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 #   MM023  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  MOMENCE HIGH SCHOOL Address  101 N FRANKLIN ST
Owner or Operator   MOMENCE SCHOOL DISTRICT City   MOMENCE Zip Code   60954
 
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
X
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
  
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
  
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
  
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
  
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 200-400 ppm                   Dishwasher Temperature   n/a 3bay not in use at time of inspection °F or label
Food Temperatures:   milk 41; pizza 17,39,144; ice cream -2; cheeseburger 115*; taco meat 4; hamburger 7; ham 6-7; chicken patty 24; tuna salad 45*
 
General Comments
Haccp: discussed proper hand washing techniques.

A follow up will occur in apprx. 10 days for violations #3 and 12. 
Report and Instructions Received By   Zoe Luedtke /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/26/2007 Time In  9:00 AM Time Out  11:00 AM Sanitation Score  86 (100 Minus Demerits)
By  Penny Suszycki (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 #   MM023  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  MOMENCE HIGH SCHOOL Address  101 N FRANKLIN ST
Owner or Operator   MOMENCE SCHOOL DISTRICT City   MOMENCE Zip Code   60954
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*3  Observed the following potentially hazardous foods not at proper temperature: 1. cheeseburgers - 115F; 2. chicken salad - 45F. All potentially hazardous foods must be cooked to 165F and held at 140F. Previously cooked then cooled PHF's must be held at 40F or below. Cheeseburgers placed back in oven and chicken salad discarded. (750.210) All PHF's temperatures must be checked before placing in warmers. Warmers are not to be used for heating PHF's. Immediate/Onsite
*12  Observed student worker touching single service tableware on food contact area with unwashed hands. When handling any food, food items or single service items, hands must be thoroughly washed and no touching on food contact areas. Instructed head cook and student worker. (750.880) Immediate/Onsite
2  Observed various food not properly labeled in freezers and refrigerators. Once out of original container, please label with item and date. All previously cooked foods must be labeled with item, date and time cooking began. (750.100) Immediate/Onsite
23  Observed the following non-food contact surfaces in need of cleaning: 1. outside of paper towel dispenser over hand sink, 2. knife rack, 3. lower shelf of prep table, 4. storeroom shelves and tops of containers. Please clean. (750.800) Immediate/Onsite
32  Observed restroom door not to be self-closing. Please provide a self-closer on door. (750.1110) Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   Zoe Luedtke /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/26/2007 Time In  9:00 AM Time Out  11:00 AM Sanitation Score  86 (100 Minus Demerits)
By  Penny Suszycki (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 #   MM023  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  MOMENCE HIGH SCHOOL Address  101 N FRANKLIN ST
Owner or Operator   MOMENCE SCHOOL DISTRICT City   MOMENCE Zip Code   60954
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
     
Report and Instructions Received By   Zoe Luedtke /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/26/2007 Time In  9:00 AM Time Out  11:00 AM Sanitation Score  86 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  91