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
 
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
X
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
  
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 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 ppm                   Dishwasher Temperature   180F *see label on report in file °F or label
Food Temperatures:   ham 154; sausage patty 31; sliced cheese 54* time/temp o.k.; milk 41; moz cheese 36; bratwurst 30; pork 31
 
General Comments
Haccp: discussed keeping thermometers in viewable places.

No follow up required.

NOTE: This facility has made a major improvement! Thank you for all of your hard work!! 
Report and Instructions Received By   Sarah Graham /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  06/29/2007 Time In  9:30 AM Time Out  11:00 AM Sanitation Score  92 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  92  
 
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
2  Observed meats in meat freezer in back room not properly labeled. Once out of original container, label with name and date. (750.100) Immediate/Onsite
15  Observed the following non-food contact surfaces to be improper: 1. torn pot holders by serving line, 2. rust on inside and out of chest freezers by overhead door in back room, 3. broken lid on inside of chest freezer on right by overhead door in back room. Provide for all non-food contact surfaces to be smooth, easily cleanable, corrosive free and non-absorbent. (750.690) Next Inspection
23  Observed the following non-food contact surfaces in need of cleaning: 1. inside of stainless steal cabinet across from stove, 2. wood shelves in dry good storeroom, 3. outside of large sugar and floor containers in storeroom, 4. outside of brown rice container in small storeroom 5. inside bottom of meat freezer in back room. Please clean. (750.800) Immediate/Onsite
29  Observed faucet on left bay in women's restroom leaking. Please repair and maintain all plumbing. (750.1060) Next Inspection
36  Observed floor in small storeroom, mop sink room and back room in need of cleaning. Please clean. (750.1220) Immediate/Onsite
37  Observed no baseboard by back door. Please provide proper baseboard to prevent unwanted pests. (750.1210) Observed the following surfaces in need of cleaning: 1. walls in mop sink room, back room and dry good storage room, 2. window sill in dry good storage room, 3. ceiling vent in men's restroom. Please clean. (750.1220) Next Inspection
38  Observed light shields in need of cleaning in small storeroom. Please clean. (750.1240) Next Inspection
42  Observed purse and coat stored in small storeroom off of kitchen. Please provide a separate area for all personal belongings. (750.1350) Observed mop sink and buckets in need of cleaning. Please clean and maintain. (750.1390) Immediate/Onsite
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   Sarah Graham /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  06/29/2007 Time In  9:30 AM Time Out  11:00 AM Sanitation Score  92 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  92  
 
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  06/29/2007 Time In  9:30 AM Time Out  11:00 AM Sanitation Score  92 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  92