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 #   SA012  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  SEASONAL/ ST. ANNE YOUTH ACTIVITY GROUP Address  220 N SECOND
Owner or Operator   ST. ANNE YOUTH ACTIVITY GROUP City   ST. ANNE Zip Code   60964
 
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
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
  
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
  
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
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   NOT PRESENT ppm                   Dishwasher Temperature   NA °F or label
Food Temperatures:   FREEZERS HOLDING FROZEN - COOLERS TEMPING BELOW 41
 
General Comments
 
Report and Instructions Received By   /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/30/2018 Time In  1:30 PM Time Out  3:00 PM Sanitation Score  89 (100 Minus Demerits)
By  Ryan Wheeler (Sanitarian) Adjusted Score  94  
 
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 #   SA012  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  SEASONAL/ ST. ANNE YOUTH ACTIVITY GROUP Address  220 N SECOND
Owner or Operator   ST. ANNE YOUTH ACTIVITY GROUP City   ST. ANNE Zip Code   60964
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*27  Observed no hot/cold potable water supplies to: 1.BUILDINGS HOTWATER HEATER WS TURNED OFF. Provide for all fixtures to have hot or cold running, potable, water Immediate/Onsite
15  Observed the following improper non-food contact surfaces 1.BARE WOOD AMD WORN PAINT ON SHELVES NEEDS PAINTED Provide for all food contact surfaces to be smooth, easily cleanable, non-absorbent, corrosive resistant, and light colored Next Inspection
23  Observed the following contact surfaces to be unclean 1.EQUIPMENT ESPECIALLY FREEZERS AND REFRIGERATORS NEED CLEANED IN AND OUT Clean and maintain Next Inspection
29  Observed the following plumbing to be improperly installed or maintained: 1.HAND SINK NEEDS AERATOR INSTALLED 2.3 BAY SINK NEEDS FAUCET FITTING REPLACED. (LEAKING) 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 NEEDS CLEANED Next Inspection
36  1.FLOOR DRAIN IN STORAGE NEEDS COVERED Next Inspection
37  Observed the following wall/ceilings, and attached equipment to be unclean: 1.WALLS NEED CLEANED Provide for all walls, ceilings, and attached equipment to be in a clean condition Next Inspection
42  1.CLEANING EQUIPMENT PREVENT ACCESS TO BACK STORAGE NEED ORGANIZED AND HUNG. 2.MOP SINK INACCESIBLE NEEDS CLEANED AND MADE ACCESIBLE Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/30/2018 Time In  1:30 PM Time Out  3:00 PM Sanitation Score  89 (100 Minus Demerits)
By  Ryan Wheeler (Sanitarian) Adjusted Score  94  
 
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 #   SA012  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  SEASONAL/ ST. ANNE YOUTH ACTIVITY GROUP Address  220 N SECOND
Owner or Operator   ST. ANNE YOUTH ACTIVITY GROUP City   ST. ANNE Zip Code   60964
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
Report and Instructions Received By   /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/30/2018 Time In  1:30 PM Time Out  3:00 PM Sanitation Score  89 (100 Minus Demerits)
By  Ryan Wheeler (Sanitarian) Adjusted Score  94