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 #   MA031  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  MAYBERRY JUNCTION RESTAURANT Address  390 N LOCUST
Owner or Operator   KIOUSIS, ARLEEN City   MANTENO Zip Code   60950
 
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
X
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
  
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
 
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   120-140 °F or label
Food Temperatures:   RANCH 40, CHEESE 41, JELLO 41, PASTA 39, SAUSAGE 40, POTATO SOUP 164, MENASTRONI 171, POLISH SAUSAGE 140, GRAVY 160, AU JUIS 167, MAYO 42, FETA CHEESE 41, RAW HAMBURGER 30, PORK 41, TUNA SALAD 40
 
General Comments
HACCP CONCEPTS DISCUSSED: KEEP ALL HOT FOODS AT 135F OR ABOVE AND ONLY REHEAT ONCE TO 165F OR ABOVE. KEEP ALL COLD FOOD AT 41F OR BELOW. WASH HANDS FOR 20-30 SECONDS BEFORE PREPARING OR TOUCHING ANY FOOD TO AVOID CONTAMINATION. 
Report and Instructions Received By   ARLEEN J. KIOUSIS /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  06/30/2016 Time In  1:25 PM Time Out  2:15 PM Sanitation Score  83 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  93  
 
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 #   MA031  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  MAYBERRY JUNCTION RESTAURANT Address  390 N LOCUST
Owner or Operator   KIOUSIS, ARLEEN City   MANTENO Zip Code   60950
 

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. Can is dented on spaghetti sauce. Provide for all food products that have been compromised due to container damage to be either returned to supplier or destroyed. Will send back to supplier. 750.100 Immediate/Onsite
*3  Observed the following potentially hazardous foods to be held at improper temperatures. Mashed potatoes were found at 106F. The internal temperature of potentially hazardous foods shall be 135°F, or above except during necessary periods of preparation, including foods requiring transportation. Chef will reheat food to 165F or above. 750.150 Immediate/Onsite
2  Observed the following food products to have improper/no labeling information. There is no time & date on ham, sausage, rice. etc. in the walk-in cooler. Provide for all foods to have proper labeling information. 750.140 Next Inspection
8  Observed the following food products to be improperly stored. Ice cream containers located on the floor in the walk-in freezer. 2. Container food on the floor in the walk-in freezer. Provide for all food products to be stored at least six inches off of the floor. 750.130 Next Inspection
22  Observed the following food contact surfaces to be unclean. 1. Bottom of True refrigerator has debris on it. 2. 6 burner has grease & food debris on it. Clean and maintain. 750.800 Next Inspection
23  Observed the following contact surfaces to be unclean. 1. Bottom of prep cooler under microwave. 2. Interior of fryers has grease & debris in them. Clean and maintain. 750.800 Next Inspection
36  Observed the following floor areas to be unclean: 1. Floor in hot water heater room has debris on it. 2. Floor under green shelves in the walk-in cooler has food debris on it. Provide for all flooring areas to be in a clean condition. 750.1220 Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   ARLEEN J. KIOUSIS /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  06/30/2016 Time In  1:25 PM Time Out  2:15 PM Sanitation Score  83 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  93  
 
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 #   MA031  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  MAYBERRY JUNCTION RESTAURANT Address  390 N LOCUST
Owner or Operator   KIOUSIS, ARLEEN City   MANTENO Zip Code   60950
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
Report and Instructions Received By   ARLEEN J. KIOUSIS /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  06/30/2016 Time In  1:25 PM Time Out  2:15 PM Sanitation Score  83 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  93