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 #   MA006  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  HERITAGE WOODS OF MANTENO Address  355 DIVERSATECH DR
Owner or Operator   DSI DIVERSATECH OPERATOR 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
  
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
X
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
  
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
X
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
X
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   QAC 200 ppm                   Dishwasher Temperature   180 °F or label
Food Temperatures:   MILK: 41 F, EGG SALAD: 37 F, HAM: 38 F, CHICKEN (FROZEN): -3 F, CORNED BEEF (FROZEN): -5 F, RICE PILAF: 35 F,
 
General Comments
HAACP CONCEPT: ENSURE EMPLOYEES WASH HANDS THOROUGHLY--AT LEAST 20 SECONDS WITH WARM WATER AND SOAP WHILE RUBBING HANDS TOGETHER VIGOROUSLY.

NOTE: RE-LABEL CLEANING SPRAY BOTTLES--LABEL IS STARTING TO WEAR OUT. 
Report and Instructions Received By   VICTORIA ROGERS /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/03/2017 Time In  1:40 PM Time Out  3:10 PM Sanitation Score  86 (100 Minus Demerits)
By  Steven Lamb (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 #   MA006  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  HERITAGE WOODS OF MANTENO Address  355 DIVERSATECH DR
Owner or Operator   DSI DIVERSATECH OPERATOR City   MANTENO Zip Code   60950
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*12  Observed an employee drink/drinking in the following location(s): on top of a food storage shelf by the ice storage machine. The consumption of food/drink shall be done in a designated area only. 750.530. Observed the following improper hand washing practices: employee did not wash hands long enough and with little scrubbing of the hands. Provide for hands to be properly washed as often as necessary to keep them clean and free of contamination--recommended: 20 seconds of vigorous with warm water and soap. 750.510 Immediate/Onsite
2  Observed the following food products to have improper/no labeling information: previously prepared food did not have the time that it was made (only date). Provide for all cooling potentially hazardous foods to be labeled with the date and time that the cooling process began. 750.140. Next Inspection
8  Observed the following food products to be improperly stored: various food items in the walk-in cooler did not have covers to protect them from potential contamination. Provide for all food products in storage to have proper covers or overhead protection. 750.130. Next Inspection
10  Observed the following utensil(s) to be improperly stored: scoop in the bulk container of flour had the handle touching the flour. Provide for all utensils to be stored in one of the following manners: 1) Clean and dry 2) In the food product with the handle up and out of the food product 3) In a dipper well, using potable water 4) Malt collars and frozen dessert utensils either clean and dry or in a dipper well. 750.280. Next Inspection
14  Observed the following improper food contact surfaces: cutting board--white square and baby blue cutting board had excessive grooves upon its surface. 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: the bottom of the sink, within cabinet outside the kitchen in the dining area, is found to be in poor repair--excessive stains. Provide for all food contact surfaces to be smooth, easily cleanable, non-absorbent, corrosive resistant, and light colored. 750.690. Next Inspection
21  Wiping cloths were found to be stored in areas other than in sanitizing solution--on top of sink counter, outside of the kitchen, and on top of the prep table. Provide for all wiping cloths to be stored completely submerged in an approved sanitizer solution while not being used. 750.810. Next Inspection
22  Observed the following food contact surfaces to be unclean: the metal tray storing chicken in the walk-in cooler in food to be unclean--excessive white stains. Clean and maintain. 750.800. Next Inspection
23  Observed the following contact surfaces to be unclean: equipment next to frying station is stained with grease. Clean and maintain. 750.800. Next Inspection
     
     
     
     
     
     
     
     
Report and Instructions Received By   VICTORIA ROGERS /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/03/2017 Time In  1:40 PM Time Out  3:10 PM Sanitation Score  86 (100 Minus Demerits)
By  Steven Lamb (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 #   MA006  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  HERITAGE WOODS OF MANTENO Address  355 DIVERSATECH DR
Owner or Operator   DSI DIVERSATECH OPERATOR City   MANTENO Zip Code   60950
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
     
     
     
Report and Instructions Received By   VICTORIA ROGERS /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/03/2017 Time In  1:40 PM Time Out  3:10 PM Sanitation Score  86 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  91