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 #   MM025  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  MOMENCE MEADOWS NURSING & REHABILITATION Address  500 S WALNUT
Owner or Operator   INFINITY HEALTHCARE 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
X
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
X
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
X
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
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
X
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   Chlorine 50-100ppm °F or label
Food Temperatures:   milk 40; ice cream -14; ham -6; sliced american cheese 40
 
General Comments
Haccp: discussed wiping down all counters and steam tables with sanitizer water.

No follow up required.

Note: facility has not received their 2007 food license. Will mail another copy. 
Report and Instructions Received By   Christine Gray /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/28/2007 Time In  1:15 PM Time Out  3:15 PM Sanitation Score  84 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  89  
 
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 #   MM025  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  MOMENCE MEADOWS NURSING & REHABILITATION Address  500 S WALNUT
Owner or Operator   INFINITY HEALTHCARE City   MOMENCE Zip Code   60954
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*12  Observed personal CD player and CD's on prep table stored with food and spices next to hand sink. All personal belongings must be stored completely separate from all food, food equipment and single service items. Items moved. (750.510) Immediate/Onsite
15  Observed the following non-food contact surfaces to be improper: 1. rust on storeroom racks, 2. torn/broken gaskets on walk in freezer and cooler, 3. peeling finish on walk in cooler shelves, 4. black tape on handles of dishwasher, 5. rust on front counter shelves, 6. peeling finish on racks by 3-bay sink. Please provide for all non-food contact surfaces to be smooth, easily cleanable, corrosive free and non-absorbent. Remove black tape, repair or replace shelves and gaskets. (750.690) Next Inspection
16  Observed rust on inside and outside of dishwasher, lots of lime and corrosion on outside of dishwasher. Please either repair or replace dishwasher. The rust on the inside is not a source of contamination yet, but will be. (750.830) Immediate/Onsite
22  Observed the following food contact surfaces in need of cleaning: 1. inside of container used to store clean utensils in 3-bay area, 2. inside of silverware holders at front counter. Please clean. (750.800) Immediate/Onsite
23  Observed the following non-food contact surfaces in need of cleaning: 1. carts in dish washing area, 2. all large bulk plastic containers on outside, 3. all condiment holders, 4. coffee cart, 5. all stoves on inside including glass doors. Please clean. (750.800) Immediate/Onsite
24  Observed clean plates and bowls stored improperly. Please store inverted on a clean, dry surface or protected. (750.850) Immediate/Onsite
34  Observed outside dumpster area in need of cleaning and lid off of dumpster. Please keep area clean at all times and keep lid on unless taking garbage out to eliminate pests. (750.1140) Immediate/Onsite
36  Observed floor in walk in freezer in need of cleaning. Please clean. (750.1220) Observed floor under dish machine to be improperly sealed. Please seal concrete. (750.1200) Immediate/Onsite
37  Observed the following surfaces to be improper: 1. wall with peeling paint in storeroom by milk cooler, 2. end cap missing by walk in cooler, 3. broken plaster on ceiling by vent in dish washing room. Please repair. (750.1210) Observed the following surfaces in need of cleaning: 1. walls in 3-bay room, dish washing room, behind 2-bay; 2. fan grill in walk in cooler, 3. ceiling in dish washing room. Please clean. (750.1220) Next Inspection
42  Observed dust pan in 3-bay area in need of cleaning. Please clean. (750.1350) Immediate/Onsite
     
     
     
     
     
     
     
     
Report and Instructions Received By   Christine Gray /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/28/2007 Time In  1:15 PM Time Out  3:15 PM Sanitation Score  84 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  89  
 
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 #   MM025  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  MOMENCE MEADOWS NURSING & REHABILITATION Address  500 S WALNUT
Owner or Operator   INFINITY HEALTHCARE City   MOMENCE Zip Code   60954
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
     
     
Report and Instructions Received By   Christine Gray /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/28/2007 Time In  1:15 PM Time Out  3:15 PM Sanitation Score  84 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  89