Page 1 of 2

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 #   MM025  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  MOMENCE MEADOWS NURSING & REHABILITATION Address  500 S WALNUT
Owner or Operator   INFINITY HEALTHCARE 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
  
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
  
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
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
  
1
 Lighting provided as required - Fixtures shielded
8
X
2
 Food protection during storage, preparation, display, service and transportation  
WATER
  
VENTILATION
*27
X
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
  
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
X
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 ppm                   Dishwasher Temperature   CHLORINE 100 °F or label
Food Temperatures:   MILK 34, PUDDING 43, WAL-IN COOLER OVER ALL 42, BROCCOLI 145, ICE CREAM 0, COLE SLAW 43, SANDWICH 42, ALL OTHER TEMPERATURES WERE GOOD.
 
General Comments
HACCP CONCEPT DISCUSSED: PROPER HAND WASHING TECHNIQUES.
DUE TO LACK OF HOT WATER, WITH PERMISSION OF THE DEPARTMENT HEAD, FACILITY MAY STILL PREPARE FOODS UNDER THE FOLLOWING CONDITIONS.
1) HAND WASHING MUST BE ACCOMPANIED WITH HAND SANITIZER
2) ANY WASHING OF DISHES NOT IN THE DISHWASHER MUST HAVE HOT WATER HEATED FOR THE 3-BAY SINKS.
PRECISION PIPING IS SCHEDULED TO COME LATER TODAY AFTER THE JOB THEY ARE CURRENTLY AT. A FOLLOW- UP WILL BE CONDUCTED LATER THIS EVENING TO FIND OUT FURTHER STATUS OF THE WATER HEATER SITUATION. FURTHER INSTRUCTIONS WILL BE GIVEN AT THAT TIME. 
Report and Instructions Received By   JAMES YATES /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  08/11/2016 Time In  2:20 PM Time Out  3:25 PM Sanitation Score  90 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  90  
 
Page 2 of 2

    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 #   MM025  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  MOMENCE MEADOWS NURSING & REHABILITATION Address  500 S WALNUT
Owner or Operator   INFINITY HEALTHCARE City   MOMENCE Zip Code   60954
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*27  OBSERVED NO HOT/COLD WATER AT THE FOLLOWING FIXTURES: ALL SINKS IN KITCHEN AREA. PROVIDE FOR ALL FIXTURES TO HAVE HOT AND COLD RUNNING, POTABLE, WATER. 750.1120 48 HOURS
8  OBSERVED THE FOLLOWING FOOD PRODUCTS TO BE IMPROPERLY STORED: SOME OF THE SHAKER SEASONINGS HAD LIDS OPEN. PROVIDE FOR ALL FOOD ITEMS IN STORAGE TO BE PROPERLY CLOSED TO PREVENT CONTAMINATION. 750.120. NEXT INSPECTION
15  OBSERVED THE FOLLOWING IMPROPER NON-FOOD CONTACT SURFACES: CHIPPING ON SHELVING ACROSS FROM SERVING WINDOW. REPAIR. 750.690. NEXT INSPECTION
36  OBSERVED THE FOLLOWING FLOOR AREAS TO BE UNCLEAN: BACK PORTION OF KITCHEN AND UNDER SHELVES IN STORAGE AREA. 750. 1220. NEXT INSPECTION
42  OBSERVED PERSONAL ITEMS STORED WITH FOOD. PROVIDE FOR ALL ITEMS NOT NECESSARY FOR FOOD SERVICE TO BE STORED OUT OF THE KITCHEN PREP AREA. 750.1350. NEXT INSPECTION
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   JAMES YATES /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  08/11/2016 Time In  2:20 PM Time Out  3:25 PM Sanitation Score  90 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  90