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 #   BR085  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  SUPERMERCADO LA SIESTA Address  245 W BROADWAY ST
Owner or Operator   TREVINO, ARTURO City   BRADLEY Zip Code   60915
 
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
X
5
 Source, Wholesome, No Spoilage
19
  
2
 Wash, rinse after: clean, proper temperature
2
X
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
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
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
X
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
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
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
X
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   CHLORINE 100 ppm                   Dishwasher Temperature   N/A °F or label
Food Temperatures:   CHEESE 40, SALSA 40, TAMALE 38, SEASONED CHICKEN 38, CHOPPED PORK 38, CHORIZO 38, PORK 40, HAM 38, TOMATO SAUCE 42, FISH 32, EGGS 40
 
General Comments
HACCP CONCEPT: PROPER STORAGE OF FOOD ITEMS AFTER PREP USE. 
Report and Instructions Received By   EMPLOYEE IN CHARGE. /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/11/2016 Time In  2:15 PM Time Out  3:55 PM Sanitation Score  76 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  81  
 
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 #   BR085  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  SUPERMERCADO LA SIESTA Address  245 W BROADWAY ST
Owner or Operator   TREVINO, ARTURO City   BRADLEY Zip Code   60915
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*1  Observed the following food containers to be damaged to the extent in which the food product inside may be compromised: 1 can of la costena jalapenos 12 oz. Provide for all food products that have been compromised due to container damage to be either returned to supplier or destroyed. 750.100. Removed from shelf. Immediate/Onsite
*41  Observed the following chemical(s) to be improperly stored: Side walk salt was stored next to bag of onions and dry chili peppers. Store food and maintenance chemicals separately. 750.1310. Move. Next Inspection
2  Observed the following food products to have improper/no labeling information: 1) seasoning containers stored by grill cooking area. Label. 750.130. Next Inspection
8  Observed the following food products to be improperly stored: 1)Cut onion on prep table was left out uncovered, 2) Box of vegetables stored on the floor in walk-in cooler. Store all food items in a way that protects them from contamination. 750.120. Next Inspection
14  Observed the following improper food contact surfaces: Large frost build up in the white stand up freezer in back room. Provide for all food contact surfaces to be smooth, easily cleanable, non-absorbent, corrosive resistant, and light colored. 750.650. Next Inspection
15  Observed the following improper non-food contact surfaces: 1) Bottom shelf of long prep table by 3-bay sink is rusted. 750.690. Next Inspection
22  Observed the following food contact surfaces to be unclean: 1)Drty edge inside of ice machine, 2) Top of prep table by grill cooking area. Clean and maintain. 750.800 Next Inspection
23  Observed the following contact surfaces to be unclean: Caulking at top of 3-bay sink is dirty. Clean. 750.800. Next Inspection
32  Observed the following vestibule(s) and/or toilet facilities to be unclean: Employee restroom. Clean. 750.1110 Next Inspection
36  Observed the following floor areas to be unclean: Floor in the back area was dirty. Clean and maintain. 750.1220. Next Inspection
37  Observed the following wall/ceilings area(s) to be in poor repair: Back vent portion of vegetable stand was chipped. Repair/repaint. 750.1210 Next Inspection
42  Observed the following maintenance equipment to be improperly stored: 1) Miscellaneous items in back store room are not organized, 2) Personal items were stored randomly on shelf used by store product. Provide for all items to be in a organized fashion all unnecessary items should not be stored in the store. 750.1350,1390 Next Inspection
     
     
     
     
     
     
     
     
Report and Instructions Received By   EMPLOYEE IN CHARGE. /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/11/2016 Time In  2:15 PM Time Out  3:55 PM Sanitation Score  76 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  81  
 
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 #   BR085  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  SUPERMERCADO LA SIESTA Address  245 W BROADWAY ST
Owner or Operator   TREVINO, ARTURO City   BRADLEY Zip Code   60915
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
Report and Instructions Received By   EMPLOYEE IN CHARGE. /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/11/2016 Time In  2:15 PM Time Out  3:55 PM Sanitation Score  76 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  81