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 #   KK019  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  RIVERSIDE SENIOR LIFE COMMUNITIES AT WESTWOOD Address  100 WESTWOOD OAK CT
Owner or Operator   RIVERSIDE MEDICAL CENTER City   KANKAKEE Zip Code   60901
 
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
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
  
2
 Food contact surfaces of equipment and utensils clean, free of abrasives and detergents  
FLOORS WALLS AND CEILINGS
36
  
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
X
1
 Storage, handling of clean equipment utensils
*7
X
4
 Unwrapped and potentially hazardous food not re-served, Cross Contamination
25
X
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
  
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
 
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     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+ *See label on file °F or label
Food Temperatures:   Gravy 155, Milk 32, Ice cream -5, Ham 40, Butter 40, Rice 180, Beef -11.
 
General Comments
No follow-up needed

HACCP- Discussed sanitizer setup

Verbal: Be sure to keep an eye on the can opener base 
Report and Instructions Received By   Sloane Bradshaw /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/11/2007 Time In  10:25 AM Time Out  12:00 PM Sanitation Score  86 (100 Minus Demerits)
By  Sara Osthoff (Sanitarian) Adjusted Score  92  
 
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 #   KK019  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  RIVERSIDE SENIOR LIFE COMMUNITIES AT WESTWOOD Address  100 WESTWOOD OAK CT
Owner or Operator   RIVERSIDE MEDICAL CENTER City   KANKAKEE Zip Code   60901
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*7  Observed raw eggs above lettuce for salad. Please store eggs below and separate from ready to eat foods to prevent cross contamination 750.120. *Eggs were moved. Next Inspection
*20  Observed only 1 sanitizer bucked set up in one food prep area. Provide for each food prep area to have a sanitizer bucket 750.830. Next Inspection
14  Observed 3 spatulas that were melted or rusty. Please provide for utensils to be smooth, nonabsorbent, and easily cleanable 750.600. *Threw Away. Next Inspection
15  Observed rusty shelves in dish area. Please provide for shelves to be smooth, easily cleanable, and nonabsorbent 750.600. Next Inspection
23  Observed the following non-food contact surfaces to need cleaning: 1. Gaskets of coolers throughout 2. Outside of bulk bins 3. Inside Tea bag bin under ground coffee 4. Shelves in dry storage 5. Cabinet under salad bar in dining room. Please clean 750.800. Next Inspection
24  Observed knives in knife drawer put away dirty. Observed utensil bin in utensil drawer to be dirty. Please store utensils in a manner to prevent contamination 750.850. Next Inspection
25  Observed the following single service articles to be improperly stored: 1. Paper napkins under can opener have splatters 2. Bin of Styrofoam cups by pop machine is dirty. Please store in a manner to prevent contamination 750.880. Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   Sloane Bradshaw /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/11/2007 Time In  10:25 AM Time Out  12:00 PM Sanitation Score  86 (100 Minus Demerits)
By  Sara Osthoff (Sanitarian) Adjusted Score  92  
 
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 #   KK019  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  RIVERSIDE SENIOR LIFE COMMUNITIES AT WESTWOOD Address  100 WESTWOOD OAK CT
Owner or Operator   RIVERSIDE MEDICAL CENTER City   KANKAKEE Zip Code   60901
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
Report and Instructions Received By   Sloane Bradshaw /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/11/2007 Time In  10:25 AM Time Out  12:00 PM Sanitation Score  86 (100 Minus Demerits)
By  Sara Osthoff (Sanitarian) Adjusted Score  92