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 #   BB227  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  RIVERSIDE SENIOR LIFE DBA BOURBONNAIS GROVE Address  85 E BURNS RD
Owner or Operator   RIVERSIDE SENIOR LIVING CENTER 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
X
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
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
X
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
X
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
  
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
  
2
 Containers or receptacles covered: adequate number, insect/rodent proof, frequency, clean
 
      
Sanitizer Requirement:  Chemical   QUAT 200-400 ppm                   Dishwasher Temperature   180 F °F or label
Food Temperatures:   ROAST BEEF 39, TUNA 38, BEEF 40, MEAT BALLS 39
 
General Comments
HACCP CONCEPTS DISCUSSED: KEEP ALL COLD FOOD AT 41F OR BELOW. ALL EMPLOYEE'S HAVE A FOOD HANDLER'S CERTIFICATE. 
Report and Instructions Received By   LORIBETH RUSH /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/04/2016 Time In  2:30 PM Time Out  3:55 PM Sanitation Score  81 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  95  
 
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 #   BB227  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  RIVERSIDE SENIOR LIFE DBA BOURBONNAIS GROVE Address  85 E BURNS RD
Owner or Operator   RIVERSIDE SENIOR LIVING CENTER 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. Cheese was found at 48F at top of salad station. 2. Tartar sauce was at 51F. Provide for all cold potentially hazardous foods to be held at 41°F or below at all times except during necessary periods of preparation. These items were thrown away. 750.120 Immediate/Onsite
*20  Observed the sanitizer solution to be too weak at the following location(s). Sanitizer is to weak in kitchen & in satellite kitchen. Provide for the sanitizer solution to be mixed to the appropriate level for the type of sanitizer being used. 750.820 Immediate/Onsite
*41  Observed the following chemical(s) to be improperly stored: Lighter fluid was stored over the dishes in the main kitchen. 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
2  Observed the following food products to have improper/no labeling information. There is no time & date on the sausage. Provide for all foods to have proper labeling information. 750.140 Next Inspection
15  Observed the following improper non-food contact surfaces. Drawers in satellite cabinets have bare wood showing in them. Provide for all food contact surfaces to be smooth, easily cleanable, non-absorbent, corrosive resistant, and light colored. 750.690 Next Inspection
21  Observed the following wiping cloth(s) to be improperly stored: Soiled wiping cloth was found on prep table. Provide for all wiping cloths to be stored completely submerged in an approved sanitizer solution while not being used. 750.820 Next Inspection
36  Observed the following floor areas to be unclean: 1. Floor under shelf in the freezer walk-in cooler has debris on it. 2. Floor under fryers has grease & debris on it. Provide for all flooring areas to be in a clean condition. 750.1220 Next Inspection
38  Observed inadequate lighting in the following area(s): Light bulbs are burnt out in the grill hood. Provide a minimum of 20 foot candles of light in all food preparation areas, at equipment/utensil washing areas, equipment/utensil storage areas, in lavatories and toilet areas and a minimum of 10 foot candles in walk-in refrigerator units, dry food storage areas, and in all other areas. 750.1230 Next Inspection
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   LORIBETH RUSH /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/04/2016 Time In  2:30 PM Time Out  3:55 PM Sanitation Score  81 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  95  
 
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 #   BB227  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  RIVERSIDE SENIOR LIFE DBA BOURBONNAIS GROVE Address  85 E BURNS RD
Owner or Operator   RIVERSIDE SENIOR LIVING CENTER City   BOURBONNAIS Zip Code   60914
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
     
     
Report and Instructions Received By   LORIBETH RUSH /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/04/2016 Time In  2:30 PM Time Out  3:55 PM Sanitation Score  81 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  95