Food Establishment Inspection Report |
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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. |
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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 inspectionR=repeat violation |
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IOCI 17-356
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Food Establishment Inspection Report |
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Establishments: RIVERSIDE MEDICAL CENTER | Establishment #: KK167 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: QUAT: 400 | Heat: 180 °F |
CFPM Verification (name, ID#, expiration date): | |||
JENNIFER JORDAN 2889732 10/10/2028 |
TRACI DEBOER 3010137 04/08/2028 |
GABRIEL POWER 23046118 12/23/2027 |
DAVID MEISSEN 3089604 12/04/2028 |
TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
chicken/walk-in cooler - meat | 40.00°F | diced tomatoes/walk-in cooler - vegetable | 39.00°F | /delfield 5000xl (2x) | 41.00°F |
hot dogs/steamed | 180.00°F | /walk-in freezer (2x) | -5.00°F | beef hamburger patties/kitchen warming table | 160.00°F |
meat and tomato sauce/kitchen warming table | 165.00°F | cooked potatoes/cres cor warmer | 170.00°F | cut melons/dairy walk-in cooler | 40.00°F |
/manitowoc cooler | 41.00°F | /victory cooler | 40.00°F | /master-bilt freezer | -1.00°F |
/McCall cooler | 40.00°F | beef/re-heated on grill (grill service station) | 170.00°F | meatballs/warming table - entree station | 170.00°F |
fried chicken/warming unit - grill service station | 155.00°F | tuna salad/deli service station | 40.00°F | cut chicken/warming table - pizzeria | 155.00°F |
pizza/pizzeria | 170.00°F | chicken/buffet table | 41.00°F | soup/portable warming table at buffet line | 170.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
Inspection Comments | ALL FOOD SAFETY MANAGERS HAVE COMPLETED ALLERGEN AWARENESS TRAINING. |
HACCP Topic: HOLDING TCS FOOD ITEMS OUT OF TEMP: ENSURE THAT ANY TCS FOOD ITEMS THAT ARE HELD OUT OF TEMP ARE SERVED OR DISCARDED AFTER 4 HOURS--RECORD KEEPING IS REQUIRED. |
Person In ChargeJENNIFER JORDAN |
Date:11/01/2019 |
InspectorAlan Hatia |
Follow-up: Yes No Follow-up Date: |