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
 
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
 
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
 
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
 
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
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   CHLORINE 50-100 ppm                   Dishwasher Temperature   N/A °F or label
Food Temperatures:   PORK 41, BEEF 40, RIBS 39, CHEESE 42, CHICKEN 41, STIR FRY 39, HOT DOGS 43, MILK 42, FISH 0
 
General Comments
HACCP CONCEPT: PROPER LABELING OF ALL FOOD ITEMS TO ENSURE QUALITY OF FOOD BEING SOLD TO CUSTOMERS. 
Report and Instructions Received By   ARTURO TREVINO /  
 
(Please Print)
 
(Signature of Owner or Representative)
Date  02/23/2017 Time In  12:15 PM Time Out  1:30 PM Sanitation Score  87 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  91  
 
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
*20  Observed the sanitizer bucket to be weak. Provide for the sanitizer to be mixed at the appropriate level. 750.820. Remixed. Immediate/Onsite
observed no label on seasonings in the back by: 1)cooking equipment, 2)shelf in meat department, 3)Some salsa in reach in cooler in store room. Provide for all prepared food to have some kind of label with date, time and name. 750.120. Next Inspection
Observed the following food products to be improperly stored: 1)Seasonings in containers did not have a proper cover, 2) Dried pork was stored on bottom shelf exposed. Provide for all food items to be covered and in a appropriate container. 750.130. Next Inspection
22  Observed the following food contact surfaces to be unclean: 1) Shelves in the walk-in cooler where dirty, 2) bottom of white stand up meat freezer in back room had a blood spill. Clean and maintain. 750.800. Next Inspection
32  Observed no soap and/or paper towels at the following hand sink(s) Missing paper towels for hand sink in meat department area. Always provide. 750.1110. Next Inspection
36  Observed the following floor areas to be unclean: Floor under shelves in back room. Clean. 750.1220. Next Inspection
37  Obseved the following wall/ceilings, and attached equipment to be unclean: 1) Wall by 3-bay sink is dirty, 2) Fan covers in walk-in cooler are dusty. Clean. 750.1220. Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   ARTURO TREVINO /  
 
(Please Print)
 
(Signature of Owner or Representative)
Date  02/23/2017 Time In  12:15 PM Time Out  1:30 PM Sanitation Score  87 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  91  
 
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   ARTURO TREVINO /  
 
(Please Print)
 
(Signature of Owner or Representative)
Date  02/23/2017 Time In  12:15 PM Time Out  1:30 PM Sanitation Score  87 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  91