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 #   HP010  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  PEMBROKE KOGER SENIOR CENTER Address  4019 WHEELER RD
Owner or Operator   PEMBROKE TOWNSHIP City   HOPKINS PARK Zip Code   60944
 
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
  
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
X
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
X
1
 Lighting provided as required - Fixtures shielded
8
  
2
 Food protection during storage, preparation, display, service and transportation  
WATER
  
VENTILATION
*27
X
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
X
1
 Installed, maintained
*41
X
5
 Toxic items properly stored, labeled and used
*12
  
5
 Hands washed and clean, good hygienic practices
*30
X
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
X
1
 Non-food (ice) contact surfaces: designed, constructed, maintained, installed, located.
44
  
1
 Clean, soiled linen properly stored
 
CERTIFIED PERSONNEL
16
X
2
 Dishwashing facilities: designed, constructed, maintained, installed, located, operated
*45
     Management personnel certified Yes     No     Registered for class    
 
GARBAGE AND REFUSE DIPSOSAL
17
X
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   NA °F or label
Food Temperatures:   BUTTER 35 SAUCE 38 FREEZERS HOLDING FROZEN
 
General Comments
HACCP:
WASH RINSE SANITIZE PROPER PROCEDURES 
Report and Instructions Received By   /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/18/2018 Time In  12:00 PM Time Out  1:40 PM Sanitation Score  68 (100 Minus Demerits)
By  Ryan Wheeler (Sanitarian) Adjusted Score  74  
 
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 #   HP010  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  PEMBROKE KOGER SENIOR CENTER Address  4019 WHEELER RD
Owner or Operator   PEMBROKE TOWNSHIP City   HOPKINS PARK Zip Code   60944
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*20  Observed the facility to be engaged in food operations without having a properly mixed sanitizer solution available Provide for a properly mixed sanitizer solution to be available during all food preparation/service hours Next Inspection
*27  Observed no hot/cold water at the following fixtures: 1. 3 BAY RUNS OUT OF HOT WATER DUE TO SIZE OF TANK. TANK SIZ MUST BE APPROPRIATE FOR KITCHEN ACTIVITES. Provide for all lavatories to be provided with hot and cold running water Next Inspection
*30  1.THREE BAY SINK FAUCET EXTENDS BELOW FLOOD RIM NEEDS REPAIRED OR REPLACED. 30 Days
*41  Observed the sanitizer solution in/at the following location(s) to be too strong: 1.SANITIZER WAS MIXED TOO STRONG (NO STRIPS ON SITE) Provide for the sanitizer solution to be no stronger than the required concentration Immediate/Onsite
2  Observed the following food products to have improper/no labeling information 1.BAKED BEANS NOT LABLED Provide for all foods to have proper labeling information Immediate/Onsite
5  Observed no thermometer to be available in the following units 1.WHITE CHEST FREEZER IN KITCHEN 2.FREEZER IN FRIDGE/FREEZER COMBO (CORRECTED) Provide for an accurate, conspicuous thermometer, that is accurate within +/- 3°F, to be available in all units holding potentially hazardous foods Next Inspection
16  1. THREE BAY SINK NEEDS REPLACEMENT DRAIN PLUG. Next Inspection
17  Observed no test kit to be available for testing the chemical sanitizer 1.CHLORINE TEST STRIPS NOT AVAILABLE Provide for a test kit or other device that accurately measures the parts per million concentration of the sanitizer solution to be available Next Inspection
23  Observed the following contact surfaces to be unclean 1.THE PLASTIC MISC. TABLE 2.PREP TABLE DRAWERS 3.PREP TABLE SHELVES 4.BOTTOM OF THREE BAY SHELVES 5.CHEMICAL CHELVING 6.WIRE SHELVING IN STORAGE AREA HAVE GREASE BUILDUP 7.REAR OF STOVE Clean and maintain Next Inspection
29  Observed the following plumbing to be improperly installed or maintained: 1.FLOOR SINK (DRAIN FOR THREE BAY) DRAINS SLOW AND OVERFLOWS ONTO KITCHEN FLOOR Provide for all plumbing to be sized, installed, and maintained in accordance with applicable provisions of the Illinois State Plumbing Code. All Plumbing modifications and/ or upgrades will be required to be permitted to inspected by the local plumbing inspector Next Inspection
32  1.HAND SINK IS NEED OF CLEANING Next Inspection
36  Observed the following floor areas to be unclean: 1.FLOOR IN STORAGE AREA HAS DEBRIS BUILDUP AROUND EDGES Provide for all flooring areas to be in a clean condition Next Inspection
37  Observed the following wall/ceilings, and attached equipment to be unclean: 1.VENT HOOD 2.WALLS IN STORAGE ROOM Provide for all walls, ceilings, and attached equipment to be in a clean condition Observed the following wall/ceilings area(s) to be in poor repair: 1.CEILING AIR VENT NEEDS RESURFACED 2.BASE BOARD NEAR KITCHEN ENTRANCE 3.WALL BEHIND MOP SINK NEEDS REPAIRED Provide for all walls and ceilings to be smooth, easily cleanable, non-absorbent, durable, and light colored and be maintained in good repair Next Inspection
38  1.LIGHT IS OUT IN KITCHEN AREA 2.LIGHT IS FLICKERING IN KITCHEN AREA Next Inspection
     
     
     
Report and Instructions Received By   /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/18/2018 Time In  12:00 PM Time Out  1:40 PM Sanitation Score  68 (100 Minus Demerits)
By  Ryan Wheeler (Sanitarian) Adjusted Score  74  
 
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 #   HP010  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  PEMBROKE KOGER SENIOR CENTER Address  4019 WHEELER RD
Owner or Operator   PEMBROKE TOWNSHIP City   HOPKINS PARK Zip Code   60944
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
     
     
     
Report and Instructions Received By   /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/18/2018 Time In  12:00 PM Time Out  1:40 PM Sanitation Score  68 (100 Minus Demerits)
By  Ryan Wheeler (Sanitarian) Adjusted Score  74