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 #   HP008  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  LORENZO R SMITH SCHOOL Address  4120 S WHEELER RD
Owner or Operator   PEMBROKE COMMUNITY CONSOLIDATED SCHOOL DISTRICT #259 City   PEMBROKE TWP. Zip Code   60958
 
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
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
X
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
  
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
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
  
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   180+ °F or label
Food Temperatures:   PEAS 175, MILK 40, CHEESE 40, FRUIT 40, VEGETABLE 40, EGGS 42, TURKEY 0, SAUSAGE PATTIES 0, CHICKEN 0,
 
General Comments
HACCP CONCEPT DISCUSSED: PROPER STORAGE OF RAW FOODS ITEMS WHEN STORED IN A COOLER. 
Report and Instructions Received By   KITCHEN EMPLOYEE/ ASSITANT PRINCIPAL /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/13/2016 Time In  10:00 AM Time Out  11:45 AM Sanitation Score  90 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  94  
 
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 #   HP008  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  LORENZO R SMITH SCHOOL Address  4120 S WHEELER RD
Owner or Operator   PEMBROKE COMMUNITY CONSOLIDATED SCHOOL DISTRICT #259 City   PEMBROKE TWP. Zip Code   60958
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*7  OBSERVED EGGS TO BE STORED ABOVE CARTONS OF MILK AND YOGURT. PROVIDE FOR ALL RAW FOODS ITEMS TO BE STORED BELOW OR COMPLETELY SEPARATE FROM READY-TO-EAT FOODS. 750.130. MOVED. IMMEDIATE/ONSITE
23  OBSERVED THE FOLLOWING CONTACT SURFACES TO BE UNCLEAN: BOTTOM SHELF OF METAL PREP TABLE BY STORAGE SHELVING WAS DUSTY. CLEAN AND MAINTAIN. 750.800. NEXT INSPECTION
32  OBSERVED THERE TO BE NO TRASH CAN IN THE EMPLOYEE RESTROOM. PROVIDE TO PROPERLY DISPOSE OF TRASH IN RESTROOM. 750.1110,1120. NEXT INSPECTION
36  OBSERVED THE FOLLOWING FLOOR AREAS TO BE UNCLEAN: 1)UNDER DISH WASHING MACHINE, 2) ICE BUILD UP ON THE FLOOR OF WALK-IN FREEZER. CLEAN. 750.1220. NEXT INSPECTION
37  OBSERVED THE FOLLOWING WALL/CEILINGS, AND ATTACHED EQUIPMENT TO BE UNCLEAN: FAN COVER TO WINDOW ABOVE DISH WASHER WAS DUSTY. CLEAN. 750.1220. NEXT INSPECTION
42  OBSERVED THE FOLLOWING MAINTENANCE EQUIPMENT TO BE IMPROPERLY STORED: FLOOR BROOM WAS STORED LEANING AGAINST CAN SHELF IN STOREROOM BY WALK-IN COOLER. PROVIDE FOR ALL MAINTENANCE EQUIPMENT TO BE STORED IN A MANNER THAT WILL PREVENT CONTAMINATION OF FOOD, EQUIPMENT, UTENSILS AND SINGLE SERVICE ARTICLES. 750.1390. NEXT INSPECTION
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   KITCHEN EMPLOYEE/ ASSITANT PRINCIPAL /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/13/2016 Time In  10:00 AM Time Out  11:45 AM Sanitation Score  90 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  94