Food Establishment Inspection Report
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KANKAKEE COUNTY HEALTH DEPARTMENT
 2390 W. Station Street
Kankakee, IL 60901
Phone: (815) 802 - 9410
Establishment
 DAIRY QUEEN OF BOURBONNAIS 		License/Permit #
 BB019
Street Address
121 S MAIN ST
City/State
 BOURBONNAIS, IL 		ZIP Code
 60914
No. of Risk Factor/Intervention Violations 0
No. of Repeat Risk Factor/Intervention Violations 0
Date 05/03/1900
Time In 10:55 AM
Time Out 12:15 PM
Permit Holder
NOBLE STORES, LLC 		Risk Category
H
Purpose of Inspection
ORIGINAL INSPECTION

FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS
Circle designated compliance status (IN, OUT, N/O, N/A) for each numbered item
IN=in compliance    OUT=not in compliance    N/O=not observed    N/A=not applicable
Mark "X" in appropriate box for COS and/or R
COS=corrected on-site during inspection    R=repeat violation 		Risk factors are important practices or procedures identified as the most prevalent contributing factors of foodborne illness or injury. Public health interventions are control measures to prevent foodborne illness or injury.
Compliance Status
 COS R
Compliance Status
 COS R

GOOD RETAIL PRACTICES
Good Retail Practices are preventative measures to control the addition of pathogens, chemicals, and physical objects into foods.
Mark "X" in appropriate box for COS and/or R      
COS
=corrected on site during inspection  
R
=repeat violation  
Compliance Status
 COS R
Compliance Status
 COS R
IOCI 17-356

Food Establishment Inspection Report
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Establishments: DAIRY QUEEN OF BOURBONNAIS Establishment #: BB019
Water Supply:   Public Private   Waste Water System:   Public Private
Sanitizer Type: Chemical PPM: CHLORINE 50-100 Heat: NA °F
CFPM Verification (name, ID#, expiration date):
PAYTON HERRING
26914338
02/12/2030 		CARRIE HERRING
24845001
11/22/2028

01/01/1900

 

TEMPERATURE OBSERVATIONS
Item/Location
Temp
Item/Location
Temp
Item/Location
Temp
/walk-in freezer -10.00°F /cooler 38.00°F /cooler 37.00°F
/walk-in cooler 39.00°F    

OBSERVATIONS AND CORRECTIVE ACTIONS
Item
Number 		Severity Violations cited in this report must be corrected within the time frames below.
Inspection Comments   MAKE SURE ALL EMPLOYEE'S HAVE A FOOD HANDLER CERTIFICATE. WILL BE BACK IN 10 DAYS TO DO A FOLLOW UP TO CHECK ON TEST STRIPS AND FOOD CONTACT SURFACES.
HACCP Topic: WASH HANDS FOR 20-30 SECONDS BEFORE HANDLING FOOD.
 

Person In Charge

  SAMANTHA KRYSTINE FRANCIS -TUTTILA 		 

Date:

  05/03/1900
 

Inspector

  Steven Lamb 		 

Follow-up:  Yes   No   Follow-up Date:

05/13/2019