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 #   KK169  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  ASCENSCION SAINT MARY-KANKAKEE Address  500 W COURT ST
Owner or Operator   ASCENSION SAINT MARY-KANKAKEE 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
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
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
  
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
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
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 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   ppm                   Dishwasher Temperature   °F or label
Food Temperatures:   TURKEY 40, PASTA 181, SAUSAGE 38, MEAT 164, BACON 38, SALAMI 43, OLIVES 40, CHEESE 41, CHICKEN 163, HAMBURGER 181, BEEF BRISKET 178, GRAVY 183, RANCH 33, CHEESE 33, TURKEY NOODLE 193, CREAM OF SPINACH 185, MILK 41
 
General Comments
HACCP CONCEPTS DISCUSSED: NEVER STORE SANITIZER OR CHEMICALS BY ANY FOOD OR FOOD CONTACT SURFACES. KEEP ALL HOT FOODS AT 135F OR ABOVE AND ALL COLD AT 41F OR BELOW. 
Report and Instructions Received By   DEBRA A. HUGHS /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/07/2015 Time In  1:20 PM Time Out  3:30 PM Sanitation Score  84 (100 Minus Demerits)
By  Steven Lamb (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 #   KK169  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  ASCENSCION SAINT MARY-KANKAKEE Address  500 W COURT ST
Owner or Operator   ASCENSION SAINT MARY-KANKAKEE City   KANKAKEE Zip Code   60901
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*3  Observed the following potentially hazardous foods to be held at improper temperatures. 1. Chicken strips found at 119F at hot bar. 2. Chicken legs found at 110F at hot bar. Provide for all cold potentially hazardous foods to be held at 41°F or below at all times except during necessary periods of preparation. 750.120 Immediate/Onsite
*41  Observed the following chemical(s) to be improperly stored: Sanitizer bucket was stored next to bread. Sanitizer bucket was removed. 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
14  Observed the following improper food contact surfaces. Rusty shelves were found on rice & bread crumb shelves. Remove rust or replace these shelves. 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. Dessert racks have mold growth on them. Clean and maintain. 750.800 Next Inspection
23  Observed the following contact surfaces to be unclean. 1. Seal gaskets on cooler # 18 has food debris in them. 2. Coffe & cappuccino machine has debris on interior of them. 3. Dry storage shelves have calcium debris on them where crackers are located. 4. Utensil drawer has debris in it located in retail cook area. Clean and maintain. 750.800 Next Inspection
36  Observed the following floor areas to be unclean: 1. Floor under fryers has grease & debris on it. 2. Floor by side of fryer has grease & debris on it. Provide for all flooring areas to be in a clean condition. 750.1220 Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   DEBRA A. HUGHS /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/07/2015 Time In  1:20 PM Time Out  3:30 PM Sanitation Score  84 (100 Minus Demerits)
By  Steven Lamb (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 #   KK169  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  ASCENSCION SAINT MARY-KANKAKEE Address  500 W COURT ST
Owner or Operator   ASCENSION SAINT MARY-KANKAKEE City   KANKAKEE Zip Code   60901
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
Report and Instructions Received By   DEBRA A. HUGHS /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/07/2015 Time In  1:20 PM Time Out  3:30 PM Sanitation Score  84 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  94