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 #   KK019  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  RIVERSIDE SENIOR LIFE COMMUNITIES AT WESTWOOD Address  100 WESTWOOD OAK CT
Owner or Operator   RIVERSIDE MEDICAL CENTER City   KANKAKEE Zip Code   60901
 
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
X
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
  
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
X
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
  
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
X
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   quat 400 ppm                   Dishwasher Temperature   ok °F or label
Food Temperatures:   ice cream: 1 milk: 34 hamburger: 37 mushroom soup: 160 eggs: 35 chicken: 175
 
General Comments
HACCP: Discussed proper sanitizing of dishes.
No follow-up is required at this time. 
Report and Instructions Received By   /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  03/22/2007 Time In  10:05 AM Time Out  11:20 AM Sanitation Score  83 (100 Minus Demerits)
By  Donald Graves (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 #   KK019  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  RIVERSIDE SENIOR LIFE COMMUNITIES AT WESTWOOD Address  100 WESTWOOD OAK CT
Owner or Operator   RIVERSIDE MEDICAL CENTER City   KANKAKEE Zip Code   60901
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*20  Observed the dish machine final rinse water to not reach the proper temperature to sanitize the dishes. Provide for the dish machine final rinse water to reach the minimum required temperature to assure that the dishes are properly sanitized. (750.830) Dish washer fixed. Immediate/Onsite
*41  Observed the following chemical(s) to be improperly stored: 1. Lime Away stored above foil in dry storage 2. charcoal lighter fluid stored above styrofoam take out containers in dry storage 3. chafing fuel stored above pop in dry storage. Provide for all food, equipment, utensils, and single service articles to be stored either above or completely separate for all toxic chemicals. (750.1310) Chemicals moved. Immediate/Onsite
2  Observed the following food products to have improper/no labeling information: 1. salt in squirt bottle 2. butterscotch in squirt bottle 3. flour in bulk container by baking prep area 4. sugar in bulk container in baking prep area. Provide for all foods to have proper labeling information. (750.130) Next Inspection
5  Observed no thermometer to be available in the following units: 1. ice cream freezer. Provide for an accurate, conspicuous thermometer, that is accurate within +/- 3°F, to be available in all units holding potentially hazardous foods. (750.140) Next Inspection
14  Observed the following improper food contact surfaces: 1. coffee stirrers stored in styrofoam cup under the juice dispenser. Provide for all food contact surfaces to be smooth, easily cleanable, non-absorbent, corrosive resistant, and light colored. (750.600) Next Inspection
15  Observed the following improper non-food contact surfaces: 1. duct tape on the ice cream freezer lid 2. handle broken on door to the boxed pop. Provide for all food contact surfaces to be smooth, easily cleanable, non-absorbent, corrosive resistant, and light colored. (750.690) Next Inspection
23  Observed the following non-food contact surfaces to be unclean: 1. door gaskets of 4 door cooler on both sides, especially the bottom doors 2. inside on the top of the bottom right door (glass side) of the 4 door cooler 3. can opener blade and base 4. door gaskets of walk-in cooler. Clean and maintain. (750.800) Next Inspection
36  Observed the following floor areas to be unclean: 1. walk-in freezer. Provide for all flooring areas to be in a clean condition. (750.1220) Next Inspection
37  Observed the following wall/ceilings, and attached equipment to be unclean: 1. grated ceiling tile over the clean dishes. Provide for all walls, ceilings, and attached equipment to be in a clean condition. (750.1220) Next Inspection
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  03/22/2007 Time In  10:05 AM Time Out  11:20 AM Sanitation Score  83 (100 Minus Demerits)
By  Donald Graves (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 #   KK019  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  RIVERSIDE SENIOR LIFE COMMUNITIES AT WESTWOOD Address  100 WESTWOOD OAK CT
Owner or Operator   RIVERSIDE MEDICAL CENTER City   KANKAKEE Zip Code   60901
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
     
     
Report and Instructions Received By   /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  03/22/2007 Time In  10:05 AM Time Out  11:20 AM Sanitation Score  83 (100 Minus Demerits)
By  Donald Graves (Sanitarian) Adjusted Score  92