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 #   MA037  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  NEXUS INDIAN OAKS FAMILY HEALING Address  101 BRAMBLE ST
Owner or Operator   NEXUS FAMILY HEALING 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
  
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
  
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
 
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
  
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
X
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
X
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 ppm                   Dishwasher Temperature   120-140 °F or label
Food Temperatures:   COLE SLAW 39, CHICKEN 36, SAUSAGE 37, PEAS & CARROTS 24
 
General Comments
HACCP CONCEPTS DISCUSSED: KEEP ALL CHEMICALS STORED AWAY FROM FOOD AND FOOD CONTACT SURFACES. 
Report and Instructions Received By   TONY SMITH /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  06/26/2018 Time In  2:10 PM Time Out  3:20 PM Sanitation Score  91 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  96  
 
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 #   MA037  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  NEXUS INDIAN OAKS FAMILY HEALING Address  101 BRAMBLE ST
Owner or Operator   NEXUS FAMILY HEALING City   MANTENO Zip Code   60950
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*41  Observed the following toxic chemical container(s) to not be properly labeled: There is no label on sanitizer. Provide for all chemical containers that no longer have the original label on them to be labeled with chemical content. Manager labeled sanitizer. Observed the following chemical(s) to be improperly stored: Sterno's and air freshener was stored with cups and napkins etc. in storage cabinet. Provide for all food, equipment, utensils, and single service articles to be stored either above or completely separate for all toxic chemicals Immediate/Onsite
10  Observed the following utensil(s) to be improperly stored. Handle was found in 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. Next Inspection
23  Observed the following contact surfaces to be unclean. 1. Top of milk cooler has mold growth on it. 2. Sides of oven and stove has debris on it. Clean and maintain. Next Inspection
36  Observed the following floor areas to be unclean: 1. Floor under ice machine has debris on it and in floor drain. 2. Floor under ovens and stove has debris on it. 3. There is ice built up on the floor in the walk-in freezer. Provide for all flooring areas to be in a clean condition. Next Inspection
42  Observed the following maintenance equipment to be improperly stored: Mop bucket has soiled water in it. Provide for all maintenance equipment to be stored in a manner that will prevent contamination of food, equipment, utensils and single service articles. Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   TONY SMITH /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  06/26/2018 Time In  2:10 PM Time Out  3:20 PM Sanitation Score  91 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  96  
 
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 #   MA037  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  NEXUS INDIAN OAKS FAMILY HEALING Address  101 BRAMBLE ST
Owner or Operator   NEXUS FAMILY HEALING City   MANTENO Zip Code   60950
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
     
Report and Instructions Received By   TONY SMITH /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  06/26/2018 Time In  2:10 PM Time Out  3:20 PM Sanitation Score  91 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  96