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
X
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
  
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
X
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
  
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
  
2
 Food (ice) contact surfaces: designed, constructed, maintained, installed, located
*31
X
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   QUAT 200 ppm                   Dishwasher Temperature   180+ °F or label
Food Temperatures:   CHEESE 38, HAM 35, ROAST BEEF 38, GRAVY 150, MAC &CHEESE 170, CHINESE RICE 134, POTATO SALAD 36, HAM SALAD 37
 
General Comments
HACCP CONCEPT DISCUSSED: ALWAYS PROVIDE CLEAR AND EASY ACCESS TO ALL HAND SINKS FOR PROPER HAND WASHING TO OCCUR. 
Report and Instructions Received By   JUSTIN FOX /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/04/2016 Time In  2:00 PM Time Out  4:00 PM Sanitation Score  84 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  98  
 
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
*3  OBSERVED THE FOLLOWING POTENTIALLY HAZARDOUS FOODS TO BE HELD AT IMPROPER TEMPERATURES: CHINESE RICE 134. PROVIDE FOR ALL HOT FOOD TO BE HELD AT 135 OR MORE. 750.150. FOOD THROWN AWAY AND RE MADE IMMEDIATE/ONSITE
*31  OBSERVED THE FOLLOWING HAND SINK(S) TO BE INACCESSIBLE: ROLLER CART WAS BLOCKING HAND SINK. PROVIDE FOR ALL HAND SINKS TO BE FREE OF BLOCKAGE TO ENSURE PROPER HAND WASHING OCCURS. 750.1120. CORRECTED IMMEDIATE/ONSITE
*41  OBSERVED THE FOLLOWING CHEMICAL(S) TO BE IMPROPERLY STORED: SANITIZER SPRAY STORED NEXT TO DELI BAGS. PROVIDE FOR ALL FOOD, EQUIPMENT, UTENSILS, AND SINGLE SERVICE ARTICLES TO BE STORED EITHER ABOVE OR COMPLETELY SEPARATE FOR ALL TOXIC CHEMICALS. 750.1310. MOVED. IMMEDIATE/ONSITE
5  OBSERVED NO THERMOMETER TO BE AVAILABLE IN THE FOLLOWING UNITS : DELI WALK-IN COOLER. PROVIDE. 750.140 NEXT INSPECTION
37  OBSERVED THE FOLLOWING WALL/CEILINGS AREA(S) TO BE IN POOR REPAIR: HOLE IN WALL ON LEFT SIDE OF 3-BAY SINK IN PRODUCE PREP. PROVIDE FOR ALL WALLS AND CEILINGS TO BE SMOOTH, EASILY CLEANABLE, NON-ABSORBENT, DURABLE, AND LIGHT COLORED AND BE MAINTAINED IN GOOD REPAIR. 750.1210 NEXT INSPECTION
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   JUSTIN FOX /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/04/2016 Time In  2:00 PM Time Out  4:00 PM Sanitation Score  84 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  98  
 
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   JUSTIN FOX /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/04/2016 Time In  2:00 PM Time Out  4:00 PM Sanitation Score  84 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  98