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 #   BB019  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  DAIRY QUEEN OF BOURBONNAIS Address  121 S MAIN ST
Owner or Operator   NOBLE STORES, LLC City   BOURBONNAIS Zip Code   60914
 
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
X
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
  
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 X No     Registered for class    
 
GARBAGE AND REFUSE DIPSOSAL
17
  
1
 Accurate thermometers, chemical test kits provided, gauge cook
33
X
2
 Containers or receptacles covered: adequate number, insect/rodent proof, frequency, clean
 
      
Sanitizer Requirement:  Chemical   CHLORINE: 50 ppm                   Dishwasher Temperature   N.A. °F or label
Food Temperatures:   MILK: 35 F
 
General Comments
HACCP: HANDS SHOULD BE WASHED IN THE DESIGNATED HAND SINK ONLY.

NOTE: HAVE RECORDS OF THE EMPLOYEE'S FOOD HANDLER CERTIFICATES ON FILE BY THE INSPECTION PERIOD. 
Report and Instructions Received By   HAILEY JOHNSON /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/05/2017 Time In  2:40 PM Time Out  3:40 PM Sanitation Score  83 (100 Minus Demerits)
By  Steven Lamb (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 #   BB019  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  DAIRY QUEEN OF BOURBONNAIS Address  121 S MAIN ST
Owner or Operator   NOBLE STORES, LLC City   BOURBONNAIS Zip Code   60914
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*12  Observed an employee drinks near the topping dispensing station located next to the drive-through window. The consumption of food/drink shall be done in a designated area only. 750.530 Immediate/Onsite
8  Observed milk bags placed in milk crates within the "Master-Bilt" walk-in cooler to be stored on the floor. Provide for all food products to be stored at least six inches off of the floor. 750.130. Next Inspection
10  Observed scoop handles of ice cream topping to be touching the food items. Provide for all utensils to be stored in the food product with the handle up and out of the food product. 750.280 NOTE: Scoops were taken out and replaced with clean scoops - corrected on-site. Next Inspection
14  Observed the following improper food contact surfaces: the cutting board installed in the reach-in prep cooler adjacent to the drive-through window to have excessive and deep grooves. Provide for all food contact surfaces to be smooth, easily cleanable, non-absorbent, corrosive resistant, and light colored. 750.650. Next Inspection
15  Observed cardboard being used as a shelf cover located above the "Master-Bilt" cooling unit (which has empty containers in them) - it was used to catch spill from the heating unit storing hot toppings. Provide for all food contact surfaces to be smooth, easily cleanable, non-absorbent, corrosive resistant, and light colored. 750.690 Next Inspection
21  Observed a wiping cloth stored on a shelf counter by the customer service windows. 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 table-installed can opener blade to be coated with food debris. Clean and maintain. 750.800. Next Inspection
23  Observed the space between the sliding doors of the two "Metalfrio" ice cream freezers located in the front part of the facility to be unclean - food debris was found. In addition, food spills were found on the bottom of the "Master-Bilt" freezer opposite to the "Manitowoc ice-machine." Clean and maintain. 750.800. Next Inspection
33  Observed the garbage container near the customer service windows to be full and have no cover. Provide for all garbage containers that are full and in food preparation area to have covers. 750.1130 Next Inspection
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   HAILEY JOHNSON /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/05/2017 Time In  2:40 PM Time Out  3:40 PM Sanitation Score  83 (100 Minus Demerits)
By  Steven Lamb (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 #   BB019  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  DAIRY QUEEN OF BOURBONNAIS Address  121 S MAIN ST
Owner or Operator   NOBLE STORES, LLC City   BOURBONNAIS Zip Code   60914
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
Report and Instructions Received By   HAILEY JOHNSON /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/05/2017 Time In  2:40 PM Time Out  3:40 PM Sanitation Score  83 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  92