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
  
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
X
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
X
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
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
X
1
 Accurate thermometers, chemical test kits provided, gauge cook
33
X
2
 Containers or receptacles covered: adequate number, insect/rodent proof, frequency, clean
 
      
Sanitizer Requirement:  Chemical   Chlorine 200-400 ppm                   Dishwasher Temperature   180F *See attached label on report in file °F or label
Food Temperatures:   grilled cheese sandwich 140; tomato soup 153; milk 35-41; corn beef 12; potato freezer 12; ground beef 10; perch 31
 
General Comments
Haccp: discussed proper sanitizer concentrations.

No follow up required. 
Report and Instructions Received By   Sarah Graham /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  03/19/2007 Time In  10:00 AM Time Out  12:00 PM Sanitation Score  77 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  86  
 
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
*7  Observed raw eggs stored with milk. Please store all potentially hazardous foods either separate or below all ready to eat foods. (750.130) Eggs moved. Immediate/Onsite
*12  Observed the following improper hygienic practices: 1. employee not washing hands after removing gloves, 2. personal beverages next to single service cups, 3. comb and gloves on shelf with dry goods. Please provide a completely separate area away from all food, food items and food equipment for all personal items. Items removed and instructed employee about proper hand washing techniques with use of plastic gloves. (750.530) Immediate/Onsite
2  Observed previously cooked foods not properly labeled. Please label with item, date and time cooling began. Observed various items out of original container not properly labeled in various coolers and freezers. Once out of original container, please label with item and date. (750.100) Immediate/Onsite
5  Observed no thermometer in frig/freezer combo and chest freezers in back room. Please provide an accurate thermometer with +/- 3 degrees and placed in a viewable place. (750.140) Immediate/Onsite
15  Observed the following non-food contact surfaces to be improper: 1. rust on chest freezer in back room that stores bread, 2. rust and broken lid on chest freezer by back door, 3. large dry store room shelves in poor condition - chipped wood. Please repair, replace and reseal. (750.690) Next Inspection
16  Observed the dish machine and racks with lime build up and hood in need of cleaning. Please clean and maintain. (750.830) Immediate/Onsite
17  Observed chemical sanitizer test kits available. Please provide at all times and train employees the proper sanitizer strength. (750.820) Immediate/Onsite
23  Observed the following non-food contact surfaces in need of cleaning: 1. shelves under steam table, 2. shelves in prep table, 3. inside freezer located in kitchen, 4. tops of cans, buckets in both dry store rooms, 5. can rack in larger dry store room, 6. gasket of double door freezer, 7. fan grill of stand fan in kitchen. Please clean. (750.800) Immediate/Onsite
29  Observed mop sink in need of a thorough cleaning. Please clean and maintain at all times. (750.1220) Immediate/Onsite
32  Observed the faucet on left in women's restroom leaking. Please repair and maintain. (750.1120) Next Inspection
33  Observed exterior of trash can by spray sink in poor condition. Please replace. (750.1130) Immediate/Onsite
36  Observed floor in back room with freezers in need of a thorough cleaning behind and under equipment. Please clean. (750.1220) Observed floor in larger dry store room in need of sealing. Please seal. (750.1200) Next Inspection
37  Observed the walls in the mop sink room and back room in need of cleaning. Please clean. (750.1220) Observed ceiling vent in men's restroom in need of cleaning. Please clean. (750.1220) Next Inspection
     
     
     
     
     
     
Report and Instructions Received By   Sarah Graham /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  03/19/2007 Time In  10:00 AM Time Out  12:00 PM Sanitation Score  77 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  86  
 
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   Sarah Graham /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  03/19/2007 Time In  10:00 AM Time Out  12:00 PM Sanitation Score  77 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  86