold potentially hazardous foods to be held at 41°F or below at all times except during necessary periods of preparation. Ice and lids were placed around these foods. Immediate/Onsite
*12  Observed the following improper hand washing practices. Employee did not wash his hands properly. Provide for hands to be properly washed as often as necessary to keep them clean and free of contamination. 750.280 Immediate/Onsite
*20  Observed the sanitizer solution to be too weak at the following location(s). Sanitizer bucket is to weak Provide for the sanitizer solution to be mixed to the appropriate level for the type of sanitizer being used Immediate/Onsite
15  Observed the following improper non-food contact surfaces. Sanitizer bucket was to weak on prep line. Provide for all food contact surfaces to be smooth, easily cleanable, non-absorbant, corrosive resistant, and light colored. 750.690 Next Inspection
22  Observed the following food contact surfaces to be unclean. Bottom of Hoshizaki freezer has food debris on it. Clean and maintain. 750.800 Next Inspection
25  Observed the following single service articles to be improperly stored: Boxes of carry out containers were stored on the floor in the dry storage area. 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: There is no backflow preventer cap at back mop sink. 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. 750.1060 Next Inspection
33  Observed trash is full on prep line. Empty all trash cans that become full. 750.1150 Observed dumpster lids were not shut. Shut lids when not in use. 750.1140 Next Inspection
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   HUGO VAZQUEZ /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  03/24/2015 Time In  10:35 AM Time Out  12:25 PM Sanitation Score  79 (100 Minus Demerits)
By  Steven Lamb (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 #   BB160  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CULVER'S OF BOURBONNAIS Address  983 N CONVENT ST
Owner or Operator   MAIER, BOBBY City   BOURBONNAIS Zip Code   60914
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
     
Report and Instructions Received By   HUGO VAZQUEZ /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  03/24/2015 Time In  10:35 AM Time Out  12:25 PM Sanitation Score  79 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  93